The Long-Term Care Path from Medicare to Medicaid

Although Congress enacted Medicaid in the 1960s to provide health care coverage for the poor, Medicaid has become the primary pay source for nursing home and long-term care for the vulnerable elderly population.  The majority of nursing home residents, or 80%, are age 65 or older and 62% of residents are covered by Medicaid,...

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New Retirement Account Rules for the New Year

Happy 2020!  Major changes to the federal retirement account rules were signed into law December 20, 2019, under the SECURE Act (Setting Every Community Up for Retirement Enhancement Act).  Under the new rules, a retirement account can no longer be "stretched" and must be distributed within 10 years to non-spouse beneficiaries.  This...

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Finding a Nursing Home for a Dementia Patient

Nearly two-thirds of nursing home patients have cognitive impairment, while 64% of Medicare beneficiaries in nursing homes have Alzheimer's Disease or a related dementia.  Access to high-quality nursing home care for dementia patients is imperative.  Optimal nursing home care for dementia patients begins with person-centered care, or individualized care focused on maximizing quality of...
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List of Poor-Performing Nursing Homes

The Centers for Medicare and Medicaid Services (CMS) has released an expanded list of persistently poor-performing nursing homes, including over thirty facilities in Texas.  The list includes hundreds of facilities that participate, or are candidates for participation, in the Special Focus Facility (SFF) program, designed to increase oversight...
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Changes to Statutory Durable Power of Attorney

The Texas Legislature has approved major changes to the Statutory Durable Power of Attorney (SDPOA) - the form that allows you to appoint an agent to act for you in certain financial matters - making it imperative to review and consider updating your power of attorney.  Legislators expanded the instrument to include important new...

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Nursing Home Rules Revised

The federal rules for nursing homes that participate in Medicare and Medicaid have been comprehensively revised, affecting requirements for admission contracts, care planning, resident rights, quality of care, transfer and discharge procedures, protections against abuse neglect, and exploitation, and other aspects of facility life.  Attorney Nancy Stone has co-authored a comprehensive article about...

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Tax Bill Cuts Medicare, Repeals ACA, Threatens Social Security and Medicaid

  Senate leaders are working to ram through a tax bill this week which will greatly increase deficits, triggering $25 billion in Medicare cuts and leading to major cuts in Social Security and Medicaid to pay for the deficit.  The bill would chiefly benefit the highest earners while hurting the middle class, according to the Congressional Budget Office, the Joint Committee on Taxation, and other experts. In addition, the bill would repeal...
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