Long-Term Care

The Financial Burden Of Paid Home Care On Older Adults: Oldest And Sickest Are Least Likely To Have Enough Income

Paid home care can significantly improve the lives of older adults with disabilities and their families, but recipients often incur substantial out-of-pocket spending. We simulated the financial burden of paid home care for a nationally representative sample of non-Medicaid community-dwelling adults ages sixty-five and older. We found that 74 percent could fund at least two years […]

Financing Long-Term Services And Supports: Options Reflect Trade-Offs For Older Americans And Federal Spending

About half of older Americans will need a high level of assistance with routine activities for a prolonged period of time. This help is commonly referred to as long-term services and supports (LTSS). Under current policies, these individuals will fund roughly half of their paid care out of pocket. Partly as a result of high […]

Care and its constraints: Will care work pass through Pettit’s gate?

Welfare states are in a care crisis both in the sense of a practical care gap (abundant needs but not enough caregivers) and in the new movement to limit care to mere rehabilitation. Few political theorists pay attention to these developments, and those who do say little about the potential limits to care. This article […]

Medicaid blues: Hospitals, insurers wage political battle over managed-care dollars

“That’s all I have to say about that—I have to go bury the dead,” undertaker Stephen Holland said after listing his grievances with his state’s Medicaid politics early one Friday morning in June. Holland is one of a handful of white Democrats left in Mississippi’s House of Representatives, and he helped shape the past 20 […]

Managed Medicaid Long-Term Services and Supports is the Answer, But What is the Question?

A Presentation for the Annual Meeting of the Gerontological Society of America, November 2018: Medicaid expenditures (25%) continue to dominate state policy HCBS Waivers Have Grown Dramatically over the past two decades The expansion means that HCBS and Nursing Homes need to be managed States have been trying to shift risk– financial and management to […]