Posts tagged "Obamacare"

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 »

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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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 »

Affordable Care Act and the Medicaid Long Term Care Dilemma

As we wait (patiently) to learn whether the Supreme Court will uphold or strike down the Affordable Care Act (ACA), in part or in its entirety, let’s ponder the fate of Medicaid as the funder for long term services and supports (LTSS). After all, the survival of the ACA will mean an dramatic expansion of the... Read more »

SCOTUS tackles the Affordable Care Act

The foggy memories of my law school constitutional law course were quickly revived when I listened to the historic arguments presented at the Supreme Court last week. My favorite moments included: When Justice Roberts, failing to hear a compelling annunciation of a “limiting principal” from the solicitor general, declared something like, “”All bets are off... 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 company providing skilled nursing services in communities throughout Illinois and Missouri.

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