medicaid

In These States, Hospitals and Patients Could Be in for a Rough Ride

Posted on 09/16/2013 by | Washington Watch | Comments

Bulletin Today | PoliticsHospitals and health-care systems in the 21 states that aren’t expanding Medicaid, the health program for low-income Americans, may be in for an especially rough financial ride. With hospitals in those states facing the prospect of providing even more uncompensated care, Bloomberg.com says, the municipal bonds they put up for sale may very well have diminished appeal. As Bloomberg’s Brian Chappatta explains: “Health-care related bonds are already posting the biggest losses among revenue debt in the $3.7 trillion municipal market, …

Recommendations of Long-Term Care Commission Show Progress

Posted on 09/13/2013 by | AARP Executive Vice President | Comments

Caregiving | PoliticsThe federal Commission on Long-Term Care voted Sept. 12 on its final recommendations, which will be included in the commission’s final report later this month. AARP is encouraged by the examination of the serious, policy-focused bipartisan recommendations to address our country’s long-term services and supports crisis, which affects millions of people, including older Americans, people with disabilities and their family caregivers. While the recommendations are far from perfect, they show progress in seeking solutions to this crisis. Importantly, we are …

Help! Who Will Care for Baby Boomers When They Need It?

Posted on 08/26/2013 by | Caregiving | Comments

Bulletin Today | CaregivingMany hands may not really make light work, but at least they help. The abundance of baby boomers means many can care for their aging parents. But a sobering report released today by the AARP Public Policy Institute shows that within the next 20 years, when boomers are in their 80s and need help of their own, there won’t be enough hands to go around. Consider these findings: In 2010, there were 7.2 potential caregivers (ages 45-64 or the average …

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, …

Transition to Medicaid Managed Long-Term Services and Supports: How Is It Going?

Posted on 08/16/2013 by | AARP Blog Author | Comments

Public Policy InstituteStates are rapidly moving from fee-for-service to managed care for Medicaid long-term services and supports (LTSS). An inventory conducted for the federal government found that the number of states using Medicaid Managed LTSS grew from 8 in 2004 to 16 in 2012, and an AARP Public Policy Institute study  shows 11 states planning to develop new Medicaid Managed LTSS programs in 2013. Pros and Cons There are advantages as well as concerns about moving to capitated, risk-based managed care for Medicaid enrollees with LTSS needs. …

Do the Rich Benefit from Medicaid?

Posted on 08/15/2013 by | AARP Blog Author | Comments

Public Policy InstituteDo the rich benefit from the welfare-based Medicaid program? Not according to much of the testimony presented at a recent hearing of the federal Commission on Long-Term Care. Here are key questions the hearing addressed: Do wealthy people transfer or shelter assets in order to qualify for Medicaid? At the hearing, Ellen O’Brien, formerly from MACPAC, described the evidence from several major studies and concluded: “There is little basis for the assertion that people with substantial incomes or assets are …