Public Reporting Alone Will Not Fix Nursing Home Problems

Public Reporting Alone Will Not Fix Nursing Home Problems

Yesterday, the New York Times had an interesting piece looking at the star rating system that Medicare has been using to evaluate long-term care facilities. Coincidentally, I was moved to learn that a family friend, my “Aunt Betsy,” has been in an institution for going on 10 years, exceeding almost…

Read full post





The Question of Long-Term Care: How Do You Eat An Elephant?

The Question of Long-Term Care: How Do You Eat An Elephant?

Dr. Tracy Lustig testified in August before the Commission on Long-Term Care. One of my biggest surprises in the passage of the Patient Protection and Affordable Care Act (PPACA) was the inclusion of title VIII, the CLASS ACT, which created the possibility of a national, voluntary, premium-financed, and federally…

Read full post

Going Where the Money Is

Going Where the Money Is

When Depression-era gangster Willie Sutton was asked why he robbed banks, he replied: “Because that’s where the money is.” Similarly, I’ve argued that if there is room for quality improvement and cost savings in healthcare reform, it will be in the care of those complexly ill older adults who are…

Read full post

Stay Connected