Posts in category "Community Based Services and Supports"

LGBT Elders Deserve Welcoming Service Providers

This year, National Coming Out Day was held on October eleventh, and I cannot help but think of the irony that day brings for thousands of LGBT older adults who require long term services and supports (LTSS). As recently reported in the Washington Post (here), identifying LGBT friendly LTSS providers is ridiculously (and unnecessarily) difficult.... Read more »

Obamacare and the Evolution of Medicare and Medicaid

A flurry of activity, envisioned by Obamacare (ACA) and driven by fiscal necessity, is beginning to transform how providers of long term services and supports (LTSS) address the needs of older adults. Despite the growing interest in how the ACA will change healthcare delivery for working Americans, there is not much public coverage on the changes, which... Read more »

Quality Care for the Older Adult Living at Home in Illinois - Part I

As the Illinois Department of Healthcare and Family Services (HFS) continues at full gallop to enroll older adult Medicaid beneficiaries into managed care organizations (MCOs) during Q1 of 2013, many remain skeptical at how home and community based services (HCBS) programs will be measured and monitored and whether incentives will be aligned to meet desired goals. HCBS... Read more »
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Medicaid Services Expand in California

A couple of weeks ago, exciting news from California created buzz among Illinois providers of community based care for older adults and people with physical disabilities. On September 4, California’s Health and Human Services Agency announced (here) that it is the first state to obtain regulatory approval for implementing the Community First Choice (CFC) option, a new federally funded... Read more »

Aging in Finland

Whoever said that blogging about elder care cannot lead to fun and adventure never ate reindeer in an 18th century fortress overlooking the Gulf of Finland while discussing innovations  in the elder care ecosystem.  This past week, I did that and more while attending the Living Lab Conference in Helsinki, sponsored by the Laurea University of... Read more »

A Life Under Medicaid

As the debate about the Accountable Care Act moves to a new phase, it’s important to remember that even after the full implementation of the ACA, Medicaid will remain as the primary funding source for the long term care service and support (LTSS) needs of older adults. In this video, produced by Kaiser Health News... Read more »
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Saving Medicaid in Illinois was not pretty, but necessary

On June 14, Governor Quinn signed five pieces of legislation which collectively changed the landscape for Medicaid providers and recipients along with any 65+ adult who is developing an estate planning to protect assets and still secure Medicaid eligibility. The new laws will result in $1.6 billion in Medicaid saving reductions, increase the price of... Read more »

Accessing Medicare and Medicaid: Times Are Changing

Recent headlines regarding the recent Medicaid cuts to Illinois long-term care providers only tell a portion of the dramatic story unfolding. Of course, for skilled nursing home providers, the reduction in Medicaid reimbursement is not welcome news, but ultimately no long-term care facilities will close as a result of this round of Medicaid cuts and balance... Read more »

Campaigning for Renewal of the Older Americans Act

Originally enacted in 1965, the Older Americans Act was the first initiative by the federal government to help seniors remain independent in their homes and communities. On March 28, 14 U.S. Senators (all Democrats) called for renewal of the Older Americans Act , whose programs provide basic necessities such as home delivered meals, home-care and... Read more »
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Governor Quinn's Proposed FY13 Spending Cuts to Reduce Medicaid Liability

On April 19, Governor Quinn announced his proposed spending cuts and to the surprise of no one, the $1.38 billion in proposed elimination and reduction of human service programs will cut a wide swath of pain across Illinois. A fundamental reappraisal of the delivery of human services in Illinois is long overdue, and the depth and... Read more »
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    Bruce Lederman

    Bruce Lederman has over 25 years experience in the senior care field as a direct care provider and thought leader. Bruce was CEO and president of his own firm that operated skilled nursing facilities in Illinois. He is a former nursing home administrator and has consulted to numerous elder care providers on planning for strategic growth as well as process improvement. Recently he served as board chair of CJE SeniorLife, a leading non-profit elder care provider in the Chicago area. Bruce is currently employed as chief strategy officer for a multi-facility skilled nursing facility company.

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