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Are We Nearing The End Of Medicare’s Three-Day Rule That Makes Patients Pay For Skilled Nursing Care?

President Trump’s Medicare chief, Seema Verma, may have signaled the beginning of the end of Medicare’s three-day rule—the requirement that Medicare will pay for post-acute care or rehabilitation in a skilled nursing facility (SNF) only if a beneficiary first spends at least three days as an admitted patient in the hospital. If she revises the rule, she will make many [...]

By |2019-08-19T12:33:59-04:00August 19th, 2019|Uncategorized|0 Comments

How Frail Elders Will Pay For Trump’s New Anti-Immigrant Rules

The Trump Administration has adopted tough new rules aimed at barring low-wage workers from coming to the US.  Direct care workers such as personal care aides, home health aides, and certified nursing assistants will be among the biggest victims. But so will frail elders and younger people with disabilities, who will find it even more difficult to get the help [...]

By |2019-08-12T15:16:18-04:00August 12th, 2019|long-term care workers|0 Comments

How Providing Social Supports And Care Coordination May Lower Medical Costs For Seniors Living At Home  

What if real estate developers worked with on-site nurses and social workers to help frail older adults and younger people with disabilities stay in their apartments? Could they deliver--in a cost-effective way--social supports and care coordination that would improve the well-being of residents, reduce their health care costs, and benefit property managers? The answer is: They can, especially for older [...]

By |2019-08-07T15:03:07-04:00August 7th, 2019|Senior housing|0 Comments

Medicare For All Has Nothing To Do With Medicare. Call It Something Else  

This week’s second round of debates among Democratic presidential hopefuls is producing a (mostly healthy) conversation about health insurance. But for normal people, much of the argument is enormously confusing. What are these candidates talking about? And how are their plans different from today’s Medicare and from one another? One way to make this debate more comprehensible is to drop [...]

By |2019-07-31T15:26:44-04:00July 31st, 2019|Medicare|0 Comments

Democratic Presidential Hopeful Cory Booker Proposes A Long-Term Care Plan

Democratic presidential candidates finally are beginning to talk about long-term care for older adults and younger people with disabilities. That’s good. Their ideas, not so much. This week, New Jersey senator and presidential contender Cory Booker became the first Democrat in the race to propose a relatively detailed long-term care plan. He deserves credit for raising an issue that, until [...]

By |2019-07-17T15:08:38-04:00July 17th, 2019|long term care reform|0 Comments

Medicare Must Keep A Closer Eye On Hospices And Nursing Homes That Put Patients At Risk

Three reports in the past month have outlined serious problems with the way some nursing homes and hospices are caring for their patients.  The tales are similar: A relative handful of providers are delivering poor, even dangerous, care that is being hidden from consumers. But the real story is far more troubling:  Neither the federal government nor many states have [...]

By |2019-07-12T13:40:00-04:00July 12th, 2019|nursing homes|0 Comments

Sales Of Traditional Long-Term Care Insurance Policies Continue To Fall

Americans bought only about 60,000 stand-alone long-term care (LTC) insurance policies in 2018, down 13 percent from 2017. Only about 15 carriers were actively selling policies, and five of them accounted for more than three-quarters of the market, as measured by premiums. The grim news was included in the latest version of an authoritative annual survey of long-term care insurance [...]

By |2019-07-03T12:05:24-04:00July 3rd, 2019|long-term care insurance|0 Comments

Private Equity Firms Are Acquiring Long-Term Care Insurance Policies. What Will It Mean For Policyholders?

Some long-term care insurance companies are turning over their existing policies to private equity firms and other outside investors, a move that will wipe massive liabilities off their books but could put policyholders at risk. The problem: Unlike traditional insurance companies, private equity investors may be investing premiums in high-yielding but speculative securities such as junk corporate bonds. Such a [...]

By |2019-06-28T14:47:09-04:00June 28th, 2019|Uncategorized|0 Comments

An Ambitious State-Based Plan for Universal Family Care That Falls Just Short On Long-Term Care

These days, efforts to reform our broken system of long-term care are being led by the states. To support and build on those programs, the National Academy of Social Insurance (NASI) released an ambitious agenda for structuring and financing programs to help families support their loved ones. The NASI framework, called Universal Family Care, goes far beyond long-term care financing. It [...]

By |2019-06-28T10:52:44-04:00June 28th, 2019|long term care reform|0 Comments