Programas vitales nuevamente en la lupa del presupuesto federal

Un informe de la Congressional Budget Office (CBO) señala que a pesar de que el déficit presupuestario nacional está bajando conforme se recupera el paí­s de la crisis económica, ese déficit podrí­a subir debido al costo de los servicios de salud. Estos servicios contemplan también los subsidios federales correspondientes a la nueva ley de salud (más conocida como Obamacare) y el Seguro Social. Según los cálculos de la CBO:   Los gastos federales para el servicio de salud y el …

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

Hospitals 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

The 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?

Many 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

As 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?

States 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. …