Susan Reinhard, RN, Ph.D., FAAN, is a senior vice president at AARP, directing its Public Policy Institute, the focal point for AARP's public policy research and analysis. She also serves as the chief strategist for the Center to Champion Nursing in America, a resource center to ensure the nation has the nurses it needs.

Not Out of the Woods: Low Density States Will Still Feel the Pain of Massive Medicaid Cuts

The latest attempt to repeal and replace the Affordable Care Act poses a major threat to the Medicaid program. The bill under consideration in the Senate, known as Graham-Cassidy-Heller-Johnson, would fundamentally change how Medicaid is financed, shifting costs to states and to Medicaid enrollees. Recent reports suggest that the bill may exempt low density states—those that have less than 15 people per square mile, using data from the U.S. Census Bureau—from some of the cuts to their Medicaid programs during …

Sounding the Alarm: The New Senate Health Care Bill Could Cut $3.2 Trillion from Medicaid by 2036

The latest Senate health reform bill, known as Graham-Cassidy-Heller-Johnson, puts Medicaid back on the chopping block. The proposal would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees, and their families.  New AARP Public Policy Institute projections find that the per enrollee cap proposal in Graham-Cassidy-Heller-Johnson will cut between $1.2 trillion and $3.2 trillion from total (federal and state) Medicaid spending over the 20-year period between 2017 and …

The CARE Act in Practice: How It’s Helping Hospitals Prepare and Support Family Caregivers

Traveling and meeting with stakeholders of all kinds, from subject matter experts to health care consumers, can be invaluable, with each trip offering unique insights.  Particularly enlightening and informative has been a series of ongoing site visits my AARP Public Policy Institute colleagues and I have made to gather information on how health systems are implementing the Caregiver Advise, Record, Enable (CARE) Act. The legislation helps ensure family caregivers have what they need—such as training on managing complex medications regimes, …

A Tool for Catalyzing Progress in Long-Term Care

Approximately 10,000 people in the United States turn 65 every day. Half of them will one day find themselves needing a high level of help with basic daily activities like walking, eating, getting out of bed in the morning, and bathing—assistance known as long-term services and supports (LTSS). LTSS comes in different forms. It may be provided in the home, assisted living, nursing facilities, or integrated settings such as those that provide both health care and supportive services. LTSS also …

The Senate Health Reform Bill Slashes Medicaid in Kansas: State Could Face Cuts Up to $22 Billion

The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter Kansas’s Medicaid program. The proposed Senate bill would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees. The BCRA would subject older adults, adults with disabilities, Medicaid expansion adults, and non-disabled children under age 19 to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the option …

The Senate Health Reform Bill Slashes Medicaid in Nevada: State Could Face Cuts Up to $16 Billion

 The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter Nevada’s Medicaid program. The proposed Senate bill would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees. The BCRA would subject older adults, adults with disabilities, Medicaid expansion adults, and non-disabled children under age 19 to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the option …