Your thoughts on likelihood of rolling back SS, Medicaid, Medicare after first week

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

boom, brave new world, though pretty much as cruel as the old one.

do not think that current residents will be kicked to the curb (at least at this date), but anticipate that anyone not yet on Medicaid LTC will not be accepted.

Really? Because if Medicaid stops paying the LTC bills, you think the nursing homes are caring for grandma for free? Nope!

[Anonymous]

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

Didn't know I was also supposed to explicate the article:

The share of residents by primary payer stayed relatively stable over time (Figure 4). As of July 2024, Medicaid was the primary payer for 63% of nursing facility residents; Medicare for 13% of residents; and the remaining 24% of residents had another primary payer (ex. private insurance, out-of-pocket, etc.) (Figure 4). Medicare does not generally cover long-term care but does cover up to 100 days of skilled nursing facility care following a qualifying hospital stay. KFF polling shows that four in ten adults overall incorrectly believe that Medicare is the primary source of insurance coverage for low-income people who need nursing facility care.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

Didn't know I was also supposed to explicate the article:

The share of residents by primary payer stayed relatively stable over time (Figure 4). As of July 2024, Medicaid was the primary payer for 63% of nursing facility residents; Medicare for 13% of residents; and the remaining 24% of residents had another primary payer (ex. private insurance, out-of-pocket, etc.) (Figure 4). Medicare does not generally cover long-term care but does cover up to 100 days of skilled nursing facility care following a qualifying hospital stay. KFF polling shows that four in ten adults overall incorrectly believe that Medicare is the primary source of insurance coverage for low-income people who need nursing facility care.

The number for Medicaid is not just Medicaid LTC/LTSS recipients: it combines regular Medicaid and Medicaid LTC/LTCC.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

If they qualify for medicaid, they'd qualify for LTC as Medicaid qualifications are much lower than LTC.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:More states are doing estate recovery after the person on Medicaid dies, meaning they come after the survivors for the thousands $ spent. If it’s trimmed down more states will do this.

They don't come after the survivors, they come after the estate which if you read the medicaid forms and information that is part of the deal.

Some states have filial responsibility laws and that is not the same as the Medicaid “look back.” Google “Pennsylvania nursing home filial” and you will see that some entities come after family members.

I cannot see how that is legal except if you sign the forms agreeing to. My MIL nursing home tried to get me to sign papers saying we'd be on the hook for anything not covered and I said no.

Yes, do not sign papers when the nursing home asks! Cooperate as much as you can, but do not sign the papers. I worked closely with the business office @ my dad’s nursing home, so they knew I was doing everything I could to get him qualified for Medicaid. He was rejected twice, but approved on the third round.

Strange he was rejected twice in less there was money involved. We had no issue getting qualified.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

Didn't know I was also supposed to explicate the article:

The share of residents by primary payer stayed relatively stable over time (Figure 4). As of July 2024, Medicaid was the primary payer for 63% of nursing facility residents; Medicare for 13% of residents; and the remaining 24% of residents had another primary payer (ex. private insurance, out-of-pocket, etc.) (Figure 4). Medicare does not generally cover long-term care but does cover up to 100 days of skilled nursing facility care following a qualifying hospital stay. KFF polling shows that four in ten adults overall incorrectly believe that Medicare is the primary source of insurance coverage for low-income people who need nursing facility care.

The number for Medicaid is not just Medicaid LTC/LTSS recipients: it combines regular Medicaid and Medicaid LTC/LTCC.

The cite I provided refers to nursing home residents on Medicaid LTC only. It’s the second sentence in the highlighted paragraph and refers to data from July ‘24.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:More states are doing estate recovery after the person on Medicaid dies, meaning they come after the survivors for the thousands $ spent. If it’s trimmed down more states will do this.

They don't come after the survivors, they come after the estate which if you read the medicaid forms and information that is part of the deal.

Some states have filial responsibility laws and that is not the same as the Medicaid “look back.” Google “Pennsylvania nursing home filial” and you will see that some entities come after family members.

I cannot see how that is legal except if you sign the forms agreeing to. My MIL nursing home tried to get me to sign papers saying we'd be on the hook for anything not covered and I said no.

Yes, do not sign papers when the nursing home asks! Cooperate as much as you can, but do not sign the papers. I worked closely with the business office @ my dad’s nursing home, so they knew I was doing everything I could to get him qualified for Medicaid. He was rejected twice, but approved on the third round.

Strange he was rejected twice in less there was money involved. We had no issue getting qualified.

So, my mom was still alive and the community spouse, so we didn’t need to divest everything (not that there was much, but she was allowed some savings. That can be a little more tricky in timing it all. The first time around: credit union didn’t disclose all of our parents’ accounts. Their paperwork was very haphazard and my mom didn’t really know how all the money had been divided into difference accounts. Second time around: I think the caseworker was a not very nice person. They gave no credible reasons, but it is what it is. I then hired a lawyer, using money out of my mom’s savings. Approved in record time. Even the lawyer said the second rejection was BS.

[Anonymous]

No more medicare telehealth visits covered.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

Didn't know I was also supposed to explicate the article:

The share of residents by primary payer stayed relatively stable over time (Figure 4). As of July 2024, Medicaid was the primary payer for 63% of nursing facility residents; Medicare for 13% of residents; and the remaining 24% of residents had another primary payer (ex. private insurance, out-of-pocket, etc.) (Figure 4). Medicare does not generally cover long-term care but does cover up to 100 days of skilled nursing facility care following a qualifying hospital stay. KFF polling shows that four in ten adults overall incorrectly believe that Medicare is the primary source of insurance coverage for low-income people who need nursing facility care.

The number for Medicaid is not just Medicaid LTC/LTSS recipients: it combines regular Medicaid and Medicaid LTC/LTCC.

The cite I provided refers to nursing home residents on Medicaid LTC only. It’s the second sentence in the highlighted paragraph and refers to data from July ‘24.

The second sentence specifically says Medicaid, with no notation of LTC or LTSS. It appears to be combining those populations.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

Here is one of many sources: https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/

The graph in that article shows percentage of patients on Medicaid without separating out those on Medicaid LTC/LTSS.

Didn't know I was also supposed to explicate the article:

The share of residents by primary payer stayed relatively stable over time (Figure 4). As of July 2024, Medicaid was the primary payer for 63% of nursing facility residents; Medicare for 13% of residents; and the remaining 24% of residents had another primary payer (ex. private insurance, out-of-pocket, etc.) (Figure 4). Medicare does not generally cover long-term care but does cover up to 100 days of skilled nursing facility care following a qualifying hospital stay. KFF polling shows that four in ten adults overall incorrectly believe that Medicare is the primary source of insurance coverage for low-income people who need nursing facility care.

The number for Medicaid is not just Medicaid LTC/LTSS recipients: it combines regular Medicaid and Medicaid LTC/LTCC.

The cite I provided refers to nursing home residents on Medicaid LTC only. It’s the second sentence in the highlighted paragraph and refers to data from July ‘24.

The second sentence specifically says Medicaid, with no notation of LTC or LTSS. It appears to be combining those populations.

I'm not following your point - why does the distinction matter?

[Anonymous]

Everyone chill about their parents' SS checks about ready to stop?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our mom has nursing home insurance but I am worried that Medicaid cuts could drive her nursing home out of business, raise her rates etc.

That's a legit concern. There are very few nursing homes which are completely private given that 2/3rds of their residents are on Medicaid LTC. If this goes through, only the most wealthy will escape unscathed. Even the UMC are in denial on this.

Is there a cite for the figure of 2/3rds of nursing home residents being on Medicaid LTC?

I appreciate the PP providing this info but I think it's more nuanced than that.
There are "fancy" nursing homes which don't accept Medicaid at all. There are also nursing homes (usually in lesser affluant areas) where every single person is a Medicaid recipient. And then there's everything in between. They will all suffer except for the "fancy" ones.