“Socialism in general has a record of failure so blatant that only an intellectual could ignore or evade it.” Thomas Sowell “It is hard to imagine a more stupid or more dangerous way of making decisions...
Long-term care’s problems are bad and getting worse — but fixable
By
Stephen A. Moses
Oct 01, 2021
The long-term care business is hurting: labor shortages, wage pressures, vax mandates, too much Medicaid, too little private pay, value-based reimbursement, MedPAC vs. Medicare and so on and on. What should...
The social contract for long-term care
By
Stephen A. Moses
May 17, 2021
America has a social contract for long-term care. It’s rarely acknowledged, but here it is. If you are stricken by a need for long-term care that you cannot afford, we help you even if you are not poor....
Great moments in unintended LTC consequences
By
Stephen A. Moses
Jul 26, 2021
Reason.com publishes a video feature called “Great Moments in Unintended Consequences.” Each episode features three problems, three “solutions,” and comical coverage of the unanticipated results....
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...
Problems with the CLASS Act
By
Stephen A. Moses
Oct 23, 2009
The Kaiser Family Foundation recently held a briefing on the much-touted CLASS Act. There was much praise to go around. I heartily disagreed with most of it.
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...
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. ...