Thursday, November 14, 2019

VA Caregivers Support Line

As part of National Family Caregivers Month, we want to remind everyone that  VA's Caregiver Support Line assistance is just a quick phone call away. Whether you are in need of immediate assistance or have questions about what services you may be eligible for, the caring licensed social workers who answer the support line can:

  • Provide you with information about assistance available from VA;
  • Help you access services;
  • Connect you with the Caregiver Support Coordinator at a VA Medical Center near you, or; 
  • Just listen, if that's what you need right now.

If you're just getting started with VA, calling the Caregiver Support Line at 1-855-260-3274 is a great first step to learn more about the support that is available to you.

Wednesday, November 13, 2019

FTC Report to Congress Details Fraud Reports from Older Consumers

The Federal Trade Commission (FTC) recently sent a report to Congress, Protecting Older Consumers 2018-2019: A Report of the Federal Trade Commission. The FTC "conducts research and analysis, publishes information about patterns and trends, and engages in coordinated efforts to protect older adults from financial loss and assist them with other consumer issues such as identity theft protection." The agency identifies "patterns and trends" and "works closely with stakeholders to learn about the top issues concerning older adults. According to the report, nearly 3.1 million consumers reported some form of financial scheme, 1.5 million reporting fraud, 444,383 reporting identity theft, and all others totaling 1.2 million. Consumers reported losing nearly $1.6 billion to fraud. About 45 percent of fraud reports filed in 2018 included consumer age information. Consumers who said they were 60 and older (older adults) filed 256,404 fraud reports with reported losses of nearly $400 million. 

Key findings from the 2018 data include:

  • In 2018, older adults were still the least likely of any age group to report losing money to fraud, but their individual median dollar losses remained higher than for younger adults;
  • Compared to 2017 numbers, reported median individual losses among consumers 60 and over increased, and the increase was particularly large for people 80 and over;
  • Older adults were much more likely than younger consumers to report losing money on tech support scams, prize, sweepstakes and lottery scams, and family/friend impersonation;
  • Phone scams were the most lucrative against older consumers in terms of aggregate losses, and online scams were a distant second;
  • Gift cards became the payment of choice for scammers, but wire transfers persisted in the top spot for total dollars paid. 

There was good news in the report; the overwhelming majority of  fraud reports filed in 2018 by consumers 60 or older did not indicate any monetary loss.  Older adults filed "no-loss" reports about fraud they had spotted or encountered at nearly twice the rate of consumers ages 20-59.  Moreover, it remained true through 2018 that older adults were less likely than younger consumers (ages 20-59) to report losing any money to fraud.  This suggests that older adults may be more likely to avoid losing money when exposed to fraud, more inclined to report fraud when no loss has occurred, or a combination of these or other factors. The FTC fraud survey  found that the rates of victimization for the various categories of frauds included in the survey were generally lower for those 65 and older than for younger consumers. 

On the more bleak side of the data, older consumers who did report losing money, reported much higher individual losses. In addition, the median individual losses reported by older consumers rose significantly in 2018. In 2018, median reported losses were fairly stable for younger adults as compared to 2017, but increased for older adults. Consumers ages 80 and older reported the largest median losses of $1,700 as well as the largest increase as compared to 2017. The median dollar loss for this 80 and over age group was more than four times the median loss amount reported by consumers in their 20s and 30s and more than two to three times that of other age groups. This striking growth for people 80 and older was driven in large part by increases in reported median dollar losses on prize, sweepstakes and lottery scams, and family and friend imposter scams (often called the “grandparent scam”). For people ages 60-79, a surge in reports of losses to imposters posing as the Social Security Administration during the second half of 2018 contributed to the upward trend in median losses.

As the nation’s primary consumer protection agency, the FTC has a broad mandate to protect consumers from unfair, deceptive, or fraudulent practices in the marketplace.  It does this by, among other things, filing law enforcement actions to stop unlawful practices and, when possible, returning money to consumers. The FTC also protects the public through education and outreach on consumer protection issues. Through research and collaboration with federal, state, international, and private sector partners, the FTC strategically targets its efforts to achieve the maximum benefits for consumers, including older adults. Protecting older consumers in the marketplace is one of the FTC’s top priorities. Unfortunately, in numerous FTC cases, older  adults have been targeted or disproportionately affected by fraud. For example, the FTC has brought numerous enforcement actions in federal court to stop deceptive technical support schemes that affected older consumers. As the population of older adults grows,the FTC’s aggressive efforts to bring law enforcement action against scams that affect them, as well as provide useful consumer advice, become increasingly important.

The FTC submits an annual report to the Committees on the Judiciary of the United States Senate and the United States House of Representatives to fulfill the reporting requirements of Section 101(c)(2) of the Elder Abuse Prevention and Prosecution Act of 2017. The law requires the FTC Chairman to file a report listing the FTC’s enforcement actions “over the preceding year in each case in which not less than one victim was an elder or that involved a financial scheme or scam that was either targeted directly toward or largely affected elders.” Given the large number of consumers affected in FTC actions, this list includes every administrative and federal district court action filed in the one-year period. Appendix A to this report lists all of the FTC’s enforcement actions over the preceding year. In addition to the list, the FTC files this report to provide detail on the agency’s efforts to protect older consumers, including its research and strategic initiatives, its law enforcement actions that noted an impact on older adults, and its targeted consumer education and outreach.

Monday, November 11, 2019

The VA Honors National Family Caregivers Month

While the VA honors and celebrates caregivers who selflessly provide care to ill, injured, or disabled Veterans, year-round, November is National Family Caregivers Month. The theme for 2019 is “#BeCareCurious.

Many Veterans suffer from chronic conditions, disabilities, disease, or daily difficulties and benefit from having a caregiver. Because the need for caregivers is expected to increase, the Department of Veterans Affairs (VA) is ready to stand shoulder to shoulder with VA and community partners to meet their needs.

VA is leading the country in providing unprecedented benefits and services to caregivers in support of Veterans. The Caregiver Support Program has two programs, one of which is the Program of General Caregiver Support Services, for eligible Veterans of all eras. In addition, the VA is working with urgency to expand the Program of Comprehensive Assistance for Family Caregivers (PCAFC), of Veterans from all service eras. VA seeks to ensure the PCAFC meets the needs of those currently in the program and those it will serve as it expands.

The expansion will occur in two phases, beginning in the summer of 2020 or once the Secretary has certified that the new information technology (IT) system is fully implemented. In addition to IT being certified by the Secretary, final regulations must be published.

Concurrently, the Caregiver Support Program Office offers some fantastic projects, which include adopting new technology and increasing educational opportunities for caregivers, to enhance their experience. A few examples are:
This November, during National Family Caregivers Month, VA encourages caregivers to take time to #BeCareCurious about their loved one's care. Caregivers are encouraged to ask questions, explore options and share in the care decisions that affect the health and well-being of their loved ones.

We join in honoring caregivers of Veterans and acknowledging their important role in the health and well-being of Veterans! Get involved by posting:

#VACaregivers

 on Twitter, Facebook, and VA Pulse!


Thursday, October 31, 2019

Are You Really Better Off in a Nursing Home than at Home? SNF Residents with Pre-existing Healthcare Associated Infections Less Likely to be Readmitted to Hospital


According to McKnight's Long-term Care News, "skilled nursing operators have a new tool in their marketing kits to portray themselves as worthy providers of good clinical care."  According to McKnight's
Residents with pre-existing healthcare-associated infections (HAIs) are less likely to be readmitted to a hospital when discharged to a skilled nursing facility as opposed to a home-health setting, according to University of Michigan researchers.
The study found that SNF residents with HAIs were 38% less likely of being readmitted when compared to patients who returned home or received home health care services. The most common reasons for all readmissions included Clostridioides difficile and urinary tract infections.  
Investigators used national hospital discharge data from more than 702,000 Medicare beneficiaries age 65 and older. About 353,000 of those seniors, or 50%, were discharged to a SNF. About 179,400 (26%) were discharged to home health care and about 169,800 (24%) were sent home. 

So, if you contract a "healthcare-associated infection," an infection you would not have contracted at home, this study suggests you are more likely to have a positive health outcome if you go to another healthcare institution, a skilled nursing home, rather than to your home. 

The study based positive health outcome upon hospitals readmissions, but there does not appear to be in the study a control to determine whether readmissions did not occur because they are penalized by Medicare regulations.  Bottom line, though, is that there is now a study which stands squarely for the proposition that you should accept referral to a SNF from a healthcare institution/hospital from which you may have contracted an infection rather than transfer to your home. 

Hopefully the industry wields responsibly the shiny new tool in their marketing kits to portray themselves as worthy providers of good clinical care.  One would hope that would include full disclosure of the risks of institutional care:



    

Wednesday, October 30, 2019

Taking Advantage of Medicare Open Enrollment

Medicare Open Enrollment Period, October 15th through December 7th, can pay off in significant savings and/or significant additional benefits. Medicare Fall Open Enrollment Period is the time you can join, switch, or make other changes to Medicare drug and health plans.

In Medicare, individuals must choose one of two paths: original fee-for-service Medicare, or a federally subsidized Medicare Advantage plan, which typically operates like a health-maintenance or preferred-provider organization. Many who opt for traditional Medicare also purchase a private "Medigap" policy, as well as a separate prescription-drug policy, to patch holes in their coverage.


In recent years, Medicare Advantage plans have gained in popularity, in part because, when compared with a Medigap policy, they generally cover a wider array of benefits, often including prescription drugs and dental care. Many also charge lower premiums, but require members to use the plan's network of providers.  As previously reported on this Blog, Medicare Advantage premiums are estimated to decline to their lowest in 13 Years

How, then, should Medicare beneficiaries prepare for Open Enrollment? Here’s a checklist from The Senior Citizens League:
  1. Review: By now, people covered by Medicare Part D or Medicare Advantage plans should have received an Annual Notice of Changes for 2020 from their current plan. In addition to changes to the premiums, the notice will explain increases, if any, in the deductible, copayments and coinsurance. The notice will tell you where to find information about the pharmacies in the drug plan’s network, and it will refer to “the drug list” or plan formulary of covered drugs which usually can be found online or requested from the plan. What the notice does not include is a list of the drugs you currently take, the tiers that your drugs will be on in 2020, whether coverage has been dropped for any of your drugs in 2020, or what those drugs will cost if co-insurance is charged.  Plans will provide most of that information, but it requires either calling your plan directly and speaking to someone who can estimate the cost of your drugs in 2020, or obtaining the advice and counsel of a professional, such as the professionals at Harding Harding & Associates, Inc., who will help evaluate your plan changes.  Once you have this information, it’s very important to compare all your health and drug plan options to find your lowest-costing coverage.
  2. Gather and write legibly: Gather all of the drugs you currently take and carefully make a list, printing the name of the drug, dosage, quantity taken per day, and quantity required per month. Do this for each drug taken. Make sure your writing is legible. Type and print it out if possible. Keep this list on file where you can find it easily. Not only will you need it to compare drug plans, it’s handy to take with you on each visit to your doctor.
  3. Get free, unbiased assistance from a Medicare counselor: You can get great help from a local Medicare benefit counselor who provides free one-on-one counseling through State Health Insurance Programs (SHIPs). Local contact information can be found at: https://www.shiptacenter.org. Call and make appointment now, because Open Enrollment will take more time than usual this year. The Medicare Drug Plan Finder comparison tool which counselors use to compare drug plans and estimate costs has recently been re-designed. “It’s likely to take longer than usual to sort through plans and determine the best choice for clients while all of us are learning how to use the new system,” Johnson says.
  4. Narrow your choices and contact the prospective drug plans directly to confirm details: Once you have picked out three or so plans that look like your best bets, contact the plans directly to confirm the details. This includes coverage of all your drugs, estimated co-pays and co-insurance, which pharmacies participate and other questions you may have.
  5. Switch plans by going through the Medicare website: It’s better to switch plans through the Medicare website than trying to do so directly with the insurer. This way Medicare will make sure your previous plan unenrolls you by the end of the year and your new coverage begins on January 1, 2020 with the new plan. Your SHIP Medicare benefits counselor can help you do this.
If you need help call 1-800-Medicare (1-800-633-4227) or contact your local area agency on aging to get free one-on-one counseling.

For more information: 

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