Medicaid

Will Senate Moderates Sink Biden’s Medicaid Home-Based Long-Term Care Plan?

President Biden’s proposed massive expansion of Medicaid home-based long-term care is running into trouble in the Senate. And it may be done in, not by hard-core conservatives, but by a small group of self-styled Senate moderates. In his American Jobs Plan, Biden proposed increasing the federal share of Medicaid’s home and community-based services (HCBS) program by $400 billion—the largest increase [...]

By |2021-05-27T15:38:27-04:00May 27th, 2021|Medicaid|2 Comments

The Biden Administration Greenlights $12 Billion In Federal Medicaid Home Care Money. How Will States Spend It?

The Biden Administration has given the green light for states to begin to tap into about $12 billion in additional funding for Medicaid home-based long-term supports and services. In guidance issued to state Medicaid directors late last week, the federal Centers for Medicare and Medicaid Services (CMS) granted the states broad flexibility in how they use the money. The funds, [...]

By |2021-05-19T09:55:56-04:00May 19th, 2021|Medicaid|14 Comments

Biden Begins An Important, Much-Delayed, National Debate About Long-Term Care Reform

President Biden’s $400 billion plan to expand Medicaid’s home and community based services (HCBS) for people receiving long-term services and supports (LTSS) already has accomplished one major goal: It has policymakers and opinion leaders talking about how we care for frail older adults and younger people with disabilities. We not had a long-term care conversation like this since Congress created [...]

By |2021-04-08T14:58:50-04:00April 8th, 2021|Joe Biden, long term care reform, Medicaid|1 Comment

Biden Proposes The Biggest Medicaid Home-Based Long-Term Care Expansion In History, But….

In his American Jobs Plan, President Biden has proposed increasing federal support for home-based long-term care by a staggering $400 billion over eight years. A $50 billion annual increase would represent a roughly 40 percent increase in the $129 billion Medicaid spent on long-term care in 2018 and a 70 percent increase in that year’s home and community-based services (HCBS) [...]

By |2021-04-01T10:22:18-04:00April 1st, 2021|Medicaid, Uncategorized|28 Comments

Is The Shift Of Medicaid Long-Term Care From Nursing Facilities To Home About To Accelerate?

The massive pandemic relief bill that the House is likely to approve by the end of this week includes billions of dollars in new funding for government long-term services and supports (LTSS) for frail older adults and young people with disabilities. But, paradoxically, the most far-reaching change may be from a temporary funding increase for Medicaid home and community-based services [...]

By |2021-02-24T15:04:09-05:00February 24th, 2021|Medicaid|8 Comments

Don’t Blame Older Adults For Big Increases In Medicaid Spending

Is the growing need for long-term supports and services (LTSS) by older adults driving big increases in Medicaid spending? Not according to a new study by Don Redfoot and my Urban Institute colleague Melissa Favreault. Indeed, they found that while Medicaid enrollment and expenditures for older adults grew in recent decades, it had far less effect on the program than [...]

By |2018-08-22T19:15:44-04:00August 23rd, 2018|Aging, Medicaid|1 Comment

What Medicaid’s Work Requirement Means For Frail Seniors, People With Disabilities, And Their Caregivers?

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 [...]

By |2018-02-14T12:43:53-05:00January 19th, 2018|long-term care, Medicaid|0 Comments

What This Week’s Congressional Action On Health Care And Social Services Will Mean For Seniors

Congress took two big steps this week that could have a major impact on seniors and younger people with disabilities. The one that got the most attention, of course, was the Senate’s failure to pass a replacement for the Affordable Care Act. The second, which was barely noticed, was a series of key decisions by House Republicans on how much [...]

Trump’s Budget For Seniors: Bad, But It Could Have Been Worse

The best that can be said about President Trump’s 2018 budget and older adults: It could have been worse. In a fiscal plan focused on historic domestic spending cuts, programs for older adults were hit by substantial reductions, though not slashed as deeply as other domestic programs. Medicare was largely untouched. So was Social Security for seniors, although Trump would [...]

Seniors Had A Terrible Week In Washington. It Could Get Worse

Congress and President Trump took dead aim at seniors and younger people with disabilities this week. First, Congress voted to cut or freeze funding for key federal senior service programs. Then the House passed its bill to replace the Affordable Care Act—a measure that would make health insurance unaffordable for many people aged 50-64, allow insurance companies to sell policies [...]