The Trump Administration is abolishing the office that manages and coordinates most federal programs for older adults and younger people with disabilities who live at home. At the same time, it is restructuring two offices that provide independent evaluation and analysis of patient safety and long-term care. The elimination of the Administration for Community Living (ACL) will be a major [...]
Will the Trump Administration push more beneficiaries into Medicare Advantage managed care plans? Will the Administration limit payments to the insurance companies that run those plans? Will it do both? Whatever Trump does, the consequences will be significant for older adults and younger people with disabilities who rely on Medicare for their health care. Done well, an overhaul of MA [...]
President Trump’s advisor Elon Musk went on TV the other day to say he’d cut up to $700 billion in fraud and waste from Social Security, Medicare, and Medicaid. He can’t. The inevitable result: He’ll have to either slash benefits for program recipients or fall far short of his goals for cutting government spending. Or, perhaps, both. The Trump White [...]
Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really? Less than many people think. But they still create opportunities for insurance companies to maximize profits at the expense of needed care. And they can be improved. Prior authorizations are [...]
President-elect Donald Trump prides himself on making deals. Here is one for him: Keep Joe Biden’s commitment to have Medicare pay for GLP-1 drugs such as Ozempic and Wegovy for weight loss. But only if the drugmakers agree to substantially reduce their prices right away. Such a move would be fraught for Trump and his Republican allies on multiple levels. [...]
The incoming Trump Administration has been sending mixed signals about the fate of Medicare. But if Trump advisers and GOP lawmakers are serious about slashing government spending it is hard to see how they will ignore the program, which last year cost $850 billion and accounted for about one out of every six dollars the federal government spent. Trump’s problem: [...]
Donald Trump’s return to the White House, coupled with Republican control of the Senate and possibly of the House could result in a far more limited government role in the care of older adults and younger people with disabilities. Most immediately, Trump’s proposed mass deportations will make the current shortage of care workers much worse, increasing the burden on family [...]
Democratic presidential candidate Kamala Harris says she wants to create a home-based long-term care benefit under Medicare. She’s suggesting an historic change in the health care system for older adults and some younger people with disabilities. But her idea raises important political and policy questions. Harris describes the broad outlines of her plan in a hard-to-find fact sheet here. Oddly, [...]
Democratic presidential candidate Kamala Harris has backed an earth-shattering idea: For the first time, traditional Medicare would pay for personal assistance at home and related long-term care. Currently, only Medicaid and certain Medicare managed care programs provide long-term care benefits. Harris endorsed the idea in an appearance on the television show The View and her staff heavily promoted her initiative [...]
Democratic presidential nominee Kamala Harris is working hard to win the support of older voters, but what would she do to address their many concerns if she is elected president? In a campaign that has not yet shown many of its policy cards, Harris has offered only the roughest sketch of a governing agenda. But her time as vice president [...]