Without a clear and explicit definition of HCBS and aging in place, any reforms risk becoming impossible to administer and unacceptably expensive.

Without a clear and explicit definition of HCBS and aging in place, any reforms risk becoming impossible to administer and unacceptably expensive.

Financial services firms are beginning to think about how we spend our assets in old age, including for long-term care and health care.

The gap between Trump’s stated goals and his policy choices is widening, including inflation, interest rates, trade, manufacturing jobs, and his attacks on socialism.

Trump’s decision to revoke Temporary Protective Status for immigrants will damage long-term care in the US. One facility had to fire 19 Haitian staffers.

No amount of financial legerdemain can paper over the fundamental problem. The US Treasury, along with big tech, is borrowing far more than markets want to lend.

A fully-funded insurance program would save Medicaid billions of dollars, cover more people, and improve the quality of life for many receiving long-term care.

The Leonard Florence Center specializes in care for residents with ALS. With compassionate care and high tech, they live longer, more independent and satisfying lives.

Opus Newton has used resident volunteerism, ongoing care in resident apartments, and other changes to hold down costs and stay affordable for middle-income seniors.

This latest agreement would continue to assure that Trump and his sons would benefit from special tax treatment no other taxpayer has received.

Early versions of the WISH Act would cost about $200 billion, equal to a payroll tax rate of 1.7%. But with tweaks, WISH could come in at around half its initial cost.

Two groups of lawmakers proposed commissions aimed at addressing the impending insolvency of Social Security. Unless carefully designed, these panels often fail.

These Alzheimer's tests raise many important issues that patients and their physicians should carefully consider before requesting or administering them.

The DOJ said it will no longer enforce a nearly 30-year-old Supreme Court decision in a case called Olmstead v. L.C. ex rel. Zimring.

Seniors in PACE, which fully integrates medical care with personal care and other services were less likely to visit emergency departments, be hospitalized, or even die.

Trump’s biggest health care initiatives, rolling back the 2010 Affordable Care Act and cutting Medicaid, could strip insurance from up to 3 million people aged 50-64.

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As Medicaid faces unprecedented pressure in Washington — including proposed cuts that would dramatically reduce funding for home and community-based care — understanding Long-Term Supports and Service...

An all-star team of retirement experts explains why life annuities are so valuable for older adults, yet so disliked by consumers. And they suggest what to do about it.

In 2032, just before the wheels come off, Congress will borrow trillions of dollars to patch the hole and buy time by creating a commission to study the problem.

CMS's Medicaid work rules make it tougher for people with disabilities to qualify for benefits. But they provide surprising flexibility for low-income family caregivers

While the number of providers taking advantage of the new billing opportunities is slowly growing, overall participation in caregiver training remains vanishingly small.

A mid-sized cadre of Senate Democrats believes long-term care reform is important enough to highlight as part of their affordability agenda in this year’s campaign,

Barring new entrants will be good for existing firms that will avoid competition. But it hard to see how it will prevent fraud or benefit patients and their families.

Do not trust government when it promises to designate taxes for specific programs. It will raid them by cutting their revenues or spending the money elsewhere.

Policymakers will have to decide among four basic LTSS models: Medicaid; Medicare; public insurance; or leaving people and their families to fend for themselves.

The plan would shift much long-term care from Medicaid to Medicare. It would for anyone with a significant need for care but tie benefits amounts to income and assets.

New research questions the benefits for some older adults of screening colonoscopies and the drug levothyroxine (Synthroid) that increases low thyroid hormones,

Trump promises maximum consumer choice in health care. Yet, he is making it harder to access home -based care favored by older adults and young people with disabilities.

Without debate or any tax policy change, Americans now are paying what effectively is a carbon tax. And at rates far higher than any imaginable legislated levy.

LEAD could reduce falls. But at the same time, the White House is aggressively moving to limit existing falls prevention efforts

While there is an interesting theoretical argument for indexing all taxes for inflation, it makes no sense to give this special treatment only to capital gains.

Both plans raise key questions about the relationship between government and those who would no longer have a role in paying for much of it.

Technology has the potential to allow older adults to live at home for longer or improve their lives in senior communities. But “potential” does a lot of work here.

For the third year in a row, lawmakers froze funding for these efforts. Rising costs and a growing population of frail older adults will result in reduced services.

In some respects, Trump’s idea is less generous than current law. Still, he'd fill some gaps for higher-income people who do not have sufficient savings for old age.

Import taxes raise vastly less revenue than the income tax. If import duties offset any income taxes, government would be moving money from your left pocket to your right

In a decade, the government will send an amount equal to nearly half the income taxes you pay to its bondholders. That money won't be available for programs or tax cuts.

On average, 65- year-olds need to put aside $135,000 for long-term care. But 20% will require support for 3+ years and need to save at least $300,000.

The spending bills effectively freeze funding for most programs aimed at supporting older adults. In some cases, the measures raised spending by small amounts.

The government proposed boosting payments to Medicare Advantage plans by 0.09% in 2027, below what they and their investors expected. What would it mean for enrollees?

While many households will see higher refunds this year, they may be far smaller than promised and offset by higher tariffs and ACA insurance premiums.

The number of older adults is growing. But the number of geriatricians has fallen and other physicians have less training in geriatric care than in past years.

US tariff laws are explicitly intended to respond to unfair trade practices by other nations. None allow presidents to use these duties to pursue geopolitical goals.

TEAM may encourage hospitals to improve the quality of the care their patients receive after being discharged. But it also risks further burdening family caregivers. I

When politicians say “affordability,” they should be thinking about the impact of immigration curbs on costs of care for older adults and people with disabilities