Posts in category "Medicare"

Adverse Events in Nursing Homes Capture Headlines

As predictable as an episode of “I Love Lucy“, this past week saw many reactions to the just published report issued by the Office of Inspector General at HHS on “Adverse Events in Skilled Nursing Facilities.” By now, the media mill has chewed through the report and spat out the juicy bits (here), while a... Read more »

Lawyers Peer Into Elder Care's Crystal Ball - Part Two

Continuing from Monday’s post, below are a few final comments from the presenters at the 2014 AHLA, Long Term Care and the Law Conference: Medicare may begin to use bundled payment. Managed Medicaid and Medicare Advantage plans (MA) will be more aggressive with using post-acute care as a cost containment tool. Providers who can achieve quality will... Read more »

Lawyers Peer Into Elder Care's Crystal Ball - Part One

Traveling to Las Vegas, in search of a few days respite from this tiresome winter weather, recently brought me to the 2014 AHLA, Long Term Care and the Law Conference. The theme of this year’s conference should have been, “tremendous change is coming and some have a good idea what it will look like, but how... Read more »
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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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Learn about Medicare's History in Seven Minutes

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The arrival of my 50th birthday is prompting me to post this zippy video about  Medicare. It  is written and produced by the Kaiser Family Foundation staff and serves as a visual timeline of Medicare’s history. It cleverly presents the debate that led to Medicare’s creation in 1965 and subsequent changes, such as the passage and repeal of... 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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