long-term care

Retirement Savings Bills Would Boost Deferred Annuities

When Congress returns for a short post-election session, one item on its to-do list is major retirement savings legislation that has broad bipartisan support. One feature of both House and Senate bills: Expanding a deferred annuity called a Qualified Longevity Annuity Contract (QLAC). Both bills would increase the allowable size of QLACs. That might make them more attractive to some [...]

By |2022-10-19T12:08:44-04:00October 19th, 2022|Uncategorized|0 Comments

Medicaid Long-Term Care’s Real Problem Is Insufficient Resources, Not Abuse By Wealthy Seniors

Critics of Medicaid’s long-term services and supports (LTSS) program often complain that it is so poorly designed that lavishes benefits on wealthy retirees and wastes billions of dollars in taxpayer money. Some people do abuse the system. And they should be stopped. But the real problem with Medicaid LTSS is that in many states its benefits are so paltry that [...]

By |2022-10-06T09:42:28-04:00October 4th, 2022|Medicaid|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

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

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

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

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