Lingering Longer: Who Will Care?

American society is aging — dramatically, rapidly and, largely, well. More and more of us are living healthily into our seventies and eighties, many well into our nineties. With the baby boomers approaching retirement and birthrates down, we are on the threshold of the first-ever “mass geriatric society.” Historically speaking, it is the best of […]

Administration Proposes Rules To Modernize Nursing Home Safety

After nearly 30 years, the Obama administration wants to modernize the rules nursing homes must follow to qualify for Medicare and Medicaid payments. The hundreds of pages of proposed changes cover everything from meal times to use of antipsychotic drugs to staffing. Some are required by the Affordable Care Act and other recent federal laws, […]

The Case Against Florida’s Proposed Managed Long-Term Care Experiment

The Florida Legislature’s 2011 Medicaid reform law is designed to move the entire Medicaid population into managed care organizations (MCO) beginning with elderly and disabled in 2013.  The state must receive waiver approval from the Center for Medicaid and Medicare Services (CMS).  The rationale for this qualitative shift in Medicaid policy is that it will […]