The Trump Administration has cut by more than 40 percent the staff that oversees critical federal programs for older adults and younger people with disabilities who live at home. Health and Human Services Secretary Robert F. Kennedy Jr. fired the staffers who manage and review federal grants to state and local governments and community-based organizations for programs such as Meals [...]
The Trump Administration is abolishing the office that manages and coordinates most federal programs for older adults and younger people with disabilities who live at home. At the same time, it is restructuring two offices that provide independent evaluation and analysis of patient safety and long-term care. The elimination of the Administration for Community Living (ACL) will be a major [...]
Democratic presidential candidate Kamala Harris says she wants to create a home-based long-term care benefit under Medicare. She’s suggesting an historic change in the health care system for older adults and some younger people with disabilities. But her idea raises important political and policy questions. Harris describes the broad outlines of her plan in a hard-to-find fact sheet here. Oddly, [...]
Caring for a chronically ill parent, spouse, or other relative is hard. And, without support, it can seriously interfere with paid jobs, disrupting not only employees’ lives but their workplaces as well. There are lots of good reasons for firms to assist workers who are caring for loved ones. Unfortunately, many don’t make the effort, perhaps because they are worried [...]
Welcome to November, National Family Caregivers Month, one of those Hallmark Card-like designations that politicians grant when they can’t, or won’t, actually act to help people. But instead of getting frustrated over what Congress isn’t doing, it seems like a good opportunity to think about what support those family members need. Many groups have surveyed family caregivers over the years [...]
The federal agency that operates Medicare, the Centers for Medicare and Medicaid Services (CMS), is finally recognizing what families have known for, well, thousands of years: Family members are the bedrock of the system of care for frail older adults and younger people with disabilities. And the agency is taking some important steps to help them. Some proposals will provide [...]
Living with memory loss and other cognitive limitations is hard. But when you can’t remember or can’t process information well enough to make important decisions, and you have no one by your side to support you, life can be extra tough. Researchers at the University of California San Francisco ((UCSF) estimate that about 4.3 million older adults with cognitive impairment [...]
While many states have expanded their Medicaid home and community-based services (HCBS) for frail older adults, others continue to steer many enrollees into nursing homes. One big reason: They fear that enhancing home supports will encourage more older adults to enroll in Medicaid long-term care services (LTSS) and increase state costs. But a new study published in the Journal of [...]
The federal Centers for Medicare and Medicaid Services (CMS) has moved to increase pay for home care aides and others who provide personal care for frail older adults and younger people with disabilities. It has proposed new rules requiring Medicaid home care agencies to direct at least 80 percent of program payments for personal care services to compensation for care [...]
The fear of violence against home care aides, nurses, and therapists may be adding to the already-severe shortage of care workers and adding to the burden on family caregivers. In our increasingly aggressive society, home care workers say they are being assaulted by angry and frustrated family members as well as people in the neighborhoods they visit. In some cases, [...]