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A Shortage Of Paid Caregivers Is Raising The Cost Of Home Care

The growing shortage of paid caregivers has become increasingly apparent over the past several months.  Now, we are seeing evidence of the most direct consequence of that scarcity: The cost of care, especially for those living at home, is rising faster than it has in years. According to the newly released Genworth cost of care survey, the cost of homemaking [...]

By |2019-10-18T13:38:07-04:00October 18th, 2019|long-term care workers|0 Comments

Medicare Advantage Plans Are Expanding Personal Supports and Services For 2020

In 2020, Medicare beneficiaries will have more opportunities to join Medicare Advantage (MA) managed care plans that offer limited personal supports and services such as home care, non-medical transportation, nutrition programs, and home modifications. The benefits, first allowed by the federal government for 2019, are not full-blown long-term care, but they do provide critical services and supports that may make [...]

By |2019-10-07T16:49:44-04:00October 7th, 2019|Medicare|0 Comments

Urging Doctors and Health Systems To Recognize The Importance Of Social Supports To Patients 

The influential National Academies of Sciences, Engineering and Medicine (NAS) has called for a major initiative to better integrate heath care and social supports. The group, formerly known as the Institute of Medicine, has published a white paper on the subject that should encourage both policymakers and medical practitioners to pay more attention to the importance of social supports to [...]

By |2019-10-02T10:56:00-04:00October 2nd, 2019|social determinants of health|0 Comments

Psychedelics and Seniors: Can Drugs Such As Marijuana and Psilocybin Improve Their Quality of Life?

OK, let’s get past all the jokes about aging Baby Boomers revisiting their youth and getting stoned.  As the medical and recreational use of marijuana grows across the country, older adults are increasingly either smoking cannabis or taking it in the form of cannabidiol (CBD).  Yet we know remarkably little about how CBD or its close relative  tetrahydrocannabinol (THC) affects [...]

By |2019-09-18T12:40:55-04:00September 18th, 2019|Health Care|0 Comments

Interest Grows In Social Insurance For Long-Term Care. But What Should It Look Like?

Federal and state policymakers increasingly are interested in creating a public social insurance program for long-term care in the US. Even some Democratic presidential hopefuls have raised the issue, though still only in general terms. That growing interest is great news, and long past due. But what should such a model look like? Designers face a handful of critical high-level [...]

By |2019-09-04T13:27:55-04:00September 4th, 2019|long-term care financing, Uncategorized|0 Comments

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