Nursing homes have been pressing for more money from the state and federal governments, by far their biggest payers. Now they are close to getting it, but the extra payments may come with costly new obligations, especially related to staffing. The federal government is about to increase Medicare payments for skilled nursing care and, at the same time, states are [...]
New government projections estimate significant increases in both overall and out-of-pocket costs for home care, nursing facilities, and continuing care communities (CCRCs) through this decade. The projected steep rise in costs will lead to tough decisions for both consumers and government. The latest annual projections, by analysts at the federal Centers for Medicare and Medicaid Services (CMS) forecast overall health [...]
In the U.S., some Republican lawmakers are proposing to raise the age of eligibility for full Social Security benefits, provoking withering criticism from President Biden and many Democrats. But the debate over when government should begin paying retirement benefits isn’t just a controversy here. It is happening all over the world. French President Emmanuel Macron has proposed gradually raising the [...]
In his budget due to be released tomorrow, President Biden will propose major changes in the way Medicare’s Part A hospital insurance program is funded. To ensure the program’s solvency, he’d shift hundreds of billions of dollars in tax revenues and allocate $200 billion in cost savings from other parts of Medicare to the hospital insurance (HI) trust fund. Biden’s [...]
Half of Medicare beneficiaries, about 30 million people, are enrolled in Medicare managed care plans such as Medicare Advantage (MA). And increasingly those plans are offering modest, but important, non-medical services to older adults living at home. These supplemental services are the only long-term care-type benefits most seniors will receive through Medicare. The assistance may include anything from meal and [...]
The fear of violence against home care aides, nurses, and therapists may be adding to the already-severe shortage of care workers and adding to the burden on family caregivers. In our increasingly aggressive society, home care workers say they are being assaulted by angry and frustrated family members as well as people in the neighborhoods they visit. In some cases, [...]
President Biden’s announcement that the Covid-19 public health emergency (PHE) will end on May 11 will have a significant impact on older adults. Some changes will be immediate, others won’t occur for nearly two years. Some may improve care for older adults, others could cost seniors more money and end some important benefits they received during the pandemic. Biden’s decision [...]
While there is no chance the federal government will enact long-term care financing reform any time soon, several states are busy developing public insurance programs of their own. These initiatives could be a critical step as the nation wrestles with how to pay for personal care for older adults and others with disabilities or chronic disease. Washington State is refining [...]
The FDA’s decision to grant accelerated approval for the anti-Alzheimer’s drug lecanemab, which will be sold as Leqembi, has significant potential for research into treatment of the disease. But people living with Alzheimer’s and their families will face difficult choices once the drug is made available later this month by Biogen and the Japanese firm Eisai. A trial found the [...]
Twice over the past few weeks I’ve heard a variation of the same story: An older adult tells her primary care doctor she is feeling severely depressed. Each time, the physician responds by saying depression is normal for seniors. Something like, “What do you expect? You’ve got aches and pains. Your friends are dying. It is what happens.” That response [...]