“Elder Law Guys: When long-term care is looming, there’s a short window to get financial affairs in order”

“Elder Law Guys: When long-term care is looming, there’s a short window to get financial affairs in order,” by Ulian Gray and Frank Petrich, Pittsburgh Post-Gazette   Quote: “Once Medicare stops coverage, the average daily cost of skilled care in Pennsylvania is over $480! Yes, under the current rules, the nursing home resident will be out-of-pocket over $14,000 a month. That puts a serious dent in your financial and retirement plan. There is relief through coverage under Medical Assistance (Pennsylvania’s Medicaid program). However, the rules are complex and financial eligibility is often difficult to obtain without the help of someone
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Categories: Clippings and Industry News.

“Here’s How Long-Term Care Planning Is Changing”

“Here’s How Long-Term Care Planning Is Changing,” by Allison Bell, ThinkAdvisor   Quote: “Life-LTC hybrids are still hot. Insurers are putting more focus on how couples share benefits. Caregiver support is becoming an industry in its own right.”   LTC Comment, Stephen A. Moses, President, Center for Long-Term Care Reform: The latest from Allison Bell.         Subscribe to GoldenCare News  
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Categories: Clippings and Industry News.

“Experiment Over: Future of Nursing Home 3-Day Stay Waiver in Doubt Post-PHE”

  “As Medicare Advantage grows, experts say, so do hard-to-fight denials,” by Kimberly Marselas, McKnight’s LTC News   Quote: “While the Centers for Medicare & Medicaid Services (CMS) has been winding down certain waivers tied to the public health emergency (PHE), the agency has been noticeably silent about what could be the most impactful of the pandemic-related waivers – suspension of the three-day stay requirement. Industry leaders aren’t holding out much hope that the waiver will stick around on a more permanent basis. … Suspension of the three-day stay requirement allows Medicare patients to be discharged to a skilled nursing
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Categories: Clippings and Industry News.

“As Medicare Advantage grows, experts say, so do hard-to-fight denials”

  “As Medicare Advantage grows, experts say, so do hard-to-fight denials,” by Kimberly Marselas, McKnight’s LTC News   Quote: “In addition to sagging Medicare Advantage payment rates, some skilled nursing providers also find themselves routinely doing battle to get paid for services they’ve already delivered. The reimbursement challenges are affecting the bottom line, and in some places, they’re starting to limit patients’ access to care, operators and billing, experts warned. Not only are many seeing managed care plans increase payment denials, some observers say they’re often doing it without justifiable cause.”   LTC Comment, Stephen A. Moses, President, Center for Long-Term
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Categories: Clippings and Industry News.

“Strategies for Paying for Long-Term Care – Lunch and Learn”

“Strategies for Paying for Long-Term Care – Lunch and Learn,” by Kim Searles   Quote: “Jackson Creek Senior Living will host Kim Searles, Director of Education from Beneficent, to present ]Strategies for Paying for Long-Term Care’ on Thursday, May 19 at 11 a.m. Based in Colorado Springs, Beneficent has assisted more than 3,500 families to explore financial programs to help pay for senior care options including assisted living, adult day care, home care, and nursing home services.”        LTC Comment, Stephen A. Moses, President, Center for Long-Term Care Reform: I saw this ad. It looked harmless. But I
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Categories: Clippings and Industry News.

“Reports: Feds will extend public health emergency”

“Reports: Feds will extend public health emergency,” by Danielle Brown, McKnight’s LTC News   Quote: “Several COVID-related waivers and flexibilities important to long-term care providers will remain in place at least through July after it was revealed the Biden administration plans to extend the public health emergency declaration again. Several national media outlets reported Tuesday that the Department of Health and Human Services will extend the public health emergency declaration.  The administration has said it would give at least a 60-day notice before ending the public health emergency.”        LTC Comment, Stephen A. Moses, President, Center for Long-Term Care Reform: Extending the PHE
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Categories: Clippings and Industry News.

“Sending hopeful messages about state’s long-term-care law doesn’t make it a good deal; exemptions continue”

“Sending hopeful messages about state’s long-term-care law doesn’t make it a good deal; exemptions continue,” by Elizabeth Hovde, Washington Policy Center   Quote: “While state marketing persists to make the WA Cares Fund look like a good deal, exemption applications that were available to people with long-term-care plans of their own continue to trickle in. I expect the numbers to rise mildly each month until the end of the year and then get a big boost in January 2023 when new exemption categories are allowed to apply for exemption and keep more of their income. As of May 16: Total exemption applications received: 477,911 Total
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Categories: Clippings and Industry News.

“54 percent increase in low-care nursing home residents presents opportunity for assisted living”

“54 percent increase in low-care nursing home residents presents opportunity for assisted living,” by Lois A. Bowers, McKnight’s Senior Living   Quote: “The percentage of nursing home residents who are considered “low care” increased 54% between 2019 and 2020, representing an opportunity for assisted living providers, according to a new report. Low-care nursing home residents are those who require no physical assistance in bed mobility and activities of daily living such as transferring, toileting and eating. Such residents may be able to live in less restrictive environments and receive less-intensive care in assisted living communities and other alternative settings or
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Categories: Clippings and Industry News.

“$2.7 billion settlement in CalPERS long-term care insurance lawsuit is canceled”

“$2.7 billion settlement in CalPERS long-term care insurance lawsuit is canceled,” by Wes Venteicher, Sacramento Bee    Quote: “An agreement in which CalPERS would have paid up to $2.7 billion to settle a lawsuit over the cost of its long-term care coverage has been scrapped, creating new uncertainty for tens of thousands of policyholders. … The settlement in the class-action lawsuit, reached last July, gave policyholders a choice: they could give up their plans and get a refund of all premiums they had paid — up to about $50,000 — or they could opt out of the settlement and keep
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Categories: Clippings and Industry News.

“Long-Term Care in the United States — Problems and Solutions”

“Long-Term Care in the United States — Problems and Solutions,” by Susan L. Mitchell, et al., New England Journal of Medicine   Quote: “The Covid-19 pandemic, with its devastating effects on nursing home residents and staff, has drawn renewed attention to problems in the U.S. system of long-term care. But the underlying issues are long-standing. In this Perspective Roundtable, moderator and geriatrician Susan Mitchell is joined by four experts in long-term care — Shawn Bloom, David Gifford, David Grabowski, and Jasmine Travers — in assessing the current system’s most pressing gaps and challenges and envisioning the most promising directions for the
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Categories: Clippings and Industry News.