Not since the 1960s have so many critical policy issues that affect older adults come together in Congress at one time. Over the next few months, lawmakers will decide whether to both increase and fundamentally refocus federal support for older adults and younger people with disabilities. Those reforms would assist those who need long-term services and supports and many healthy [...]
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, [...]
A new public opinion survey shows broad bipartisan backing for more public support for long-term care, especially at home, even as congressional Republicans appear to be lining up against the idea. According a new survey by The Associated Press-NORC Center for Public Affairs Research, 63 percent of respondents say government should support programs to help low income people receive supports [...]
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 [...]
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) [...]
In the wake of the devastating effects of covid-19 on nursing home residents and their staffs, pressure is building on long-term care facilities from congressional Democrats who are exploring ways to accelerate the shift of Medicaid long-term services and supports from nursing facilities to home and community based services (HCBS). Some states are demanding tougher health and safety rules. And [...]
The Covid-19 pandemic has been a catastrophe for frail older adults. More than 170,000 residents and staff of long-term care facilities have died from the virus, and adults over age 65 living in all settings have accounted for about 80 percent of the nation’s deaths, or about 400,000 fatalities. But what lessons have we learned? And how can we build [...]
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 now, everyone has stories about the Grand Fail of Covid-19 vaccine distribution--especially the inability to even make an appointment for a shot. It has become a process reminiscent of the old Soviet Union: See a line. Get in. There may be something to buy. This mess is especially hazardous to many older adults, who may not have computer skills—or [...]
The covid-19 pandemic has increased the burden on family caregivers and made Americans more insistent than ever on receiving their own care at home, rather than in a long-term care facility. Yet, they are in more denial than before the pandemic about the likelihood they or a loved one will need personal assistance at some time in their lives. As [...]