Posts tagged "Home Health Care"

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 »

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 »

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 »
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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 »

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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Need care at home? Medicare as payment source (Part III)

Become a Medicare certified home-health agency (HHA), is a much more rigorous process than merely obtaining a license to operate a HHA from the State of Illinois. Fear not, if you do qualify for the Medicare home-health benefit, there are at least 400 Medicare-certified home health agencies (HHA’s) in the Chicago area. Many of the large hospital networks... Read more »

Coming home again...huh?...I thought Medicare would pay for that (Part II)

A week ago Jane Gross wrote an interesting opinion piece in the  New York Times and in it she correctly opines that there exists a tremendous gulf between what Medicare actually will cover, what consumers believe Medicare covers and what Medicare should cover (in her humble opinion). The previous post related to the private-pay in-home care market.... Read more »

Coming home again (Part I)

Since entering the eldercare field in the late 1980′s I’ve seen home healthcare grow exponentially. By 2009, about 83,000 providers were serving 7.3 million Americans annually. Today, the number of Illinois in-home care providers is almost too long to count (a list of providers is 65 pages long). The popularity of this service is easy enough to understand. Most... 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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