long term care reform

Short-Term Bailouts Won’t Fix Nursing Homes or Medicaid Home-Based Long-Term Care

The illness and death that covid-19 has brought to older adults has created an historic opportunity for the US to rethink the way it delivers and pays for long-term care. Yet, much of the long-term care industry and even many advocates for older adults and younger people with disabilities are lobbying for short-term fixes, not real reform. Nursing homes and [...]

By |2020-08-20T10:19:02-04:00August 20th, 2020|long term care reform|0 Comments

Joe Biden Is Slowly Acknowledging The Nation’s Need To Reform Long-Term Care

Likely Democratic presidential nominee Joe Biden is, very slowly and cautiously, acknowledging the need to reform the way we support frail older adults and younger people with disabilities. In recent days, a task force created by his campaign made several proposals to expand home and community based care under Medicaid and support both family and paid caregivers. Since covid-19 has killed more [...]

By |2020-07-19T14:31:28-04:00July 19th, 2020|long term care reform|2 Comments

We Are Having A National Conversation About Race And Policing. Why Aren’t We Having One About Race And Long-Term Care?

Nearly every American knows who George Floyd was and how he died.  Tens of thousands around the country took to the streets to protest his May 25 killing by a Minneapolis police officer. Just a month after his death, the US House of Representatives passed a major police reform bill—normally a process that would take years. If George Floyd has [...]

By |2020-06-30T15:13:21-04:00June 30th, 2020|long term care reform|0 Comments

How To Redesign Long-Term Care For Older Adults After COVID-19

The way we care for older adults in the US is, self-evidently, not working.  In just the past three months, at least  44,000 residents and staff of nursing homes and other long-term care facilities have died from COVID-19. Hundreds of thousands have been sickened. And millions have been isolated from family and friends for months. Yet, this crisis did not [...]

By |2020-06-09T10:11:34-04:00June 9th, 2020|long term care reform|10 Comments

Are Tax Credits The Best Way To Subsidize Long-Term Care Costs?

Most major Democratic presidential hopefuls have proposed new government assistance for those receiving long-term supports and services and their families. Mayor Pete Buttigieg has proposed public catastrophic long-term care insurance. Senators Elizabeth Warren and Bernie Sanders would make home-based care a Medicare for All benefit. And former vice president Joe Biden and Sen. Amy Klobuchar would create new tax credits [...]

By |2020-02-03T09:12:03-05:00February 3rd, 2020|long term care reform|0 Comments

A Closer Look At The Democratic Presidential Candidates’ Long-Term Care Plans

Most of the major Democratic presidential hopefuls have proposed ways for government to support frail older adults and their families. But they have chosen three very different models: tax credits; universal government-funded benefits; and public long-term care insurance. Which design makes the most sense? Here’s a first look. Tax credits: Former vice president Joe Biden’s plan includes a $5,000 non-refundable tax [...]

By |2020-01-27T14:42:41-05:00January 27th, 2020|long term care reform|0 Comments

How The Democratic Presidential Candidates Would Address Long-Term Care

All the major Democratic presidential hopefuls have proposed significant plans to support those receiving long-term supports and services and their families. While this amount of attention to long-term care is unprecedented, the candidates are taking three broadly different approaches to the problem: tax credits; universal government-funded coverage; and public long-term care insurance against catastrophic costs. Most also support higher pay [...]

By |2020-01-20T16:56:54-05:00January 21st, 2020|long term care reform|1 Comment

Buttigieg Proposes An Ambitious—And Much Needed— Long-Term Care Reform Plan

Democratic presidential hopeful Pete Buttigieg has proposed an ambitious plan to reform long-term care finance and delivery in the US. It includes a public catastrophic long-term care benefit, enhancements to the private long-term care insurance market, reform to Medicaid long-term services and supports (LTSS), and higher wages and benefits for direct care workers. Buttigieg, who says he learned about the [...]

By |2019-11-25T15:14:02-05:00November 25th, 2019|long term care reform|0 Comments

Democratic Presidential Hopeful Cory Booker Proposes A Long-Term Care Plan

Democratic presidential candidates finally are beginning to talk about long-term care for older adults and younger people with disabilities. That’s good. Their ideas, not so much. This week, New Jersey senator and presidential contender Cory Booker became the first Democrat in the race to propose a relatively detailed long-term care plan. He deserves credit for raising an issue that, until [...]

By |2019-07-17T15:08:38-04:00July 17th, 2019|long term care reform|4 Comments

An Ambitious State-Based Plan for Universal Family Care That Falls Just Short On Long-Term Care

These days, efforts to reform our broken system of long-term care are being led by the states. To support and build on those programs, the National Academy of Social Insurance (NASI) released an ambitious agenda for structuring and financing programs to help families support their loved ones. The NASI framework, called Universal Family Care, goes far beyond long-term care financing. It [...]

By |2019-06-28T10:52:44-04:00June 28th, 2019|long term care reform|0 Comments