Thanks and a hat Tip to Patti Elaine Kefalas Dudek

It's not just about the "nanny tax." When using a home health caregiver, it's crucial to know whether you are the caregiver's employer or someone else to avoid tax and legal snags.

With more baby boomers seeking help for aging parents, the in-home care industry is booming with a wide range of service providers, from geriatric-care managers to home-care agencies. Contractual arrangements and employment policies vary just as widely. So it's wise for consumers to ask questions up front about tax obligations and insurance coverage.

"Families need to be aware of all the ramifications," says Bernard A. Krooks, a certified elder-law attorney and founding partner of Littman Krooks LLP, a New York law firm.

WSJ Article

SOUTH HAVEN, Mich. — Early last month, Jeanne Fair, 62, got her first hot meals delivered to her home in this lake town in the sparsely populated southwestern part of the state. Then after two deliveries the meals stopped because gas prices had made the delivery too expensive.
“They called and said I was outside of the delivery area,” said Mrs. Fair, who is homebound and has not been able to use her left arm since a stroke in 1997.
Faced with soaring gasoline prices, agencies around the country that provide services to the elderly say they are having to cut back on programs like Meals on Wheels, transportation assistance and home care, especially in rural areas that depend on volunteers who provide their own gas. In a recent survey by the National Association of Area Agencies on Aging, more than half said they had already cut back on programs because of gas costs, and 90 percent said they expected to make cuts in the 2009 fiscal year.

Norman DeLisle, MDRC
"With Liberty and Access for All!"
GrandCentral: 517-589-4081
MDRC Website: http://www.copower.org/
LTC Blog: http://ltcreform.blogspot.com/
Recovery: http://therecoveringlife.blogspot.com/
Change: http://prosynergypsc.blogspot.com/

A study released today by the Washington D.C.-based National Association for Home Care and Hospice shows that the nurses, therapists, home care aides and others who serve elderly and disabled patients in their homes drive, on average, more miles annually than many driving professionals including UPS drivers.

"Caring for over seven million patients annually with 428 million visits, these dedicated providers of home care and hospice are feeling the same pain at the pump as other consumers, but they carry the added burden of the Administration's deep cuts into Medicare and Medicaid benefits, says Val J. Halamadaris, President of the National Association for Home Care and Hospice (NAHC*). "These draconian cuts ignored the cost of living increases, chief among these is the rising price of gasoline -- a commodity most essential for these traveling 'road warriors' of mercy. Home care patients are homebound - they are so sick, so chronically ill, they cannot leave their homes without assistance. If nurses do not get in their cars to visit them, there is no way to reach them. What will be precipitated is a full-scale national emergency," added Halamadaris.Norman DeLisle, MDRC
"With Liberty and Access for All!"
GrandCentral: 517-589-4081
MDRC Website: http://www.copower.org/
LTC Blog: http://ltcreform.blogspot.com/
Recovery: http://therecoveringlife.blogspot.com/
Change: http://prosynergypsc.blogspot.com/

Nursing home decisions issued by the Department of Health and Human Services' Departmental Appeals Board (DAB) in 2007 highlight serious failures in care that cause residents to suffer unnecessary pain, injury, trauma, and death. "Despite the serious deficiencies reflected by these cases, the federal enforcement response is usually modest, at best," said Toby S. Edelman, Senior Policy Attorney with the Center for Medicare Advocacy and author of the just-released report,, an analysis of nursing home enforcement decisions issued by the DAB. "The federal government imposes only minor fines for these deficiencies," she continued, citing a case where a trivial $4050 fine was imposed when a resident strangled to death on her bedrail, after having fallen out of bed numerous times and been found caught by the bedrail in the same way a week before.

The Center for Medicare Advocacy's study of the 85 decisions is the first study ever made of the administrative appeals filed by nursing homes when federal remedies are actually imposed against them for poor care. "The study shows not only that the problems in care are serious and that penalties are modest, but also that facilities choose to appeal these enforcement actions through the administrative appeals process. Almost always, the facilities lose their cases," Edelman said. The government won 66 of the 71 cases that reached the merits of the appeals - a 93% success rate.

Norman DeLisle, MDRC
"With Liberty and Access for All!"
GrandCentral: 517-589-4081
MDRC Website: http://www.copower.org/
LTC Blog: http://ltcreform.blogspot.com/
Recovery: http://therecoveringlife.blogspot.com/
Change: http://prosynergypsc.blogspot.com/

/PRNewswire-USNewswire/ -- The leaders of the American Health Care Association (AHCA) and Alliance for Quality Nursing Home Care will conduct a media conference call to release and comment on a new study from The Lewin Group outlining the negative impact to the U.S. economy resulting from the Bush Administration's recently-announced cut of $770 million to Medicare-financed nursing home care for FY 2009, on

Tuesday, May 13, 2008

11 am EDT

Dial in (800) 762-6067

The new analysis will also quantify how the Medicare cuts, announced last week by the Centers for Medicare and Medicaid Services (CMS), will harm the U.S. jobs base and the ability of federal and state governments to generate revenue for key state and national priorities. Speakers will include:

Also to be released is new state by state data from AHCA indicating the 10 hardest-hit states by Medicare cuts to in nursing home care resulting from the $770 million FY 2009 funding reduction.

To reserve a place on the call, please contact Amy Weiss (Amy@pointblankpa.com) 202-203-0448 or Rebecca Reid 410-267-1128 (Reidconsulting@comcast.net).

-- Alan Rosenbloom, President of the Alliance for Quality Nursing Home Care -- Bruce Yarwood, President and CEO of the AHCA -- Al Dobson, Consultant, The Lewin Group, and -- Tony Marshall, Reimbursement Director for the Florida Health Care Association

SOURCE The Alliance for Quality Nursing Home Care

Source :PR Newswire

Norman DeLisle, MDRC
"With Liberty and Access for All!"
GrandCentral: 517-589-4081
MDRC Website: http://www.copower.org/
LTC Blog: http://ltcreform.blogspot.com/
Recovery: http://therecoveringlife.blogspot.com/
Change: http://prosynergypsc.blogspot.com/

t some point after they were admitted, compared to only a quarter of the home-cared elders.

Jodi Shapuras and Lindsay Egan, undergraduate students in the social work program at ISU, conducted the research at their internships as part of a senior-level field practicum class.

“We are both interested in working with the elderly population in our careers, so we conducted this research to get a better feel for the prevalence of depression in those who need some level of outside care,” said Shapuras of Mitchell, Ind. “As social workers, it is important to understand the mental health issues, such as depression, within the different care settings.”

Shapuras and Egan said they weren’t surprised by their findings.

“We actually hypothesized that the long-term care patients would utilize antidepressants more and would self-report depression more,” said Egan of Terre Haute, Ind. “When an individual moves to a long-term care facility, they undergo a tremendous amount of changes. They are no longer able to live independently and are relying on others for care, and this greatly affects how they feel about themselves and the world around them.”

Shapuras added that in the home-care setting, elders are still residing within a familiar environment.

New and updated data, Statehealthfacts.org: Statehealthfacts.org has added new and updated data on Medicare and Medicaid. New data from the CMS Office of the Actuary on Medicare on Medicare spending estimates by state of residence for 1995 through 2004 are available for all states. These estimates are based on where individuals reside and include total Medicare spending; spending on hospital care, physician services, dental services, home health care, drugs and nursing home care; total per enrollee spending; per enrollee spending by service type; and the average annual percent growth in Medicare spending from 1995 to 2004. New data on total Medicaid spending estimates by state of residence for 1995 through 2004 also are available for all states (Kaiser Family Foundation release, 5/1).

The Michigan Department of Community Health plans to announce today a $1.7 million investment into Detroit nursing homes to improve the quality and skills of the staff serving a population of low-income, minority residents with chronic and mental health issues.

The state funding will be disbursed over two years to the Detroit Area Agency on Aging, which has identified numerous problems with the city's nursing homes, such as substandard care, financial difficulties and likelihood of closures.

Of the $1.7 million, $350,000 will be used for enhanced training of certified nursing assistants to care for patients with complex needs through a partnership with SEIU Healthcare Michigan, said James McCurtis Jr., a spokesman for the Michigan Department of Community Health.

Rice University, The Methodist Hospital Research Institute and Technology For All (TFA) have received a $1.5 million federal grant for research in east Houston that will examine ways to provide novel, low-cost, personalized health monitoring to people with chronic diseases living in working-class communities.

The researchers plan to examine how patients with chronic diseases use inexpensive handheld wireless monitoring devices called Blue Boxes, to participate actively in their own medical treatment. The National Science Foundation (NSF) grant will pay for the development and testing of the Blue Boxes and the wireless broadband network that will connect the devices to a central source for analysis.