Recent articles in the journal Health Affairs attempted to attach numbers to a problem that millions of American families are intimately aware of: Many middle-income older adults cannot afford to pay their out-of-pocket costs for health care and senior housing. And the problem is going to get worse once the Baby Boomers begin to hit their late 70s and early [...]
Many policymakers, health care and insurance executives, and consumer advocates argue that better integrating medical care with long-term supports and services (LTSS) can both save money and improve the well-being of frail elders and younger people with disabilities. It seems logical, and there is some tantalizing evidence that it is true. Unfortunately, health care is filled with ideas that sound [...]
You are caring for a loved one. On top of everything else, you feel absolutely alone—as if you are doing this tough work with no help. But maybe, just maybe, you have more support than you think. A creative tool called Atlas CareMaps is a deceptively simple but powerful way to identify all the connections in your life. It helps [...]
A first-in-the-nation state long-term care insurance program is likely to become law within a few weeks. In Washington State, both houses of the legislature have approved the measure, though they must resolve relatively minor differences between the two bills. Gov. Jay Inslee has promised to sign it. Washington would be the first state in the US to enact a public [...]
We are living in the age of prescription drugs. They can turn once-fatal diseases into manageable, chronic conditions. But especially for older adults, many of whom take five or more medications each day, they can cause illness or even death. A new study by Judith Garber and Shannon Brownlee of the Lown Institute, estimate that as many as 10 million [...]
Genworth, once the largest seller of long-term care insurance policies, has announced that it has stopped selling individual stand-alone coverage, as well as immediate annuities, through brokers and agents. Company officials say the decision is temporary, but for now it will sell only through direct-to-consumer channels or through employers or affinity groups--currently a very small market. Independent brokers fear the [...]
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 [...]
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 [...]
A friend is about to have big surgery that will require a long recovery at home. She and her husband have no idea what to do. Another friend is the primary caregiver of a couple in their 90s—the husband has dementia and his wife had a stroke. The caregiver has no idea what to do. Another friend learns on a [...]
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 [...]