HCBS

Help for Family Caregivers

Posted on 07/21/2014 by |AARP Blog Author | Comments

PoliticsWhile traveling to Erie, Pa., for a town meeting on family caregiving, I was reflecting on my family roots. A little more than 100 years ago, my Lithuanian grandparents immigrated to America and made Shenandoah, Pa., their first hometown. My grandfather worked in the coal mines and my grandmother, fluent in six languages, worked various jobs while raising five children — one of whom was my mom. My grandparents taught me about hard work and perseverance, and my parents taught …

Supporting Seniors, Family Caregivers: Where Does Your State Rank?

Posted on 06/23/2014 by |AARP Blog Author | Comments

PoliticsMy sister always says, “If you fail to plan, you plan to fail.”  I was reminded of this adage when I heard Loren Colman, Minnesota assistant commissioner of continuing care, explain how Minnesota is consistently ranked at the top of the nation when it comes to providing support for seniors and their family caregivers. “We planned,” he said.  Indeed, Minnesota developed a plan decades ago to transform the way the state would deliver long-term care services to older residents in their …

States Start Shifting Focus to Help Seniors Live Independently, at Home

Posted on 06/16/2014 by |AARP Blog Author | Comments

Politics“We need to ‘spring’ your mother,” Pop, who loved prison movies, told me over the phone while asking me to come home that weekend. Mom had been in a rehabilitation center for two weeks following a bad fall and a hospital stay. Both she and Pop were ready for her to go home. My mom and pop, like most Americans, wanted to stay in their home and community as they aged. Pop became the primary family caregiver for Mom, and …

There’s No Place Like Home — But How Do You Define It?

Posted on 02/21/2014 by |AARP Blog Author | Comments

Public Policy InstituteHow would you describe what “home” means to you? When do you feel most engaged in a “community”? If you struggle to answer those questions, imagine a federal agency trying to define what “home” and “community” mean for the purposes of important public benefits. That is essentially the task that the Centers for Medicare & Medicaid Services (CMS) set for itself several years ago as it began the long path to its recently released rule related to home- and community-based …

Home- and Community-Based Services: The Right Place and the Right Time

Posted on 08/19/2013 by |AARP Blog Author | Comments

Public Policy InstituteAs evidenced at a recent hearing of the federal Commission on Long-Term Care, broad support is building: It’s time to end Medicaid’s “institutional bias.” It’s not rational that Medicaid entitles eligible individuals to be placed in nursing homes, while limiting their ability to receive services at home. On average, the Medicaid program can serve about three older people or adults with physical disabilities with home- and community-based services (HCBS) for the cost of putting one in a nursing home. Moreover, …