direct care workers

We Need More Immigrants to Care For Frail Older Adults

The US desperately needs more direct care workers to provide personal assistance to frail older adults and younger people with disabilities. Many native-born Americans were unwilling to do this work even before the Covid-19 pandemic. Now, shortages are far worse. Yet, the US continues to bar entry to those who are willing and able to care for frail older adults [...]

By |2022-04-21T10:00:19-04:00April 21st, 2022|Uncategorized|0 Comments

Is Supporting Family Caregivers Good For the Economy?

The congressional proposal to increase federal funding for Medicaid’s home and community-based (HCBS) long-term care program likely would benefit the US economy, although it could increase costs for those not receiving Medicaid. The HCBS expansion is included in the current House version of  President Biden’s Build Back Better (BBB) social spending, climate, and tax plan. Sen Joe Manchin (D-WV) and [...]

By |2021-12-14T15:17:20-05:00December 14th, 2021|family caregivers|0 Comments

Staff Shortages Are Hammering Long-term Care Facilities, Home Care Agencies, and Families

The shortage of staff in long-term facilities and home care agencies has gone from a problem to a crisis. Three rural nursing homes in Maine close because they cannot hire enough staff to maintain care for patients and residents. A nursing home in Oklahoma shuts its doors due to a staff shortages. Same in Kansas. A new industry survey reports [...]

By |2021-09-22T14:28:34-04:00September 22nd, 2021|long-term care workers, Uncategorized|1 Comment

Confronting the Growing Shortage of Care Workers For Older Adults

Every conversation I have with operators of senior living facilities and home care agencies quickly pivots to one issue: A desperate shortage of care workers. The problem isn’t new. Low pay, low status, and physically and emotionally demanding work has plagued the long-term care industry’s ability to hire for years. Highly restrictive Trump-era immigration policies further shrunk the supply of [...]

By |2021-07-06T16:13:08-04:00July 6th, 2021|long-term care, Uncategorized|0 Comments

The Federal Government Will Require Nursing Homes to Report Covid-19 Vaccine Rates for Staff And Residents

The federal agency that regulates nursing homes, the Centers for Medicare and Medicaid Services (CMS), will require facilities to publicly report covid-19 vaccination rates for staff and residents starting May 21. The rule is likely to press operators to boost staff vaccine rates to at least the 75 percent rate that industry trade groups have set as a goal  Some [...]

By |2021-05-12T11:58:27-04:00May 12th, 2021|nursing homes|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 |2021-04-08T14:58:50-04:00April 8th, 2021|Joe Biden, long term care reform, Medicaid|1 Comment

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

How To Get Long-Term Care Workers To Take The Covid-19 Vaccine

As of Monday, only about 22 percent of the covid-19 vaccine doses that have been distributed for use in long-term care facilities have made their way into the arms of residents and staff.  As has been well documented, these residents—nearly all with pre-existing medical conditions and functional and cognitive impairment-- are the most vulnerable to serious illness and death from [...]

By |2021-01-13T14:57:02-05:00January 13th, 2021|nursing homes|8 Comments

Covid-19 Has Killed 100,000 Long-term Care Residents, And Thousands More Will Die By Year-End

The statistics simply are staggering. More than 728,000 residents and staff of long-term care facilities have contracted covid-19 over the past nine months.  More than 100,000 have died—a number that has doubled since June. That is equal to roughly the entire population of San Mateo CA, or Green Bay WI. Four of every 10 covid-19 deaths in the US have [...]

By |2020-12-01T13:40:07-05:00December 1st, 2020|nursing homes|0 Comments

Biden Makes A Big Commitment To Home-Based Medicaid Long-Term Care, But Gaps Remain

Likely Democratic presidential nominee Joe Biden has proposed a major new initiative to encourage state Medicaid programs to expand home and community-based care for low-income older adults and younger people with disabilities. While the proposal is ambitious, it addresses the long-term care needs of the Medicaid population in an especially complicated way. It still leaves huge gaps in Medicaid-based care [...]

By |2020-08-20T10:19:34-04:00July 21st, 2020|campaign 2020|1 Comment