Skilled nursing facilities face strident criticism daily. A typical litany goes like this. Nursing homes offer poor access and quality, too few caregivers, rundown facilities, and deficient care plans....
What nursing homes need, versus what they get
By
Stephen A. Moses
Jul 08, 2024
Senior living’s caregiving sectors — nursing homes, assisted living and home care — share problems and needs in varying degrees. But what they get from long-term care (LTC) research is seldom what...
The Medicaid LTC snafu
By
Stephen A. Moses
Apr 15, 2024
Long-term care operators were sold a pig in a poke. When Medicaid started paying for nursing home care after 1965, it looked like a pretty good deal. The new revenue stream vastly expanded severely limited...
How government prevaricates about long-term care
By
Stephen A. Moses
Feb 23, 2024
Most federal officials and the analysts who advise them are progressives. They prefer public over private sector solutions for most social problems. Sometimes progressives bend the truth to tip public...
The federal Medicaid bait and switch
By
Stephen A. Moses
Nov 06, 2023
It was supposed to work like this. When people need long-term care, they pay privately until they’re impoverished. Then and only then Medicaid helps. To avoid that outcome, people were urged to save...
LTC insurance sales suddenly surge
By
Stephen A. Moses
Aug 10, 2022
Long-term care is a high risk and huge potential cost for aging Americans. Yet few plan ahead, and fewer still insure privately for this impending peril. Until now. Private insurers report that 140,000...
Long-term care’s mortal risk
By
Stephen A. Moses
Jun 06, 2022
Long-term and post-acute care operators have plenty to worry about. Low Medicaid reimbursements, harsher CMS regulation, caregiver shortages and the impending end to PHE accommodations, to name a few. ...
Trappings of LTC system leave operators trapped
By
Stephen A. Moses
Feb 23, 2022
The current LTC system traps operators in a public financing system that pays too little, expects too much, rewards cronyism, discourages creativity, punishes profit making and disserves aging Americans.
The irony of long-term care advocacy
By
Stephen A. Moses
Dec 17, 2021
Long-term care faces a world of hurt. The COVID pandemic worsened the profession’s chronic long-term problems including revenue shortfalls, caregiver shortages and wage pressures. Researchers, operators...
What works for long-term care and what doesn’t
By
Stephen A. Moses
Nov 17, 2021
The history of long-term care is best understood as a tension between public and private financing. Over and over again, the private sector has intervened to fix or improve unfortunate conditions created...