Elderly parent is on Medicaid in nursing home, will they lose financing?

[Anonymous]

Anonymous wrote:I am not understanding the question. We don't know if they will cut long-term care medicaid to pay for nursing homes or not. If they did, not sure what their plan would be to care for all these people.

Oh, the Republicans plan is for them to get jobs and support themselves. Just ask Kellyann Conway

[Anonymous]

Anonymous wrote:

Anonymous wrote:Just curious what will happen to elderly 71 year old disabled parent who is medicaid in a nursing home. We pay nothing. Would she lose her spot in a nursing home?

71 is very young to be in a nursing home. She is not elderly. I am assuming she is otherwise disabled, as opposed to being elderly, so that is likely what will impact her status.

Not really, my MIL had early onset dementia by that age adn couldn't care for herself.

[Anonymous]

Anonymous wrote:My spouse is an executive VP in the LTC business. They are not panicking yet. But everyone acknowledges that
Funding may be lost. If that happens your relative will be evicted if that is their payor source. And if the home shuts down, there won’t be any chance of them being forced to keep people who don’t/can’t pay. Thing is that this is an evolving situation and no one knows what will be affected. But the places that will be hit the hardest are those with insufficient private pay to cover the losses.

Its a different medicaid, its long term care medicaid, not regular so its funded differently. Its anyones guess what will happen.

[Anonymous]

No one really knows OP, and it may depend on the state and how they allocate the money.

[Anonymous]

Does she live in a poor red state or in a rich blue state?

[Anonymous]

Yes. At best, December of 2026. At worst, nursing home anticipates changes (75%+ is relying on Medicaid) and starts to slowly offload over next 17 months. As relatives, you will either be forced to pay for care or provide it yourself.

[Anonymous]

Anonymous wrote:No one knows. I saw one estimate 1 in 4 nursing homes will close because of reduced Medicaid payments.

This. Especially in red states. Libertarians and Maga believe people should take care of their own families. With fewer women working, they will care for grandma - just like in the olden days.

[Anonymous]

Anonymous wrote:My spouse is an executive VP in the LTC business. They are not panicking yet. But everyone acknowledges that
Funding may be lost. If that happens your relative will be evicted if that is their payor source. And if the home shuts down, there won’t be any chance of them being forced to keep people who don’t/can’t pay. Thing is that this is an evolving situation and no one knows what will be affected. But the places that will be hit the hardest are those with insufficient private pay to cover the losses.

So in other words, the less expensive places in rural areas and elsewhere that do not depend on private pay will close. The tony places in DC that charge $20k a month and serve the elite will remain open.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Im not sure I understand your question? If she’s there, and Medicaid is paying, what makes you think they’d stop? Your relative, at their age, also has Medicare

Medicare does not cover SNF's, hence the need for supplemental insurance. Medicaid pays (a pittance) for most residents in America. I'd be very worried about continued coverage for our most vunerable

What is SNF?

[Anonymous]

Anonymous wrote:Yes. At best, December of 2026. At worst, nursing home anticipates changes (75%+ is relying on Medicaid) and starts to slowly offload over next 17 months. As relatives, you will either be forced to pay for care or provide it yourself.

Many can’t do that. I tried for a year but with no help Medicaid bed was the only option

[Anonymous]

Anonymous wrote:

Anonymous wrote:No one knows. I saw one estimate 1 in 4 nursing homes will close because of reduced Medicaid payments.

This. Especially in red states. Libertarians and Maga believe people should take care of their own families. With fewer women working, they will care for grandma - just like in the olden days.

That only works in some cases. I did not work but the dementia was so severe it needed 24-7 care and could not stay home alone and that did not work with kids.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Im not sure I understand your question? If she’s there, and Medicaid is paying, what makes you think they’d stop? Your relative, at their age, also has Medicare

Medicare does not cover SNF's, hence the need for supplemental insurance. Medicaid pays (a pittance) for most residents in America. I'd be very worried about continued coverage for our most vunerable

What is SNF?

Skilled nursing facility

[Anonymous]

Anonymous wrote:

Anonymous wrote:My spouse is an executive VP in the LTC business. They are not panicking yet. But everyone acknowledges that
Funding may be lost. If that happens your relative will be evicted if that is their payor source. And if the home shuts down, there won’t be any chance of them being forced to keep people who don’t/can’t pay. Thing is that this is an evolving situation and no one knows what will be affected. But the places that will be hit the hardest are those with insufficient private pay to cover the losses.

Its a different medicaid, its long term care medicaid, not regular so its funded differently. Its anyones guess what will happen.

It is not funded differently.

[Anonymous]

Anonymous wrote:

Anonymous wrote:My spouse is an executive VP in the LTC business. They are not panicking yet. But everyone acknowledges that
Funding may be lost. If that happens your relative will be evicted if that is their payor source. And if the home shuts down, there won’t be any chance of them being forced to keep people who don’t/can’t pay. Thing is that this is an evolving situation and no one knows what will be affected. But the places that will be hit the hardest are those with insufficient private pay to cover the losses.

So in other words, the less expensive places in rural areas and elsewhere that do not depend on private pay will close. The tony places in DC that charge $20k a month and serve the elite will remain open.

Exactly.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Im not sure I understand your question? If she’s there, and Medicaid is paying, what makes you think they’d stop? Your relative, at their age, also has Medicare

Medicare does not cover SNF's, hence the need for supplemental insurance. Medicaid pays (a pittance) for most residents in America. I'd be very worried about continued coverage for our most vunerable

What is SNF?

Skilled Nursing Facility — what people commonly called a nursing home. Basically anyplace that needs more care than assisted living.

I have some knowledge of the industry and there’s already been a crazy amount of bankruptcies and closures already. A lot of facilities seem to only get by with engaging in massive fraud, which often leads to indictments, and most of the non profits (like the Catholic dioceses) have gotten out of the business because they can’t make the $$ work. The profit is all in the fancy private pay or the mediicaid post acute rehab facilities. I think this is going to be a disaster for anyone who depends on Medicaid to pay their SNF.