Biden's Home Care Plan Archives ⋆ Cathy Cress

What Does Biden’s Caregiver Infrastructure Plan Do For Families?

President Biden’s Caregiver Infrastructure plan will help families -the very infrastructure that supports elders as they age. What do I mean? Currently, 53 million family members provide most of the care that vulnerable seniors and people with disabilities require — without being paid as Medicare does not pay for long-term caregiving.

Family Members Provide Care for No Pay

There is often a significant financial and emotional cost to these family caregivers. According to AARP, family caregivers on average devote about 24 hours a week to helping loved ones and spend around $7,000 out-of-pocket on that care.

The value of this unpaid labor force is estimated to be at least $306 billion annually, nearly double the combined costs of home health care ($43 billion) and nursing home care ($115 billion)

Medicare Does Not Pay for Custodial Caregiving

Families are shocked when they discover that Medicare does not pay for custodial caregiving or long-term care. This is the type of care that most elders will eventually need as they age. They will pay for short-term care post-hospitalization. So most elders must depend on their families for this care or if they are in the upper 10-15% pay for private duty home care which can run up to $4000-$6000 a month if they need 24-hour care, creating severe inequality in out care infrastructure.

Some Family Caregivers Can Be Paid Through Medicaid and the VA

Although family caregivers and actually in-home care is not paid by Medicare, some family caregivers are paid through the VA and family caregivers supporting a relative on Medicaid

In the US 1-5 Americans receive Medicaid. which is only available for low-income individuals.VA Homecare is only available to veterans with specific criteria

Biden’s Caregiver Program May Help Medicaid Family Caregivers

The median salary for these home-care workers, who care for low-income Medicaid recipients, is approximately $17,200 per year, said Leslie Frane, executive vice president at SEIU. This is in large part because the United States pays only limited amounts to states to compensate them for Medicaid care in the home. More than half of home-care workers are on some form of public assistance themselves such as food stamps, Frane said. They are overwhelmingly female and far more likely to be people of color than the general population.

Being a Caregiver on Medicaid Comes at a High Personal Cost

Being a caregiver for a family member presents incredible hurdles for all family caregivers but under Medicaid comes at a high cost. .Caregivers often have to significantly reduce their number of hours working outside the home or leave their jobs entirely in order to provide quality care for their loved one. This means that caregivers are spending hours assisting loved ones with daily tasks, cooking meals, taking them to appointments, ensuring their safety and well-being, and providing companionship, but are not being compensated for their time.

Biden’s Health Care Plan May be Unveiled This Week

As I mentioned in my last blog, there are still few details about how Biden’s Caregiver Infrastructure Bill of $400 million will be allocated. However, there is reason to believe that a large part will go to these family caregivers who support their elderly relatives on Medicaid.

We may get a hint of what and when that will be this week when Biden will discuss changes in Heath care he will include in the will try to include in his American Family Plan.

JOIN ME FOR MY NEW FREE WEBINAR

Market Your Agencies Safety as Aging Families Still Fear Raging Pandemic

When: May 20, 2021, 02:00 PM Pacific Time (the US and Canada)

Learn to market your safe care management business during the “Semi-Post “Pandemic, to overcome hesitation to use homecare and GCM services as US COVID-19 slowly diminishes,World Wide COVID spikes,US vaccination accelerates yet elders are

not fully vaccinated, US COVID still spikes, variants explode, anti-vaxers abound, vaccines taken off the market and 8000 American still die each day.

Understand how to innovatively sell” trust” in your safe care management services so family caregiver’s & 3^rd parties choose you as a safe agency

Learn to use public relations and marketing to show you are focused on caregiver and care management safety

COVID services by showing you follow the new CDC’s leaderships safe path to safety.

YOU WILL LEARN

5 steps to create an e-newsletter with the right copy, to get out the word about your safe COVID 19 services through required COVID protocols

10 steps to set up a Zoom webinar to teach local aging agencies and caregivers about your COVID safe services and other local resources to assist caregivers in the community

7 steps to use social media to alert aging family caregivers to the clear path to your GCM agency provides safety from the diminishing but still present virus in the US.

5 steps to get local media coverage of your COVID -19 safe services, care providers, and general excellent care management and home care products free PR with radio and TV coverage plus pick local newspapers where ads may pay off to sell your COVID Products

5 steps to understand how to generate word of mouth customers for your COVID -19 safe services using your continuum of care in your community

10 steps to use the powerful new tool of Video to market your agency’s COVID safety and excellent services as the pandemic diminishes but is still in your community, state, and country

SIGN UP

You are invited to a Zoom webinar.
When: May 20, 2021, 02:00 PM Pacific Time (the US and Canada)
Topic: 5 Steps to Market Your COVID Coaching Service for Aging

REGISTER NOW

After registering, you will receive a confirmation email containing information about joining the webinar.

Why This Plan for Home-Based Care?

Only 15% of U.S. seniors 80 or older receive care at home. In Switzerland, Denmark, Mexico, and Sweden, that figure is above 30%, with numbers even higher in Israel and Lithuania.

Medicaid has slowly evolved over the years, placing a greater emphasis on home- and community-based services. But the ground gained has been relatively minor compared to investments in other settings like nursing homes.

In 1995, Medicaid spent about 18 cents out of every long-term care dollar on HCBS services. Today, that number has reached 57 cents per dollar.

Only10-15% of Americans can Afford Private Duty Homecare

Because Medicare does not pay for home care, only the top 10-15 % can afford private duty home care, while in many other nations it is a right and free to all through the government. What Biden’s new plan does is take a giant step in making home care possible a greater number of Americans.

The plan calls for expanding access to and quality of HCBS to help more older adults and people with disabilities live in the community and extending the Money Follows the Person program to help individuals who are in nursing facilities and other institutions return to the community.

at Home

What the continuing pandemic has painfully taught us is when we are ill- we want to be home in the arms of our family. When we are threatened with or facing death, we do not want want to be in a sterile hospital with only anonymous caring nurses and zoom to comfort us in our last minutes in this world. We want to be at home- in the arms of our family and loving caregivers.

Long before the COVID-19 emergency, health care policy experts have increasingly recognized the value of home-based health care. A recent AARP survey found that three in four adults 50 years and older would prefer to age in their homes and communities. And a growing body of evidence suggests it is less expensive to deliver care in the home.

The Plague of Isolation on top of the Plague of COVID -in Locked Down Nursing Homes

Home-based care addresses negative health effects of social isolation and loneliness, which drive poorer health outcomes that annually cost billions of excess health care dollars.

So Biden has launched a bill the builds the infrastructure of home care for the lower 30% on Medicaid until in America’s future, Medicare and home care for all is reached.

Contact

Connect with Cathy

Get Cathy’s “10 Critical Success Steps to a Profitable Aging Life or GCM Business”