Literature Review

Costs of long-term care: ‘Financial ruin is baked into the system’ KFF Health News, by Jordan Rau and Reed Abelson; 3/9/24 Thousands of readers reacted to the articles in the “Dying Broke” series about the financial burden of long-term care in the United States. They offered their assessments for the government and market failures that have drained the lifetime savings of so many American families. And some offered possible solutions. In more than 4,200 comments, readers shared their struggles in caring for spouses, older parents, and grandparents. They expressed anxieties about getting older themselves and needing help to stay at home or in institutions like nursing homes or assisted living facilities.

Scientists reveal that nearly all older Americans follow one of nine trajectories in their last three years of life SciTechDaily, by Rutgers University; 3/2/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life. “Identifying which paths people actually take is a necessary precursor to identifying which factors send different people down different paths and designing interventions that send more people down whatever path is right for them,” said Olga Jarrín, the Hunterdon Professor of Nursing Research at Rutgers and corresponding author of the study published in BMC Geriatrics.

3 predictions for the future of post-acute careBecker's Hospital Review, by Mariah Taylor; 2/28/24Robust in-home care, advances in technology and seamless access to nursing facilities are some of the ways leaders anticipate post-acute care may change in the next 50 years. Here, three leaders give their predictions and hopes for the industry in the future.

Nationwide PACE program helps seniors avoid nursing homesThe Lake County Star, by Cathie Crew; 1/17/24The Program for All Inclusive Care of the Elderly, or PACE, provides care and services to nursing home-eligible seniors and disabled individuals, enabling them to remain in their home far longer than they might otherwise be able to do. 

Survey shows 2024 to be a "Year of Efficiency" for Care at Home OrganizationsHomeCare News; 1/16/24To improve their bottom line and operations, care-at-home organizations plan to focus on shoring up operational processes and how they manage staffing and scheduling, according to the just-released 2024 Industry Trends Report. ... The focus on having more efficient operations was reflected in the top concerns from respondents: staffing, and addressing the changing payment dynamics and new regulations and oversight in the care at-home industry.

America's health system isn't ready for the surge of seniors with disabilitiesCalifornia Healthline, by Judith Graham; 1/17/24The number of older adults with disabilities — difficulty with walking, seeing, hearing, memory, cognition, or performing daily tasks such as bathing or using the bathroom — will soar in the decades ahead, as baby boomers enter their 70s, 80s, and 90s.

A looming crisis: Millennials caring for aging parentsFalls Church News-Press, by Brian Reach; 1/11/24... Millennials, born between 1981 and 1996, comprise roughly 73 million Americans. By 2030, all boomers, and over 70 million Americans in total, will be ages 65 and older. This represents an at least 25 percent increase in the number of senior citizens — in just over five years.

A medication mistake cost a Lockport woman her life. A new grant aims to help others avoid same fateThe Buffalo News, by Scott Scanlon; 1/2/24 In a perfect health care system, patients who ended up in the hospital would start to feel better soon and go home with a recovery plan, along with any medications designed to help in that process. ... “All medications have side effects, and some are especially harmful in older adults,” UB officials said in announcing a four-year, $1.95 million grant focused on improving medication prescribing.

New services help post-acute, hospital partnershipsModern HealthcareDecember 27, 2023Nursing homes and home healthcare companies are branching into new lines of business to increase revenue as demand for post-acute care rises and Medicare and Medicaid reimbursements stagnate. It is a trend that Ash Shehata, a partner at business consulting firm KPMG, has been tracking for the past two years. Healthcare providers are under increasing pressure from insurers to quicken the move of patients to less-costly settings. 

Healthcare organizations hiring, retaining more employees—FitchModern HealthcareDecember 20, 2023Hospital employment numbers have increased, while healthcare job openings are on the decline—though the industry is still recovering from the effects of the COVID-19 pandemic. About 17.2 million individuals were on the payroll at healthcare organizations in November 2023, compared with 16.6 million in December 2022, according to the latest data from the Bureau of Labor Statistics. 

Study uncovers racial, geographic disparities in LTSS accessMcKnight’s Home Care DailyDecember 19, 2023Disparities in access to long-term services and supports (LTSS) create greater financial and health-related challenges for people of color, according to new research by healthcare research firm ATI Advisory. Using data from a University of Michigan Health and Retirement Study, the ATI study sampled 6,232 people aged 55 years old and living in home- or community-based settings. 

Greener nurses enter field as workforce demand continues to spikeMcKnight’s Home Care DailyDecember 15, 2023Job openings in healthcare and social services have risen sharply in the last several years, and healthcare providers are taking on less-experienced registered nurses to handle the pressure. At the beginning of 2018, the average nurse’s tenure was more than six years of experience, according to a recent workforce report by the ADP Research Institute. In the five years since, however, high turnover rates and a corresponding abundance of job opportunities deflated a nurse’s average tenure to about five years of experience. 

22 states to increase minimum wage on Jan. 1McKnight’s Senior LivingDecember 13, 2023Almost half of the states, along with 40 local jurisdictions, are set to ring in 2024 with increases to minimum wage, according to Polsinelli law firm. The 22 states with minimum wage increases coming in the new year: Alaska, Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New York, Ohio, Rhode Island, South Dakota, Vermont and Washington.