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Biden Begins An Important, Much-Delayed, National Debate About Long-Term Care Reform

President Biden’s $400 billion plan to expand Medicaid’s home and community based services (HCBS) for people receiving long-term services and supports (LTSS) already has accomplished one major goal: It has policymakers and opinion leaders talking about how we care for frail older adults and younger people with disabilities. We not had a long-term care conversation like this since Congress created [...]

By |2021-04-08T14:58:50-04:00April 8th, 2021|Joe Biden, long term care reform, Medicaid|0 Comments

Biden Proposes The Biggest Medicaid Home-Based Long-Term Care Expansion In History, But….

In his American Jobs Plan, President Biden has proposed increasing federal support for home-based long-term care by a staggering $400 billion over eight years. A $50 billion annual increase would represent a roughly 40 percent increase in the $129 billion Medicaid spent on long-term care in 2018 and a 70 percent increase in that year’s home and community-based services (HCBS) [...]

By |2021-04-01T10:22:18-04:00April 1st, 2021|Medicaid, Uncategorized|7 Comments

The High Cost of Loneliness: The Other Price Older Adults Are Paying For Covid-19

For months, families and operators of long-term care facilities have been telling me about the indirect toll the covid-19 pandemic has taken on residents. Not on those who have sickened or died from the virus, but on those whose quality of life has been severely harmed by the social isolation it caused. Now, we are beginning to learn more about [...]

By |2021-03-25T11:08:27-04:00March 25th, 2021|nursing homes|0 Comments

As The Policy Debate Over Nursing Homes Heats Up, Operators Are On The Defensive

In the wake of the devastating effects of covid-19 on nursing home residents and their staffs, pressure is building on long-term care facilities from congressional Democrats who are exploring ways to accelerate the shift of Medicaid long-term services and supports from nursing facilities to home and community based services (HCBS).  Some states are demanding tougher health and safety rules. And [...]

By |2021-03-19T13:49:37-04:00March 19th, 2021|nursing homes|0 Comments

How Can The US  Fix Long-Term Care In A Post Covid-19 World?

The Covid-19 pandemic has been a catastrophe for frail older adults. More than 170,000 residents and staff of long-term care facilities have died from the virus, and adults over age 65 living in all settings have accounted for about 80 percent of the nation’s deaths, or about 400,000 fatalities. But what lessons have we learned? And how can we build [...]

By |2021-03-10T10:59:12-05:00March 10th, 2021|long term care reform|12 Comments

What The Divorce Of The Nation’s Biggest Nursing Home Operator And Owner Means

In a bombshell announcement, the real estate investment trust (REIT) Welltower—the biggest owner of nursing homes in the US-- is divorcing from Genesis Healthcare—the nation’s biggest operator of nursing facilities. At same the same, Genesis, whose share price has plummeted in recent years, announced it is delisting from the New York Stock Exchange. It is common for REITs to own [...]

By |2021-03-03T17:52:02-05:00March 3rd, 2021|nursing homes, Uncategorized|0 Comments

Is The Shift Of Medicaid Long-Term Care From Nursing Facilities To Home About To Accelerate?

The massive pandemic relief bill that the House is likely to approve by the end of this week includes billions of dollars in new funding for government long-term services and supports (LTSS) for frail older adults and young people with disabilities. But, paradoxically, the most far-reaching change may be from a temporary funding increase for Medicaid home and community-based services [...]

By |2021-02-24T15:04:09-05:00February 24th, 2021|Medicaid|8 Comments

How Can States Get Timely Covid-19 Vaccine to Family Caregivers Of Frail Seniors? It Is Complicated

Many experts have written about the importance of making covid-19 vaccines available to family caregivers of frail older adults and younger people with disabilities. But how can states do this? It turns out to be really complicated. Massachusetts shows what happens when one state decides to vaccinate not only older adults, but also the people who bring them to get [...]

By |2021-02-17T10:23:03-05:00February 17th, 2021|Health Care|0 Comments

Turn The Covid-19 Vaccine Appointment Process Over To StubHub or Ticketmaster

By now, everyone has stories about the Grand Fail of Covid-19 vaccine distribution--especially the inability to even make an appointment for a shot. It has become a process reminiscent of the old Soviet Union: See a line. Get in. There may be something to buy. This mess is especially hazardous to many older adults, who may not have computer skills—or [...]

By |2021-02-11T11:53:37-05:00February 11th, 2021|Health Care|0 Comments

How To Get Covid-19 Vaccine To Homebound Older Adults

In December, I wrote about how important it is to get the Covid-19 vaccine to millions of homebound older adults, younger people with disabilities,  and their caregivers.  It won’t be easy, but here are some ways to build on existing programs and housing arrangements. People with severe chronic disease and functional or cognitive limitations are extremely vulnerable to severe illness [...]

By |2021-02-01T11:28:59-05:00February 1st, 2021|aging in place|5 Comments