long term care reform

What The New Congress Will Mean For Medicare And Other Issues For Older Adults

After the new Congress is sworn in next January it may address several issues that directly affect the well-being of older adults as well as younger people with disabilities. The House, which will be controlled by Democrats, and the Senate, still run by Republicans, will have very different perspectives on these issues but both chambers are likely to confront the [...]

By |2018-11-26T13:00:07-04:00November 26th, 2018|long term care reform, Medicare|0 Comments

Is Maine Ready For A Universal Home Care Benefit For Seniors And People With Disabilities?

On Tuesday, voters in Maine will decide whether to create the nation’s first universal public home care benefit for older adults and younger people with disabilities. The hotly debated referendum, Ballot Question 1, would be funded through a surtax on high-income households. The measure was introduced by the Main People’s Alliance and is supported by many progressive and consumer groups. [...]

By |2018-10-31T10:58:54-04:00October 31st, 2018|aging in place, long term care reform|0 Comments

How Long-Term Care Helped Wreck British PM Theresa May’s Election Campaign

You probably know by now that last week’s snap election was a disaster for UK Prime Minister Theresa May and her Conservative Party. But you may not know that one issue that cost the Tories their strong parliamentary majority was a proposal that came to be known as the “dementia tax.”  It is a story that has some important lessons [...]

By |2017-06-12T17:01:46-04:00June 12th, 2017|long term care reform|0 Comments

Fix The Affordable Care Act By Letting People 55-64 Buy Into Medicare

Congressional Republicans seem once again stymied in their efforts to “repeal and replace Obamacare.” So here is a partial solution that can be a winner for both political parties, the insurance industry, and consumers: Allow people 55-64 to buy into Medicare. And enhance the deal by letting Medicare Advantage plans offer some long-term supports and services, such as personal care, [...]

By |2017-04-28T14:55:11-04:00April 28th, 2017|long term care reform, Medicare|0 Comments

What The Trump Presidency Means for Seniors

The election of Donald Trump, along with continued Republican majorities in the House and Senate, will likely result in major cuts in federal programs that benefit older adults and younger people with disabilities. Some of the programs that could be targeted: Medicaid, important reforms in the way health care is delivered through Medicare, and services funded through the Older Americans [...]

A Medicare Long-Term Care Benefit?

Public opinion surveys show that most Americans incorrectly think Medicare pays for long-term supports and services (LTSS). It does not. But should it? Should Congress add a long-term care benefit to the program’s current package of insurance for hospital care, doctor visits, and drugs? Three highly respected health researchers, Karen Davis, Amber Willink, and Cathy Schoen, think it should. In [...]

By |2016-04-15T13:42:54-04:00April 15th, 2016|Health Care, long term care reform, Medicare|1 Comment

Yes, We Can Create A Universal Long-Term Care Insurance Program

For three years, I’ve been working with a diverse group of policy experts to create a consensus framework for financing long-term supports and services (LTSS). This morning, the Long-Term Care Financing Collaborative, released its recommendations. And they are built around two major reforms: a new universal catastrophic long-term care insurance program and major improvements to Medicaid’s LTSS benefit. Our insurance [...]

Hawaii Is About To Debate A Public Long-Term Care Insurance Program

  The state of Hawaii is about to have a fascinating debate over whether to create a first-in-the-nation universal long-term care insurance program. The benefit would be modest—about $70-per-day for a year-- but it would be available to all long-term residents of the state and be funded through a broad-based tax. The measure will be introduced by Senate Commerce, Consumer [...]

Building Better Long-Term Care Insurance

Can the US do a better job of designing long-term care insurance? The answer is yes, according to two important new studies. With hard work and political will, we can develop better ways to help pay the enormous cost of long-term supports and services. The new research is a big step towards improved financing of these services. It did not find a “magic bullet.” But [...]

Are Seniors Getting Too Much Medical Treatment?

Older adults are getting too much medical treatment. No, I am not suggesting we ration treatment for seniors or empower the mythical death panels. Rather, the health system should replace aggressive but ultimately useless medical interventions with more care. This means rethinking the way we care for older adults with chronic disease. We should organize care around the goal of improving their quality of life rather than on [...]

By |2015-11-02T10:04:54-04:00November 2nd, 2015|Health Care, long term care reform, Medicare|0 Comments