Posts in category "Home Health Care"

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 »

Chronic Conditions No Longer Barrier to Medicare Services

On October 16, the US Department of Health and Human Services and disability rights attorneys entered into a proposed settlement of a class-action lawsuit (Jimmo v. Sebelius), that if approved by the Court will clarify the so-called “improvement standard” used in the past by Medicare providers (i.e. skilled nursing homes (SNFs), home health providers, or other... Read more »

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 »
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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 »

U.S. Senate Special Committee on Aging Ponders Future of Long Term Care - Part II

Last week’s post (here) on the recent hearing conducted by the  U.S. Senate Special Committee on Aging struck a cord with readership. The question of how to best provide and finance long-term care services and supports (LTSS) for older Americans lies at the core of the debate on how best to cope with the approaching age... Read more »

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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Measuring Post-Acute Care in LTCHs, IRFs, SNFs and HHAs

Huh? What’s up with all the acronyms? Great question and truthfully besides taking up less space in the blog’s headline, the acronyms listed are settings for post-acute care (i.e. post-hospital care) and (not surprisingly) each has its own quality and outcome measurements as well as reimbursement systems. (Check the blog’s glossary for more information about... Read more »

Raising Expectations: A State Scorecard (Part II)

Spotlight on the Land of Lincoln You already know from the last blog that Illinois ended up ranking 23rd overall in AARP’s State Scoreboard on LTSS for Older Adults. In the four dimensions it ranked (out of the 50 states) as follows: Affordability & Access 12; Choice of Setting & Provider, 33; Quality of Life & Quality... Read more »

Illinois Ranks 23rd on AARP Scoreboard

As the Illinois budget battles get underway, I am reposting a blog first published on October 30, 2011 about the current state of affairs for long term care services and supports in Illinois. Not surprisingly, the cup is half full (or half empty) depending on your point of view. I’ll return next week with a... Read more »
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Medicaid and home based services in Illinois (Part IV)

The Medicare and Medicaid programs were signed into law by President Johnson on July 30, 1965. Almost 50-years later, many use the names of the two different programs interchangeably. Big mistake. Medicare (for the purposes of this blog) is the federal health insurance program for people 65 and older. Medicaid is health coverage available to... 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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