Posts in category "Health Care Reform"

The Illinois Medicare-Medicaid Alignment Initiative is Coming Soon

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In Illinois on January 1, 2014, those individuals who are beneficiaries of both the Medicare and Medicaid programs may begin to enroll in a redesigned health care delivery system. These new managed care plans will hopefully be easier to navigate, reduce inefficiencies, save costs and deliver improved health outcomes for this population. Learn more by... 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 »

Reducing Unnecessary Hospital Readmissions

Despite my self-imposed pledge to not publish partisan political posts, I am unable to contain my enthusiasm for one of the of  President Obama’s Affordable Care Act: the creation of the Center for Medicare and Medicaid Innovation.  The Center seeks to: help transform Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) through improvements in... 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 »

Medicare Commission Raises Questions about Care Coordination

Before I comment on the latest MedPAC report…. Thursday’s big news from the Supreme Court continues to elicit commentary from health care, legal and political analysts. For what it’s worth, I found Justice Robert’s opinion to be in perfect harmony with what I learned in law school: if the Supreme Court can find a way... Read more »

Affordable Care Act and the Medicaid Long Term Care Dilemma

As we wait (patiently) to learn whether the Supreme Court will uphold or strike down the Affordable Care Act (ACA), in part or in its entirety, let’s ponder the fate of Medicaid as the funder for long term services and supports (LTSS). After all, the survival of the ACA will mean an dramatic expansion of the... Read more »
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Representative Ryan Delivers Medicare Cuts but What About Quality Care?

A plan to transform: It bears repeating that the Medicare and Medicaid programs together pays for three out of every four residents living in a skilled nursing facility (SNF). Any proposal to redesign these programs will profoundly affect the lives of the program participants and reshape the entire long-term care services and supports industry. Among... Read more »

Predictions for 2012

With the arrival of the new year (and very unseasonably mild weather in Chicagoland) it’s time for a few predictions for 2012. A few predictions: Assuming continued modest economic growth budgetary pressures on federal and state budgets will continue. With Illinois now having the dubious distinction of the lowest credit rating among all the states... Read more »

Hospital Consolidation: What does it mean for eldercare providers?

Although for some, 2011 will be remembered locally as the year Mayor Daley left office,  for those in healthcare it will be remembered for the tsunami of hospital purchases and mergers that swept across the area. Consider this: Loyola University Health System (including Loyola University Medical Center) sold to Trinity Health in March. Alexian Brothers... 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 company providing skilled nursing services in communities throughout Illinois and Missouri.

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