Posts in category "Research"

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 »

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 »

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 »
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Seeking High-Quality Care for Dual Eligibles

Who are dual eligibles? Dual eligibles are those beneficiaries who are enrolled in both the Medicare and Medicaid programs. They are a population of nine million and includes some of the sickest and most vulnerable individuals covered by the two programs. Not surprisingly, they have on average, greater health and long term services and support needs... 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 »

AARP Reports on Person Centered Care for Older Adults

Reading “Moving Toward Person Centered Care,” the recently published report by the AARP Public Policy Institute resonated with me as I thought of the challenges two friends faced when directing care for ailing parents who live far from Chicago. In both instances, fragmentation in the delivery of health care and long term supportive services created barriers for my... 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 »

The Veterans Administration: An Exceptional Case

I credit several readers for their careful reading of Sunday’s post and thank them for bringing to my attention the new Green House recently opened in central Illinois. The VA Illiana Health Care System opened the first of a proposed 10 Green House’s on their downstate campus in Danville This exciting development marks the first... 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 »
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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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    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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