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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
We Americans love to compete. We bet in March Madness office pools on who will win the annual college basketball championship. We pay a pretty penny for the best manicured lawn in the neighborhood or the biggest flat screen in the condo. Some of us will pay bribes to get our kids into the best colleges. And, now it seems, [...]
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 [...]
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 [...]
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 [...]
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 [...]