Care Coordination

Long-Term Care Is Increasingly Becoming Managed Care At Home

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 [...]

By |2016-10-21T14:00:28-04:00October 21st, 2016|aging in place, Care Coordination, Medicaid|3 Comments

What New Managed Care Regulations Will Mean For Frail Elders

Federal regulations are finally catching up with a decade of seismic change in the delivery of Medicaid services. More than 650 pages of proposed new rules are aimed at overseeing managed care, which has become the standard health care delivery system for low-income adults and children, and is now being expanded to include both medical care and long-term supports and [...]

By |2015-05-29T12:28:47-04:00May 29th, 2015|Care Coordination, Medicaid|0 Comments

Senators Want To Improve Medicare For Seniors With Chronic Diseases, But Are Ignoring Half The Problem

A powerful bipartisan group of U.S. senators wants to improve medical care for older Americans with chronic disease. By doing so, they are taking an important step in improving the health and quality of life of these seniors. But so far at least, they are focusing on only half the problem. While older people with chronic conditions do need improved [...]

Why are So Few Low-Income Seniors Enrolling in Managed Care Plans?

What if they gave a managed care plan and nobody came? That seems to be the problem with California’s ambitious effort to enroll more than 400,000 low-income seniors and younger people with disabilities into a fully-integrated care program that covers both medical treatment and long-term supports and services.  The idea has enormous promise, but relatively few Californians seem willing to [...]

By |2014-12-12T14:19:44-04:00December 12th, 2014|Care Coordination, Medicaid|2 Comments

A Modest Step To Improve Medicare Post-Acute Care

Medicare has a huge and growing problem caring for patients after they have been discharged from the hospital. After years of talk, Congress may be about to take a modest but important first step toward cleaning up the mess, and making sure that patients get care that gives them the best chance to live a healthy and active life after a [...]

Social Supports for Seniors (And Others) Begin To Go Mainstream

For decades, seniors and others with chronic illness have had to scale a seemingly insurmountable barrier built by the health care system, aided and abetted by Medicare and Medicaid. On one side of the wall was medical care, mostly controlled by doctors, hospitals, drug companies, and skilled nursing facilities. Medicare paid them to do as many medical procedures as possible, and [...]

Want To Know Where Senior Care Is Headed? Keep An Eye On Kindred Healthcare

For an important clue into the future of senior care in the U.S., watch Kindred Healthcare, a $5 billion company that operates in 47 states.  As recently as 2010, half of Kindred’s business was generated by its skilled nursing facilities. This year, only one-fifth of its revenues will come from its nursing and rehab centers. In a major strategic shift, [...]

Better Coordinating Long-Term Care and Medical Treatment

The most important trend in care for the frail elderly and younger people with disabilities may be what’s called managed long-term supports and services, or MLTSS. This effort to combine medical care with long-term care would replace today’s disorganized, ineffective, and even dangerous system with one that can bring together complex care that’s being delivered by many different providers. Done [...]

By |2014-02-27T07:41:27-04:00February 27th, 2014|Aging, Care Coordination, Medicaid, Medicare|2 Comments