Medicaid

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

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

Biden Proposes Major Nursing Home Reforms

The Biden Administration has proposed a wide range of changes in the regulation of nursing homes. They include efforts to require minimum staffing levels; limit shared rooms; enhance inspections, penalties, and transparency; and crack down on owners with a history of poor quality. The plan also would expand a technical assistance program to help operators improve their quality of care. [...]

By |2022-02-28T17:40:07-05:00February 28th, 2022|nursing homes|0 Comments

Consumers Are Getting New Information About Nursing Home Staffing But Need More

With nursing homes and other long-term care facilities desperately short of nurses and aides, it is more important than ever for consumers to know about staffing levels, quality, and turnover. But it has been difficult to get some key information. Now, the government has taken a modest step to help. In January, the Centers for Medicare and Medicaid Services (CMS) [...]

By |2022-02-03T13:54:49-05:00February 3rd, 2022|nursing homes, Uncategorized|0 Comments

Even After Covid, Could Congress Ignore The Long-Term Care Needs Of Older Adults?

Is it possible that Congress will do nothing to improve long-term services and supports for older adults and younger people with disabilities or assist their families? Even after 603,000 people over age 65 were killed by Covid-19 in the past two years. Yes, it is possible. The House version of President Biden’s Build Back Better plan included many provisions aimed [...]

By |2022-01-03T12:29:47-05:00January 3rd, 2022|long term care reform|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

Market And Political Pressures Grow On Skilled Nursing Facilities

The covid-19 pandemic drove a collapse in both patient volume and revenue for post-acute care in skilled nursing facilities (SNFs). And while patient numbers have increased modestly since the worst of the pandemic, they remain far below 2019 and probably are financially unsustainable for the SNFs. At the same time, bipartisan federal legislation in the House and Senate would create [...]

By |2021-12-02T11:14:37-05:00December 2nd, 2021|nursing homes, Uncategorized|0 Comments