Howard Gleckman

Fix the CLASS Act. Don’t Repeal It.

KFF Health News Original

Congressional critics want to repeal the CLASS act. But without it, millions of disabled adults, frail seniors and their families will be left with only Medicaid’s tattered safety net.

Replace The Tattered Medicaid Long-Term Care Safety Net

KFF Health News Original

Medicaid, the state-federal health program that also pays for nearly half of all long-term care services for the frail elderly and younger people with disabilities, is in big trouble.

Will Private Long-Term Care Insurance Supplement the CLASS Act?

KFF Health News Original

CLASS takes a step towards moving long-term care financing from the welfare-like Medicaid program to an insurance-based system. But CLASS alone won’t get there. Private insurance, currently a niche product that covers only about seven million Americans, will have to play an important role as well.

Why Are Fewer Patients Enrolling in Hospice?

KFF Health News Original

It is not clear why it’s happening, but some hospice officials blame both a bad economy and Medicare rules that unintentionally discourage doctors from referring all but those who are about to die.

For Senior Care, Sometimes It Does Take A Village

KFF Health News Original

Nearly three years ago, Harry Rosenberg and his wife, Barbara Filner, met with nine of their neighbors about starting an aging-in-place “village” in Bethesda, Maryland. The idea: If neighbors could help one another with basic services such as transportation and simple home maintenance and with friendly visits, people could stay in their homes longer as they aged.

Obama’s Respite Care Plan: Part of the Problem, Not a Solution

KFF Health News Original

Families should be freed from the whims of politicians and the inevitable battles over government dollars by passing a national long-term care insurance program, such as the proposed CLASS Act.

It’s Time To Coordinate Care For The Disabled And Frail Elderly

KFF Health News Original

Since the creation of Medicare and Medicaid nearly 45 years ago, the government has separated acute medical care from personal assistance and long-term care, placing many of the most vulnerable people in the nation at risk. An obscure provision of the Senate health bill attempts to crack that barrier.

The CLASS Act: A Flawed But Powerful Game-Changer for Long-Term Care

KFF Health News Original

Pay attention to the CLASS Act. It can not only provide better long-term care for those who so desperately need this assistance, it can also become a new way to help those in need in an era of $1 trillion-plus budget deficits. But only if it is done right.