Howard Gleckman

Medicare Advantage Plans Have Great Promise But They Are Not Delivering

Medicare Advantage (MA) managed care plans have the potential to vastly improve care for older adults in the US. A fully-integrated health model that combines primary and specialty care, physical therapy, hospital care and even some limited personal supports could improve the quality of life for patients and save the government a substantial amount of money. But increasingly, analysts say [...]

By |2022-06-15T10:18:56-04:00June 15th, 2022|Medicare|0 Comments

A Two-Year Reprieve For Medicare Insolvency Sounds Like Good News. But It Isn’t

The Medicare trustees’ new estimate that the program’s Part A Hospital Insurance (HI) Trust fund will remain solvent for an extra two years—to 2028—sounds like good news. But dig deeper into the 257-page report and the news is grim for the future of Medicare and its 64 million beneficiaries. Headlines from the trustees’ annual report always focus on the depletion [...]

By |2022-06-08T10:22:22-04:00June 8th, 2022|Medicare|0 Comments

Families Must Provide More Medical Care At Home, But With Little Training

More than ever, family members are required to play a major role in caring for their loved ones. But they are being asked to do increasingly complex medical tasks with little or no training. The result: Greater risk to patients and enormous avoidable stress for those family caregivers. A new study attempts to identify the barriers to good caregiver training. [...]

By |2022-05-23T11:53:03-04:00May 23rd, 2022|family caregivers|0 Comments

Biden’s Plan To Expand Broadband Will Be A Huge Help To Older Adults

On Monday, President Biden announced a deal with 20 Internet service providers, such as AT&T and Comcast, to provide high-speed broadband  to low-income households for no more than $30-a-month. That’s less than half the average 2021 cost of $61 and far less in many areas. That initiative, and an even bigger companion program to build out broadband in communities that [...]

By |2022-05-12T11:14:07-04:00May 12th, 2022|Health Care|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

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

A Blue-Ribbon Panel Calls Nursing Home Care “Ineffective, Inefficient, Fragmented, And Unsustainable”

A blue-ribbon panel of the National Academies of Science, Engineering, and Medicine has issued a scathing report on the state of nursing homes in the US. Operators, owners, regulators, and payors all are failing patients and residents, the report said. “The way in which the United States finances, delivers, and regulates care in nursing home settings is ineffective, inefficient, fragmented, [...]

By |2022-04-06T17:10:28-04:00April 6th, 2022|nursing homes|0 Comments

Aging in Place Is All The Rage, But It Is Not Easy

It has become increasingly popular to promote home as a setting for both sophisticated medical treatment and long-term care, and often for good reason. But supporters of this trend need to recognize and reduce the burden it places on families who must take on ever-challenging clinical and organizational roles to make home care work. Hospital at Home; SNF (Skilled Nursing [...]

By |2022-03-21T13:50:40-04:00March 21st, 2022|family caregivers, Uncategorized|0 Comments

California Is Ending Its Asset Test For Medicaid Long-Term Care. Is It A Mistake?

Soon, California residents with personal care needs will be eligible for Medicaid long-term care no matter how much money and other assets they have. On July 1, the state will increase the program’s asset limit from $2,000 for an individual to $130,000 and from $3,000 for a couple to $195,000.  The state plans to end the limit entirely as soon [...]

By |2022-03-10T10:12:40-05:00March 10th, 2022|Medicaid|0 Comments