It sounds like a great idea: Move people out of long-stay nursing facilities and back into their communities, and give them flexibility to spend government dollars on the care they need. Such a change could make care more person-centered and reduce costs. But a federal/state demonstration aimed at achieving that goal has moved very few people. For six years, the federal government and state [...]
Congress is about to agree to a bipartisan budget for 2014 that will at best freeze federal spending for many critical senior services. In a few cases, the fiscal plan will increase funding a bit from the low levels driven by last year’s across-the-board “sequester” spending cuts. But for the most part, programs will have to meet growing demand for [...]
Imagine your widowed father is 96 and living alone in a distant city. He’s got severe heart disease and mild dementia but is still competent to make his own choices. And is decision is: He refuses to move to a care facility but will not accept any supports and services that could help him remain safely at home. He won’t let [...]
If, like millions of Americans, you need personal assistance and run out of money, you may be eligible for long-term care under Medicaid. But in order to get those safety net benefits, you may have no choice but to move into a nursing home. This is true even though most people prefer to stay at home and most of the [...]
A couple of weeks ago, I wrote about the dramatic decline in family caregivers who will be available to assist Baby Boomers in their old age. Today, according to estimates by AARP, there are about 7 people aged 45-64 to care for each person who is 80 or older. By 2030 there will be only 4 and by 2050 there [...]
Family caregivers are the bedrock of our system of long-term supports and services. At least eight of every ten people receiving care get it at home (not in a nursing home or other residential facility), and nearly all of their assistance is provided by relatives or friends. But a forthcoming study by AARP finds that huge demographic changes threaten to [...]
The popular Meals on Wheels program has fallen victim to Congress’ clumsy across-the-board spending cuts called sequestration. As a result, local programs are reducing meals deliveries or putting homebound seniors on waiting lists. It is unfortunate that the program is getting cut, especially since its budget has been frozen throughout the Obama Administration. But these cuts may be an opportunity [...]
You've probably seen the headlines from President Obama’s 2014 budget: He’d slow the growth of Social Security benefits by changing the way payments are increased for inflation, trim Medicare by cutting payments to providers and making high-income retirees pay more out of pocket for their health care, and he’d protect Medicaid from budget cuts. But you may not have seen [...]
Slowly but surely, more people who receive Medicaid benefits for long-term supports and services are getting their care at home rather than in nursing facilities. Still, only about 3.3 million seniors and younger people with disabilities who require long-term care get such help at home—about 1 million more than in 2000. Overall, the program now spends about $50 billion or [...]
Too often, we stash our elders away in institutional residential care facilities. And, sadly, even many active seniors choose to separate themselves from the broader world, opting for what they see as the safety and security of gated communities. This week, I spent a couple of days in Rochester, N.Y., where the St John’s Living Community has developed two [...]