Here’s a word association game: I say, “long-term care” and you will probably respond, “nursing home.” But the truth is that there are nearly twice as many assisted living (ALF) and other residential care facilities (more than 30,000 in 2014) in the US than nursing homes (about 15,000). And there are more than 800,000 people living in residential care facilities, [...]
Two years ago, the Long-Term Care Financing Collaborative proposed a public catastrophic long-term care insurance program. In effect, people would use private insurance, savings, or home equity to pay for the first few years of their care needs, then the government would pick up costs for people with true catastrophic needs. Today, two highly-respected long-term care experts offered an important [...]
Last year, a friend with complex medical needs had multiple stays at a skilled nursing facility (SNF). He was a member of a Medicare Advantage managed care plan and, as a result, could choose among only a handful of in-network facilities within a reasonable distance of his home. The care he received at the available facility was poor and since [...]
The Trump Administration announced last week that it will allow states to require Medicaid recipients to work, take job training, or do community service to stay eligible for the program, which provides both medical and long-term care services for people with low incomes. Ten states have asked to make this change, and the administration has given the greenlight to the [...]
When Congress and the White House develop health or long-term care policy, they hear plenty from providers, drug or medical device makers, and scores of other lobbyists and advocates for various interests. But they rarely hear from family caregivers—those people in the trenches who struggle every day to assist their loved ones. On Monday night, Congress passed a bipartisan bill [...]
Are you ready for a new debate over what to call old people? This happens every few years: We’ve tried senior citizens, seniors, the elderly, elders, retirees, and even gerontos. Lately, “older adults” seemed to be catching on. That’s the phrase I mostly use though it is not entirely satisfying either. Older than who? Then there are the euphemisms for [...]
House Speaker Paul Ryan (R-WI) promises that 2018 will be the year Congress attempts to reduce spending on big federal programs like Medicare. As that debate unfolds, keep this in mind: A 65-year old woman will need to have put aside $95,000 to have a just a 50/50 chance of paying her Medicare premiums and prescription drug costs over her [...]
Congress is nearing passage of a $1.5 trillion tax cut that would mostly benefit businesses and high-income households. For older adults, the effects are complicated. Some will receive large tax cuts. Some will be no better off and a few will be worse off. But beyond the immediate tax changes in the bill, the measure sets the stage for what [...]
As board chair of a community hospital, I am often confronted with the dozens of quality and safety measures that state and federal regulators use to score and pay us, and private organizations use to rate us. And as someone who works to improve the quality of care for older adults, I am struck by how much all these measures [...]
Socially-isolated older adults are likely to be sicker and die sooner, and have higher health care expenses, than seniors who retain their social connections. A new study by researchers from the AARP Public Policy Institute, Stanford University, and Harvard finds that Medicare spends an estimated $6.7 billion more each year on seniors who have little social contact with others. About [...]