Posts in category "Medicaid"

US Senate Hears About Long Term Care Worries

In December of last year, the Senate Special Committee on Aging,currently chaired by Senator Bill Nelson with Senator Susan Collins serving as its ranking member, convened a hearing on the future of long term care policy. With 74 million boomers beginning to enter the long term services and supports (LTSS) ecosystem, the importance of this subject cannot be overstated. The... Read more »

The Challenge of Reducing Expenditures for Dual Eligible Beneficiaries

The Holy Grail of reducing expenditures associated with providing medical and long term care services (LTC) to this complex population is propelling states to look to managed care organizations (MCOs) for answers. The reasoning is something like: since MCOs are capable of managing the expenditures of younger Medicaid beneficiaries, surely they will be able to... Read more »

The Federal Commission on Long Term Care Issues Final Report

With the potential federal government shutdown, the Syrian civil war and the Navy Yard killings in the news, it is not surprising that the recently released final report of the federal Commission on Long-Term Care received scant attention in the media. Although a few perfunctory articles appeared, the recommendations neither stimulated public debate about how... Read more »
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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 »

Long Term Care Commission Meets Again

New reports (here and here) on the changing landscape of long term services and supports (LTSS) for older adults continue to drive home the need for a national strategy to finance and develop a functional and affordable LTSS network. Their publication provides an interesting backdrop to the initial meetings of the new Commission on Long-Term Care. The 15-member commission remains one... 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 »
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Quality Care for the Older Adult Living at Home in Illinois - Part II

At the conclusion of my last blog post I posed the question that since State Medicaid programs are currently deficient in assuring compliance with quality standards in the delivery of HCBS in ALF settings, is it reasonable to assume that MCOs will be better suited to not only that task, but also with regards to... Read more »

Reducing Costs for Dual Eligible Medicaid and Medicare Beneficiaries is Tricky

It is impossible to write about elder care in America, without consistently revisiting the subject of caring for dual-eligible beneficiaries. Older adults (those +65 years of age) account for 61 percent of this population of 7 million who are eligible for full benefits under the Medicaid and the Medicare program. The remaining dual-eligible beneficiaries are  younger... 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 »
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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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