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Impending Alzheimer’s Disease Epidemic

April 17, 2015 by Honey Leveen Leave a Comment

Alzheimers CrisisWe talked about the immense physical, economic, and psychological toll Alzheimer’s Disease (AD) will take on caregivers.

Also from the newly released 2015 Alzheimer’s Disease facts, we learn AD will cost our nation dearly.

  • In 2015, the direct costs to American society of caring for those with Alzheimer’s will total an estimated $226 billion, with half of the costs borne by Medicare.
  • Average per-person Medicare spending for people age 65 or older with Alzheimer’s and other dementias is three times higher than for seniors without dementia. Medicaid payments are 19 times higher.
  • Nearly one in every five Medicare dollars is spent on people with Alzheimer’s and other dementias. In 2050, it will be one in every three dollars.

Unless something is done, in 2050, Alzheimer’s is projected to cost over $1.1 trillion (in 2015 dollars). This dramatic rise includes a five-fold increase in government spending under Medicare and Medicaid and a nearly five-fold increase in out-of pocket spending.

This blog often correlates tragic long-term care (LTC) outcomes with Medicaid’s low nursing home reimbursement. Medicaid pays for most of our nursing home care.

Filed Under: Elephant in the Room, Helpful Information About LTC, Information About LTC Tagged With: Alzheimer's Association, Honey Leveen, Medicaid, Nursing Homes, www.honeyleveen.com

Expect an Alzheimer’s Epidemic

April 2, 2015 by Honey Leveen Leave a Comment

2015 Alzheimer’s Disease Facts and Figures were just released.

Between 2000 and 2013, the incidence of heart attacks, cancer, and other diseases fell, while the incidence of AD increased by 71%!

Prepare for the Alzheimer’s Disease (AD) epidemic. It’s coming.

In 2014, friends and family of people with Alzheimer’s and other dementias provided an estimated 17.9 billion hours of unpaid care, a contribution to the nation valued at $217.7 billion. This is approximately 46 percent of the net value of Walmart sales in 2013 and nearly eight times the total revenue of McDonald’s in 2013.

  • Approximately two-thirds of caregivers are women and 34 percent are age 65 or older.
  • Forty-one percent of caregivers have a household income of $50,000 or less.
  • Over half of primary caregivers of people with dementia take care of parents.
  • It is estimated that 250,000 children and young adults between ages 8 and 18 provide help to someone with Alzheimer’s disease or another dementia.

Alzheimer’s takes a devastating toll on caregivers. Nearly 60 percent of Alzheimer’s and dementia caregivers rate the emotional stress of caregiving as high or very high; about 40 percent suffer from depression. Due to the physical and emotional toll of caregiving, Alzheimer’s and dementia caregivers had $9.7 billion in additional health care costs of their own in 2014.

If you want to read an article that makes the physical and emotional costs of caregiving real, read “Caring for Alzheimer’s: How Three Families Cope” from this week’s Wall Street Journal.

My advice for middle- and upper middle-class Americans is to prepare now, with long-term care insurance (LTCi), while you can qualify and find reasonable rates.

Filed Under: 3 in 4 Need More, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Alzheimer's Association, dementia, Honey Leveen, Long Term Care insurance, long-term care, LTCi, www.honeyleveen.com

You Are Not Alone

March 15, 2015 by Honey Leveen Leave a Comment

CaregiverVisit www.caregiver.com for comprehensive information on all aspects of long-term care, including a free newsletter, magazine, care tips, local resources, and more.

This link will provide you with all articles pertaining to long-term care.

Here’s an interview with celebrity Amy Grant, that’s part of www.caregiver.com. Ms. Grant states the need to discuss long-term care with parents is the “elephant in the room”. She also mentions that her parents own long-term care insurance, something that I am certain is helping to make her family’s difficult journey a whole lot easier.

The thing I like most about www.caregiver.com is the fact it lets caregivers know they are not as isolated as they think they are.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC, Testimonials Tagged With: Amy Grant, Gary Barg, Honey Leveen, Long Term Care insurance, long-term care, LTC Insurance, LTCi, www.caregiver.com, www.honeyleveen.com

One Article Says It All

February 27, 2015 by Honey Leveen Leave a Comment

Baby Boomer With CaregiverThis February 16, 2015 Chicago Tribune article succinctly hits all the reasons why it is in every insurable, non-poverty stricken Americans best interest to plan for possibly needing long-term care.

Here are some quotes from the article that I especially like.

“While baby boomers had the opportunity to plan for aging, many also had that generation’s impulse for immediate gratification and haven’t saved,” says Lucia West Jones, executive director for the nonprofit Northeastern Illinois Area Agency on Aging.

The numbers back up her concerns.

According to an AARP survey of people 50 or older, 62 percent of workers say they are saving for health-care costs, but 55 percent are worried they may not be able to afford those expenses.

Information from the AARP also states the average 65-year-old couple will need $220,000 for 20 years of post-retirement health-care costs, with Medicare possibly covering little more than half those years.

The U.S. Department of Health and Human Services’ Administration on Aging claims at least 70 percent of people who live to 65 or older will need long-term care services and support at some point when they are elderly.

In the Chicago area, according to a 2014 study from insurance holding company, Genworth Financial, annual costs for full-time home care aides or services are more than $49,000; for adult day care, almost $20,000 per year; almost $60,000 per year for an assisted living facility; and a semi-private room in a nursing home averages more than $80,000; with a private room more than $92,000.”

(For accurate long-term care costs in your locale, click here for Genworth’s Cost of Care Survey.)

Last but not least, I like the article’s acknowledgement that long-term care insurance (LTCi) kept Ms. Fleming’s mother off of Medicaid. She had higher quality care and her family had a less stressful experience because she owned LTCi:

“LTCi kept them off Medicaid.  Even with the long-term care policy, Fleming said she spent months sifting through her mother’s health insurance and Medicare paperwork, providing documentation to the insurer to secure benefits covering her mother’s expenses. No Medicaid was needed to pay for her mother’s care.”

As I’ve said so many times, it is very unfortunate that acknowledgement of long-term care insurance (LTCi) ownership is usually done grudgingly, as an “oh, by the way” mention, hidden deep within the content of stories like this.

Why did this story emphasize that Ms. Fleming needed months to provide adequate documentation in order to collect from Mom’s LTCi? Of course, all claims require proof of need.  But the story doesn’t give us any idea of what took so long to provide. Claims on LTCi are straightforward and not complicated and certainly do not require a great deal of time to complete.

If anyone has questions about how straightforward LTCi claims are, please contact me. LTCi claims are black and white. They are unambiguous.

Why did the author of this article not choose to emphasize the truth? The main point is that substantial amounts of money were collected from Mom’s LTCi: enough money to keep Mom off Medicaid and out of a nursing home.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, Long Term Care insurance, LTCi, Medicaid, www.honeyleveen.com

Low Caregiver Wages Create Vicious Cycle

February 24, 2015 by Honey Leveen Leave a Comment

Low Paid Healthcare WorkerHigher wages are needed to sustain a viable home-care workforce, especially as demand for home services continues to grow with an aging population, home-care worker advocates have argued. A new study has just been published. Here’s the report (PDF), which demonstrates just how serious the wage issue is for home-care workers and those they serve.

An article in the February 18, 2015 edition of Modern Healthcare says we’re going to have a burgeoning number of Baby Boomers who’ll need home care. Most of them will unfortunately, be financially unprepared for long-term care. The article states, “Projections have estimated the number of Americans age 65 and older will more than double, from 40 million in 2010 to 88 million by 2050, according to HHS.”

Quoting again, because home care providers are currently paid such low (and actually declining) wages, “Three out of five of the country’s 2 million home-care aides rely on some type of public assistance through programs such as Medicaid, food stamps or help paying for housing and utilities.”

“The average hourly wage for home-care workers is around $9.61, for an annual median income of $13,000, just above the individual federal poverty level of $11,770.”

“Low pay, scarce worker benefits and limited opportunities for advancement have contributed to an annual turnover rate of 50% among home-care workers.”

The study proves that poverty that poverty wages undermine quality of care.

If you want a to stack the odds in favor of a high dignity, caring, nurturing outcome if you need long-term care, you will need to pay caregivers a living wage. The only way, for most middle-to-upper-class Americans to do this is by owning long-term care insurance (LTCi).

Filed Under: I'll Just Self-Insure, Information About LTC, Long-Term Care Awareness Month Tagged With: home care, Honey Leveen, www.honeyleveen.com

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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