As we age, become frail, and need personal assistance, we will increasingly require paid aides to help us with routine daily activities, such as bathing, dressing, or cooking. Demand for those aides will increase by 50 percent over just the next decade, to 3 million. But where will they come from? Aides are poorly paid, have little opportunity for advancement, [...]
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 [...]
The uberization of senior services is all the rage. You can download an app and order up a home visit from a doctor. You can get home delivered groceries or prepared foods. And, of course, you can get a ride. While these services were designed primarily for the young and overworked, there are real potential benefits for older adults and [...]
Medicaid long-term care is rapidly changing, and some of those trends may eventually remake the way all of us receive personal assistance as we age or become disabled. Nearly half of all states are now providing Medicaid long-term care benefits through managed care, and 13 states are requiring older adults to receive care that way. At the same time, four [...]
Here’s an idea: If you want to know how to help frail older adults age at home, start by asking them what’s important. Then, provide the assistance they need to help them reach their goals. Their challenges, and the solutions to them, are usually pretty straightforward—a grab bar in the shower to prevent falls, good nutrition and medication management, or [...]
For the first time, both major political parties have explicitly recognized in their platforms the need for community-based long-term care. While the Democratic and Republican platforms included few specific recommendations, the fact that they acknowledged the importance of personal assistance and social supports for older adults (and in the Democrats’ case, for younger people with disabilities) is a significant step [...]
What are family caregivers worth? As the credit card commercial says, they are priceless. But they also have a financial value. And calculating that value is important as we consider ways to help them. For example, before Congress creates new government supports for family members who help aging parents or other relatives with disabilities, it will want to know if [...]
Most of us, most of the time, want to age at home. But the reality is not everyone can, or should. Sometimes staying in your own home as you become increasingly frail is a poor choice. It can be lonely and even dangerous. It can burn out family caregivers. And it even can be more costly than other options, especially [...]
Sometimes, you just have to say what is crashingly obvious. And when it comes to older adults aging at home, here it is: If seniors are going to avoid a nursing home, they need a safe, affordable alternative. Without one, they may die prematurely. And even if they live, they will almost surely need institutional care, which may be a [...]
We all want to live at home as we age. But while we may not want to admit it, getting the support we need can be much tougher at home than in a nursing home or assisted living facility. For all their problems, nursing homes or residential care facilities can be an efficient way to deliver care to many people [...]