The Biden Administration has announced it will impose new minimum staffing rules for nursing homes. But the regulations appear to give facilities time to meet the requirements. Separately, the Administration also is requiring that home care agencies allocate at least 80 percent of their Medicaid payments to staff compensation. States would have flexibility to adjust the rules for small and [...]
Do nursing home owners understate the profits they report to federal regulators by shifting income to related businesses? Two academic experts in nursing home finance found that in one state 63 percent of margins are hidden this way. To put it another way, only 37 percent of true nursing home profits are reported to federal regulators. A new paper by [...]
President Biden’s 2025 budget proposal, which will double as his presidential campaign platform, includes major proposals aimed at supporting older adults. It would raise taxes to help fund Medicare, increase federal support for Medicaid home-based care,, create a federal family leave program for those caring for older adults as well as children, and toughen regulation and inspections of nursing homes. [...]
Caring for a chronically ill parent, spouse, or other relative is hard. And, without support, it can seriously interfere with paid jobs, disrupting not only employees’ lives but their workplaces as well. There are lots of good reasons for firms to assist workers who are caring for loved ones. Unfortunately, many don’t make the effort, perhaps because they are worried [...]
There is a seemingly endless debate about whether Americans have sufficient savings for retirement (see here and here). The answer is that many do. But tens of millions do not. Overall retirement assets have grown enormously in recent years-- to $36 trillion, despite a terrible stock market in 2022. But looking at total retirement plan savings, or even average 401(k) [...]
The federal government wants to know more, and wants consumers to know more, about who owns nursing homes. It is about time. And it may help identify some of the worst actors who pollute the nursing home industry. However, without easier access to this new information, I’m not sure how helpful it will be for prospective residents and their families. [...]
Welcome to November, National Family Caregivers Month, one of those Hallmark Card-like designations that politicians grant when they can’t, or won’t, actually act to help people. But instead of getting frustrated over what Congress isn’t doing, it seems like a good opportunity to think about what support those family members need. Many groups have surveyed family caregivers over the years [...]
Minnesota and Washington are the states that provide the best services and supports for frail older adults, younger people with disabilities, and their families, according to a new study by AARP. The worst performers: Alabama and West Virginia. AARP defines superior supports and services as those that are affordable and accessible, give families a choice of high-quality and safe care [...]
In a long-awaited and highly controversial decision, the federal Centers for Medicare and Medicaid Services (CMS) has proposed that nursing homes provide at least three hours of staff time daily for every patient or resident. Would it meaningfully improve care at nursing facilities? Not by much. The rule would require facilities to provide enough staff to deliver 33 minutes (.55 [...]
Living with memory loss and other cognitive limitations is hard. But when you can’t remember or can’t process information well enough to make important decisions, and you have no one by your side to support you, life can be extra tough. Researchers at the University of California San Francisco ((UCSF) estimate that about 4.3 million older adults with cognitive impairment [...]