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 [...]
President Biden’s scaled-down $1.7 trillion Build Back Better social spending and tax plan retains major benefit increases for Medicaid long-term care recipients as well as Medicare enrollees. But it trims more ambitious initiatives and drops an earlier proposal for family and medical leave. Here are key elements of the plan, which likely will change as it works its way through [...]
What would you do if the federal government gave you a chunk of $12 billion to spend on Medicaid home and community-based care for frail older adults and younger people with disabilities? That is a real question governors have been wrestling for months. And we now are getting a good sense of the answer: Mostly, they will spend the windfall [...]
Not since the 1960s have so many critical policy issues that affect older adults come together in Congress at one time. Over the next few months, lawmakers will decide whether to both increase and fundamentally refocus federal support for older adults and younger people with disabilities. Those reforms would assist those who need long-term services and supports and many healthy [...]
In an attempt to get a handle on the persistent Covid-19 pandemic, President Biden yesterday issued a broad executive order mandating vaccines for a large segment of the US economy, including most of the medical and long-term care industries. His order should give families comfort that most licensed providers, from doctors to home health aides, will be vaccinated. But it [...]
Every conversation I have with operators of senior living facilities and home care agencies quickly pivots to one issue: A desperate shortage of care workers. The problem isn’t new. Low pay, low status, and physically and emotionally demanding work has plagued the long-term care industry’s ability to hire for years. Highly restrictive Trump-era immigration policies further shrunk the supply of [...]
Rep Tom Suozzi (D-NY) has introduced a bill to create a public, catastrophic, long-term care insurance program. The monthly cash benefit, initially about $3,600 and indexed for inflation, would be funded with a modest increase in the payroll tax of 0.3 percent for workers and 0.3 percent for employers, or roughly $300-a-year for a median wage worker. For many older [...]
Last week, President Biden agreed to drop his proposed $400 billion increase in the federal share of Medicaid’s home-based long-term care services. He made the concession to reach a deal with a bipartisan group of 21 senators on a much broader physical infrastructure bill. But the flaws in the current system of supports and services for older adults and young [...]
How bad was the covid-19 pandemic for nursing homes residents? A new government study finds that 40 percent had the virus, or probably did. About 169,000 more Medicare residents died in the pandemic year of 2020 than in 2019, an increase in the overall death rate of about 32 percent. And in April 2020, about 1,000 more Medicare residents were [...]
FDA’s decision last week to approve a new “Alzheimer’s disease treatment,” and the buzz that surrounds it, is a symptom of all that is wrong with the way we care for frail older adults in the US. Rather than providing the supports that people with chronic conditions desperately need, and that evidence shows works, we prefer to chase butterflies. In [...]