aging in place Archives - Page 3 of 12

Americans Want Government To Help Them Age At Home, Buttressing Biden’s Medicaid Long-Term Care Agenda

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 [...]

By Howard Gleckman|2021-05-03T17:22:41-04:00May 3rd, 2021|long term care reform|0 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 Howard Gleckman|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 Howard Gleckman|2021-04-01T10:22:18-04:00April 1st, 2021|Medicaid, Uncategorized|29 Comments

As The Policy Debate Over Nursing Homes Heats Up, Operators Are On The Defensive

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 [...]

By Howard Gleckman|2021-03-19T13:49:37-04:00March 19th, 2021|nursing homes|0 Comments

How Can The US Fix Long-Term Care In A Post Covid-19 World?

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 [...]

By Howard Gleckman|2021-03-10T10:59:12-05:00March 10th, 2021|long term care reform|20 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 Howard Gleckman|2021-02-24T15:04:09-05:00February 24th, 2021|Medicaid|8 Comments

Turn The Covid-19 Vaccine Appointment Process Over To StubHub or Ticketmaster

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 [...]

By Howard Gleckman|2021-02-11T11:53:37-05:00February 11th, 2021|Health Care|1 Comment

Covid-19 Has Made Caregiving Harder, But Isn’t Making Americans More Likely To Plan For Their Old Age

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 [...]

By Howard Gleckman|2020-10-27T11:49:02-04:00October 14th, 2020|family caregivers|0 Comments

Moving More Medical And Long-Term Care To Seniors’ Homes

Changes in technology, new government payment models, managed care, and consumer preferences all are shifting services for frail older adults and younger people with disabilities from facilities to home. These models will create new options for consumers and threaten to disrupt the business models of hospitals, traditional nursing homes, and other long-term care facilities. These care models come with a [...]

By Howard Gleckman|2020-09-14T11:27:40-04:00September 14th, 2020|aging in place|2 Comments

Hundreds of Thousands Of Nursing Home Residents Don’t Need To Be There

Hundreds of thousands of older adults and younger people with disabilities are living in nursing homes only because that is where Medicaid drives them. They have no clinical need for skilled nursing care, and, if better options were available, many could be living in other settings, including their own homes. Medicaid—the joint state/federal health care program for the very poor—sends [...]

By Howard Gleckman|2020-08-28T12:42:22-04:00August 28th, 2020|nursing homes|0 Comments