How to Interpret Your Long-Term Care Policy and Address Common Shortcomings

Long-term care (LTC) insurance is a vital tool in planning for future healthcare needs, particularly as we age. However, once you have your policy in hand, understanding its provisions and how to utilize them can be complex. This guide will walk you through the key aspects of interpreting your LTC policy and address frequently encountered issues families face when attempting to use these benefits. Understanding Your Long-Term Care Policy Review the Basics: Coverage, Benefits, and Triggers Your LTC policy outlines specific conditions under which it will begin to pay benefits. These conditions, often called "benefit triggers," typically include the inability [...]

2024-10-28T13:02:32-04:00October 25, 2024|

What Is The Difference Between Elder Law and Regular Law?

Navigating the legal landscape can be confusing and requires specialized knowledge and experience. One area that may raise questions is the difference between elder law and regular law. Understanding this distinction is crucial, especially when protecting the interests of our community's seniors. Let’s visit the difference between elder and regular law in this blog, helping you recognize when it might be advantageous to consult an elder law attorney rather than a regular, non-specialized attorney. Elder law is a specialized legal practice field focusing on issues affecting older adults and their families. These may include estate planning, long-term care planning, guardianship, [...]

2024-07-22T15:05:09-04:00July 18, 2024|

Five Elder Law Myths Debunked

Elder law myths can lead to costly mistakes and missed opportunities for those planning for retirement, healthcare, and estate management. Here, we aim to debunk the top five common myths about elder law, providing clarity and accurate information to help you make informed decisions. We hope to offer peace of mind by addressing these elder law myths and empowering our readers with knowledge.   Myth 1: Elder Law is Only for the Wealthy One of the most pervasive elder law myths is the belief that elder law planning is exclusively for the wealthy. This misconception can prevent many individuals from [...]

2024-07-10T10:45:32-04:00July 11, 2024|

The Advantages and Disadvantages of AI in Elder Care

AI in elder care is poised to revolutionize healthcare facilities by delivering personalized and timely medical assistance. From monitoring vital signs to administering medication reminders, AI-powered systems ensure seniors receive the attention they need promptly, significantly reducing the risk of medical emergencies. Emerging AI models can even identify medical conditions before symptoms appear. However, there can be disadvantages, too. 1. Enhanced Healthcare Services AI in elder care can revolutionize healthcare facilities by providing personalized and timely medical assistance. From monitoring vital signs to administering medication reminders, AI-powered systems can ensure that seniors receive the attention they need promptly, reducing the [...]

2024-06-24T08:53:16-04:00April 25, 2024|

The Death with Dignity Act

The Death with Dignity Act often sparks controversy and brings to the forefront important questions about the role of doctors in end-of-life care. The American Medical Association defines “death with dignity” or “medical aid in dying” (MAID) as when a physician offers "the necessary means and/or information" to assist a patient in choosing to end their own life.” Throughout this blog the terms “death with dignity” and “medical aid in dying” will be used interchangeably. What constitutes dying with dignity varies from person to person. It is a highly personal perspective. For instance, if someone believes that dying in a confused [...]

2024-03-08T10:52:43-05:00December 21, 2023|

Health and Hospital Corporation of Marion County v. Talevski

The United States Supreme Court recently ruled 7-2 to protect the right of Medicaid nursing home residents to seek relief in federal court when state officials do not meet a certain quality of care—a ruling being hailed as a civil rights victory for Medicaid patients. In Health and Hospital Corporation of Marion County v. Talevski, state officials challenged the right of a Medicaid beneficiary to bring suit in federal court in a case involving the alleged violation of Gorgi Talevski's federal rights under Medicaid's Federal Nursing Home Reform Act (FNHRA). By a 7-2 margin, in a remarkable opinion for the [...]

2024-05-20T16:43:46-04:00June 16, 2023|

Medicaid Coverage for Assisted Living: PA Legislation Proposal

In December 2022, Pennsylvania state Senators Michelle Brooks and Judy Ward proposed legislation that would expand Medicaid coverage for assisted living facilities. The proposal is designed to provide support for older adults who require assistance with daily living but do not require the high level of care provided by nursing homes. Under the proposed legislation, eligible seniors would be able to access Medicaid coverage for assisted living services, including room and board, personal care, and medication management. This would be a game-changer for many seniors who are currently struggling to pay for these services out-of-pocket or relying on family members [...]

2024-03-08T11:19:44-05:00April 28, 2023|

Biden Administration Announces Significant Nursing Home Reform

In an effort to improve the quality of care for nursing home residents, the Biden Administration has announced plans for sweeping nursing home reform. As you are aware, the pandemic has been devastating to nursing home residents. COVID-19 has not necessarily caused all the recent issues with nursing homes. Issues regarding staffing, quality of care, and private investors’ role in the nursing home industry has existed long before anyone heard of COVID-19. The pandemic simply brought these issues to the surface. As a result, on February 28, 2022, the Biden administration announced it would be implementing a variety of nursing home reforms, including the [...]

2024-03-08T11:33:39-05:00March 4, 2022|

Aduhelm Coverage: Medicare’s Decision for the New Alzheimer’s Drug

On January 11, 2022, the Centers for Medicare and Medicaid Services (CMS) proposed that Medicare would offer Aduhelm coverage. Aduhelm is a drug for the treatment of mild Alzheimer’s disease, only as part of a clinical trial approved by CMS or supported by the National Institutes of Health (NIH). The trial will help to generate the evidence that CMS suggests is currently lacking regarding whether Aduhelm is reasonable and necessary for the treatment of Alzheimer’s disease. This preliminary National Coverage Determination (NCD) comes after months of handwringing over the potential impact of this new high-priced drug on Medicare spending and [...]

2024-03-08T12:10:31-05:00January 28, 2022|

Update on Telehealth Insurance Coverage

Over the past year, telehealth insurance coverage has evolved. While telehealth is not a new practice, it has become much more widely utilized since the outbreak of COVID-19.  Historically, telehealth was utilized in certain instances, such as for patients who lived in more rural areas with limited access to resources. In regard to telehealth insurance coverage, effective March 2020, Medicare began covering these visits under much broader guidelines and were paid at the same rate as in-person visits. Some of the most common technology platforms include FaceTime, Zoom, Google Hangouts, and Skype. Under the guidelines during the pandemic, the use [...]

2024-03-08T12:32:23-05:00February 4, 2021|
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