Not since the 1960s have so many critical policy issues that affect older adults come together in Congress at one time. Over the next few months, lawmakers will decide whether to both increase and fundamentally refocus federal support for older adults and younger people with disabilities. Those reforms would assist those who need long-term services and supports and many healthy [...]
In an attempt to get a handle on the persistent Covid-19 pandemic, President Biden yesterday issued a broad executive order mandating vaccines for a large segment of the US economy, including most of the medical and long-term care industries. His order should give families comfort that most licensed providers, from doctors to home health aides, will be vaccinated. But it [...]
A funny thing happened on the way to that $56,00-a-year Alzheimer’s drug: Payers are reluctant to pay, providers are reluctant to prescribe, and the price is coming down—at least for some patients. It is a tale that could push Congress to allow Medicare to negotiate drug prices. Reuters reports that Biogen, which sells the controversial medication it calls Aduhelm, is [...]
The ethics committee of the American Academy of Neurology has updated its guidelines for caring for people with dementia and their families. The statement could accelerate an important shift in the way physicians treat patients with dementia. The guidelines highlight the need for physicians to recognize patient autonomy and the key role played by family caregivers. And they require doctors [...]
It is time to change the rules: If you want to work around vulnerable older adults. You must be vaccinated. For their safety. For yours. And for the safety of your own family. Eight months after the vaccine was made widely available to health care workers, only about 60 percent of nursing home staff has been vaccinated against COVID-19. We [...]
Congressional Democrats are expected to include a broad expansion of traditional Medicare benefits-- including dental, vision, and hearing—in a $3.5 trillion social spending bill they’ll consider later this year. The move would be the biggest expansion of Medicare since Congress added a drug benefit in 2003 and would go a long way toward improving the health and well-being of millions [...]
Last month, The Food and Drug Administration (FDA) approved a controversial new drug to treat people with Alzheimer’s disease. But even though the FDA allowed the drug to be sold, Medicare is not required to pay for it. And yesterday, the Centers for Medicare & Medicaid Services (CMS) began a process to determine whether Medicare will establish a national coverage [...]
Every conversation I have with operators of senior living facilities and home care agencies quickly pivots to one issue: A desperate shortage of care workers. The problem isn’t new. Low pay, low status, and physically and emotionally demanding work has plagued the long-term care industry’s ability to hire for years. Highly restrictive Trump-era immigration policies further shrunk the supply of [...]
Rep Tom Suozzi (D-NY) has introduced a bill to create a public, catastrophic, long-term care insurance program. The monthly cash benefit, initially about $3,600 and indexed for inflation, would be funded with a modest increase in the payroll tax of 0.3 percent for workers and 0.3 percent for employers, or roughly $300-a-year for a median wage worker. For many older [...]
Last week, President Biden agreed to drop his proposed $400 billion increase in the federal share of Medicaid’s home-based long-term care services. He made the concession to reach a deal with a bipartisan group of 21 senators on a much broader physical infrastructure bill. But the flaws in the current system of supports and services for older adults and young [...]