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Getting Post-Acute Care At Home Saves Money But May Not Better Than A Skilled Nursing Facility

Patient advocates really, really want to believe that people discharged from a hospital are better off getting additional medical care and rehab at home than in a skilled nursing facility (SNF). But an important new study of 17 million Medicare claims over seven years tells a more ambiguous story. The study found that post-acute care at home resulted in significantly [...]

By |2019-03-20T15:51:26-04:00March 20th, 2019|Medicare|0 Comments

Is President Trump Really Proposing To Cut Medicare Benefits By $845 Billion?

If you add up the proposed Medicare changes in President Trump’s 2020 budget, it looks like he would cut the program by $845 billion over the next decade. That’s generated outrage from Democrats, but a closer look suggests that the reductions are much smaller, most would affect providers rather than beneficiaries, and many recycle old ideas that have little chance of ever [...]

By |2019-03-14T18:47:37-04:00March 14th, 2019|Medicare|0 Comments

Is Washington State About To OK Public Long-Term Care Insurance?

Washington State may soon approve the nation’s first publicly-funded long-term care insurance program. The measure, called the Long-Term Care Trust Act, would provide a maximum benefit of $36,500 for people who need assistance with at least three activities of daily living (ADLs) such as bathing, toileting, transferring, dressing, or eating. It would be funded with a payroll tax (or what [...]

By |2019-03-03T17:27:04-04:00March 1st, 2019|long-term care insurance|0 Comments

What Really Is Happening To Medicare Spending?

A new report this week about future increases in Medicare spending set off wildly misleading headlines about the program’s future and what is might mean for efforts to expand it, as many prominent Democrats are proposing. As you wade through all this, there may be much less to the new forecast than meets the eye. Keep in mind three points: [...]

By |2019-02-22T14:15:11-04:00February 22nd, 2019|Medicare|0 Comments

Why Can’t We Expand Access To Transportation For Older Adults?

Why can’t we do a better job providing safe, cost-effective, and reliable transportation to older adults? For decades, we’ve known about the consequences of poor transportation. It is a major reason why people miss medical appointments, struggle to shop for food and medicine, and become more socially isolated. It can contribute to malnutrition and falls, result in more emergency department [...]

By |2019-02-18T14:57:42-04:00February 18th, 2019|transportation|0 Comments

The Cost Of Seniors’ Health Care May Be Moderating But The Need For Long-Term Care May Be Growing

The pace of medical spending for older adults is slowing, and one highly-respected health economist gives much of the credit to the increased use of medications that reduce the risk of heart disease. That is good news, but it largely ignores the growing costs of long-term care and the increasing burden on family caregivers, whose assistance is not included in [...]

By |2019-02-13T15:43:53-04:00February 13th, 2019|Health Care|0 Comments

Would Trump’s New Drug Rebate Rule Help You?

The Trump Administration has proposed a major change in the way drugs are priced for Medicare beneficiaries. The new rules would upend the current complex and opaque pricing system for pharmaceuticals, lower prices for users of some costly drugs (though not others), and raise Medicare Part D premiums for everyone. Whether you win or lose under the new system would [...]

By |2019-02-06T14:23:56-04:00February 6th, 2019|Medicare|0 Comments

The Federal Government Will Spend Half Its Budget On Older Adults In Ten Years

In 10 years, the federal government will spend half its budget (not counting interest on the debt) on those aged 65 and older. The inexorable aging of the Baby Boom generation means that a growing share of federal spending will be used to support older adults—mostly for health care and retirement benefits. As CBO importantly notes, it is misleading to [...]

By |2019-02-01T09:25:16-04:00February 1st, 2019|Aging|0 Comments

Could Trump and Hill Democrats Make A Deal To Curb Medicare Drug Prices?

Believe it or not, there is a chance President Trump and congressional Democrats can reach an agreement this year to limit the growth in Medicare drug prices. It certainly won’t be easy, given the toxic relationship the president and Democrats have built up in just the past few weeks. But both sides have good reasons to make a deal, and [...]

By |2019-01-23T13:22:05-04:00January 23rd, 2019|Medicare|0 Comments