home and community based care

FDA’s Approval Of A New Alzheimer’s Drug Shows What’s Wrong With The Way We Care For Frail Older Adults

FDA’s decision last week to approve a new “Alzheimer’s disease treatment,” and the buzz that surrounds it, is a symptom of all that is wrong with the way we care for frail older adults in the US. Rather than providing the supports that people with chronic conditions desperately need, and that evidence shows works, we prefer to chase butterflies. In [...]

By |2021-06-15T11:54:04-04:00June 15th, 2021|long-term care, Uncategorized|0 Comments

The Biden Administration Greenlights $12 Billion In Federal Medicaid Home Care Money. How Will States Spend It?

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, [...]

By |2021-05-19T09:55:56-04:00May 19th, 2021|Medicaid|14 Comments

Biden Should Look Beyond Medicaid to Expand Long-Term Care

The Washington Post reports that business lobbyists are quietly trying to kill President Biden’s efforts to increase federal spending on Medicaid home and community-based (HCBS) long-term care services. The reason: The White House wants to fund the $400 billion increase—part of the president’s $2.2 trillion infrastructure spending program-- by raising corporate taxes. And make no mistake, business opposition could sink [...]

By |2021-04-22T14:32:18-04:00April 22nd, 2021|long term care reform, Uncategorized|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

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 |2021-04-01T10:22:18-04:00April 1st, 2021|Medicaid, Uncategorized|29 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 |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 |2021-02-24T15:04:09-05:00February 24th, 2021|Medicaid|8 Comments

States Must Rapidly Deliver Coronavirus Vaccine To Frail Elders Living At Home

The Centers for Disease Control and Prevention (CDC) has put residents and staff of nursing homes and assisted living facilities near the top of the list for receiving a covid-19 vaccine. That is the right call. But public health officials should not forget about the millions of frail older adults living at home who are at risk of dying from [...]

By |2020-12-17T11:15:33-05:00December 17th, 2020|aging in place|9 Comments

What Biden And Trump Would Mean For Older Voters

As with so many issues, there is a major gulf between President Trump and former Vice President Joe Biden when it comes to issues that directly affect older adults. Biden has proposed a long list of specific proposals. Trump has said remarkably little about what he’d do in a second term, and that silence extends to programs that affect seniors. [...]

By |2020-10-26T13:54:56-04:00October 26th, 2020|campaign 2020|0 Comments

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