home and community based care

A Valuable New Framework For Improving The Care Of Frail Older Adults

Imagine, for a moment, a functioning, well-developed system for improving the lives of frail older adults. Imagine that, instead of our current chaotic, dangerous, and needlessly expensive patchwork of care for seniors, the US had a well-coordinated care model that leverages and supports paid aides, family caregivers, safe and appropriate housing, and new technology. And imagine a system that makes [...]

By |2022-09-07T11:06:12-04:00September 7th, 2022|long term care reform, Uncategorized|0 Comments

Congress’ Epic Fail In Caring For Frail Older Adults

One would have thought that after more than 750,000 Covid-19 related deaths among older adults in the US and more than 200,000 deaths among residents and staffs of long-term care facilities that Congress would act to improve the nation’s long-term care system. One would have been wrong. Except for including about $12 billion in federal funds to temporarily expand Medicaid’s [...]

By |2022-07-18T15:46:45-04:00July 18th, 2022|long term care reform|0 Comments

Are Critics of Private Equity Nursing Home Ownership Living In The Past?

It has become popular among many Democrats to call for investigations of nursing home ownership by private equity firms. But industry experts tell me that, increasingly, big investors in senior services are abandoning nursing facilities in favor of the far more lucrative home health business and, in some cases, private-pay senior housing. And the shift isn’t just happening with private [...]

By |2022-04-27T15:01:16-04:00April 27th, 2022|nursing homes, Uncategorized|1 Comment

Medicare Advantage Plans Get A Big Pay Hike, Offer More Services And Supports For Older Adults

Medicare Advantage managed care plans, which in 2021 covered 26 million enrollees, will get an average 8.5 percent increase in total Medicare payments next year. At the same time, MA plans are rapidly embracing a wide range of social services and supports for older adults living at home. Sometimes called long-term care lite, these benefits range from meal and food [...]

By |2022-04-05T16:26:55-04:00April 5th, 2022|Medicare|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

The House Build Back Better Bill Makes Historic Changes for Older Adults, But Care Gaps Remain

The Build Back Better social spending bill the House passed this morning includes a long list of important changes aimed at improving the quality of life of older adults. There is much left to be done, and even this bill may be pared back in the Senate. But following the pandemic catastrophe for older adults, it would be significant progress. [...]

By |2021-11-19T15:16:56-05:00November 19th, 2021|long term care reform|0 Comments

What Biden’s Latest Build Back Better Plan Means For Older Adults

President Biden’s scaled-down $1.7 trillion Build Back Better social spending and tax plan retains major benefit increases for Medicaid long-term care recipients as well as Medicare enrollees. But it trims more ambitious initiatives and drops an earlier proposal for family and medical leave. Here are key elements of the plan, which likely will change as it works its way through [...]

By |2021-10-29T10:56:26-04:00October 29th, 2021|long term care reform|0 Comments

What Are States Doing With New Federal Funding For Medicaid Home-Based Long-Term Care?

What would you do if the federal government gave you a chunk of $12 billion to spend on Medicaid home and community-based care for frail older adults and younger people with disabilities? That is a real question governors have been wrestling for months. And we now are getting a good sense of the answer: Mostly, they will spend the windfall [...]

By |2021-10-21T09:32:27-04:00October 21st, 2021|Medicaid, Uncategorized|0 Comments

The High Price Family Caregivers Pay

I was a caregiver for my dad. It was extremely rewarding. And incredibly difficult. It was, in fact, the hardest thing I ever have done. Many family care partners pay a high physical, emotional, and financial price for what they do. Now, as Congress is debating major policy changes aimed at making the lives of family caregivers easier, we are [...]

By |2021-10-01T10:35:16-04:00October 1st, 2021|family caregivers|0 Comments

Is Congress About To Take Historic Steps To Enhance Elder Care?

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 [...]

By |2021-09-15T10:38:08-04:00September 15th, 2021|Aging, long term care reform, Uncategorized|0 Comments