Posts tagged "Illinois"

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 »

Representative Ryan's Medicare and Medicaid Proposals Stun

The selection of Representative of Paul Ryan as the presumptive Republican nominee for the office of Vice President, prompts me to repost this blog (originally posted in March) surveying Ryan’s plans to deconstruct the existing Medicare and Medicaid programs. ” To understand the profound implications of the Ryan proposals to deconstruct Medicare and Medicaid, it  bears... 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 »

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 »

Warren Buffett invests in Illinois Supportive Living Facility close to Chicago

On April 12, Crain’s reports that: ”Billionaire investor Warren Buffett has launched a venture to finance low-income housing projects, starting with a nearly $29 million center for seniors on Medicaid in the south suburbs.” Especially interesting to readers of this blog is that the project would be a supportive living facility. The Supportive Living Facility  (SLF) program in Illinois is... Read more »
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Illinois Ranks 23rd on AARP Scoreboard

As the Illinois budget battles get underway, I am republishing a post covering the current status of long term care services and supports in Illinois, which I first published on October 30, 2011. I’ll return next week with a fresh post. We’ve come a long way….but still have far to go… Last month, AARP’s Public Policy Institute published a... Read more »

Aging Budgets in Illinois: Receiving Services in Illinois will be Tougher

I’ve worked in the Illinois elder care industry for over 20 years and I can state without equivocation that the Illinois budget process has never been particularly pretty. Like sausage making, one tries to concentrate on the end result rather than on what it takes to get there. For 20 years, there were insufficient appropriations... Read more »

Predictions for 2012

With the arrival of the new year (and very unseasonably mild weather in Chicagoland) it’s time for a few predictions for 2012. A few predictions: Assuming continued modest economic growth budgetary pressures on federal and state budgets will continue. With Illinois now having the dubious distinction of the lowest credit rating among all the states... Read more »
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CCRCs In Illinois: Part 2

GAO Report: As I wrote last week, the report authored by the Government Accounting Office (GAO) in 2010 on CCRC’s was intended to offer a review of the statutory provisions of eight states (Illinois, California, Florida, Ohio, New York, Texas, Wisconsin and Pennsylvania) with respect to “financial oversight and consumer protections.” The states were selected based... Read more »
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    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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