Stephen A. Moses

Los Angeles

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Articles

Are we LTC suckers?

2 weeks ago | mcknights.com | Stephen A. Moses |Kimberly Marselas

People who love the long-term care profession may feel like suckers sometimes. How does America’s centrally planned, heavily regulated, top-down LTC system treat us like chumps? It would be hard to have any kind of LTC business without accepting Medicaid. But Medicaid pays less than the cost of providing care, on average. You can’t make up for losses like that by serving more people on public assistance.
Where did the private payers go?

Jan 17, 2025 | mcknights.com | Stephen A. Moses

Before Medicaid came on the scene in 1965, everyone paid out of pocket for long-term care (LTC). Operators received a market rate for the services they provided. There was no special rate below the cost of care for public welfare recipients. Nor was there a special, higher private-pay rate to shift uncompensated costs to private payers. Those were the days!Then came Medicaid.
What's next for Medicaid and long-term care?

Dec 2, 2024 | mcknights.com | Stephen A. Moses

Most of long-term care’s problems — including impaired access and quality, institutional bias, interminable home-care waits, paid caregiver shortages, and excessive dependence on unpaid family and friends — are the direct result of too much reliance (61% of $400 billion in 2022 LTC spending) on Medicaid’s parsimonious reimbursements (70% of private-pay rates) and the Centers for Medicare & Medicaid Services’ overbearing regulation (such as uncompensated staffing mandates).
Long-term care policies matter

Oct 28, 2024 | mcknights.com | Stephen A. Moses

Everything that is wrong with long-term care (LTC) services and financing today has its roots in well-intentioned public policy decisions made many years ago that went terribly awry. It started with the addition of Medicaid to the Social Security Act in 1965.
The Modern Recruitment Process: Best Practices and Tools for Success: Overview of Modern Recruitment

Oct 15, 2024 | marylandreporter.com | Stephen A. Moses

In today’s rapidly changing business environment, recruitment has evolved into a dynamic and sophisticated process. No longer restricted to traditional methods, modern recruitment encompasses a blend of digital platforms, strategic thinking, and cutting-edge technology to ensure alignment with organizational needs. Successfully navigating this landscape requires understanding the fundamental shifts in how jobs are sourced, candidates are evaluated, and relationships are built.
What if Medicaid paid market rates?

Sep 16, 2024 | mcknights.com | Stephen A. Moses

Most of long-term care’s problems boil down to heavy dependency on low Medicaid reimbursement rates. The program paid 61% of total U.S. LTC spending in 2022 at about 70% of private-pay rates. Economists explain that government price fixing causes market disruptions. Set prices too low, and shortages occur. Providers are forced to compensate by compromising on services.
How Medicaid cripples SNFs

Aug 12, 2024 | mcknights.com | Stephen A. Moses

Skilled nursing facilities face strident criticism daily. A typical litany goes like this. Nursing homes offer poor access and quality, too few caregivers, rundown facilities, and deficient care plans. They disregard residents’ preferences and use excessive physical restraints and behavior-modifying drugs. They compel families to take financial responsibility, refuse to accept Medicaid or to bill Medicare, and evict improperly. Such attacks are unrelenting.
What senior living needs, versus what it gets

Jul 8, 2024 | mcknights.com | Stephen A. Moses

Senior living’s caregiving sectors — nursing homes, assisted living and home care — share problems and needs in varying degrees. But what they get from long-term care (LTC) research is seldom what would address their problems or meet their needs. Nursing homes’ biggest problems are excessive dependency on low Medicaid reimbursement aggravated by too much unwarranted regulation, such as mandatory staffing levels.
What assisted living needs versus what it gets

Jul 8, 2024 | mcknightsseniorliving.com | Stephen A. Moses |Lois Bowers

Long-term care’s caregiving sectors — assisted living, skilled nursing and home care — share problems and needs in varying degrees. But what they get from researchers in the field is seldom what would address their problems or meet their needs. Only 18% of assisted living residents receive Medicaid, according to the Centers for Disease Control and Prevention’s National Center for Health Statistics. That is a net plus for the industry as it fills otherwise empty rooms until private payers appear.
Letting Heirs Bilk Medicaid Is Bad Policy | National Review

May 7, 2024 | nationalreview.com | Stephen A. Moses |Brian Blase