Recommended Reading: Medicaid Planning

Medicaid Planning

As mentioned above, Medicare does not pay for long term care. Facing the cost of this can be overwhelming for many families, even for those who’ve done a great job of saving for the future. I always suggest to clients and their families that they seek the services of a professional in their state regarding this topic. This article helps explain why.

Medicare For Higher Income Beneficiaries

For those Medicare recipients who are also higher income beneficiaries, it appears the adjustments to the Medicare Part B and Part D premiums will be changing in 2018. This article outlines the new thresholds.

When to Consider Hospice Care

Misconceptions persist about when it’s appropriate to consider Hospice Care. For many older adults with progressive dementia, this option should be considered much earlier than later. This study discusses how we continue to wait too long.

Recommended Reading: Healthcare Burnout

Two articles regarding healthcare burnout:

Physician Burnout Is A Public Health Crisis

Burnout Among Health Professionals and Its Effect on Patient Safety

Recommended newsletter:

We recently had the good fortune of working with our friend and colleague, Dr. Sima Kahn from Healthcare Advocacy Partners, a firm in Seattle, Washington with whom we’ve referred and shared several clients over the years. Sima’s newsletter, which outlines the Value of Our Connection, is a must read!

Medicare Open Enrollment:

As a reminder, we’re here to help you during Medicare Open Enrollment season as you reassess Medicare and its associated products you may have chosen in the past. The season begins October 15 and continues through December 7.

For those Medicare recipients who are also higher income beneficiaries, it appears the adjustments to the Medicare Part B and Part D premiums will be changing in 2018. This article outlines the new thresholds:

Medicare Surcharge Thresholds to Drop

Recommended Reading: Managing Parkinson’s

Many of our clients manage Parkinson’s disease, a Movement Disorder that manifests differently in every person and requires specialized and customized care, sometimes including Deep Brain Stimulation Surgery. This interactive feature from a recent NY Times piece presents the many faces of Parkinson’s disease.

In many client relationships, as we assist people with passing, we are asked to describe what to expect, both for the individual and their loved ones. These two articles are helpful in that regard:

The Gentler Symptoms of Dying

The Symptoms of Dying

Recommended Reading: Breast Cancer

Although it is not entirely clear which factors and to what degree contribute to the development of breast cancer, this article describes a summary of practical lifestyle changes that are helpful in this regard (and on many other levels too!).


The title of a presentation I gave last week was “Caregiver Concerns.” In it, I shared three troubling statistics:

  1. The value of unpaid care in the U.S. is $470 billion per year.
  1. The percentage of adult children providing personal care or financial assistance to a parent has more than tripled over the past 15 years.
  1. The total estimated aggregate lost wages, pension and Social Security benefits of these caregivers is nearly $3 trillion.

This article focuses on the crisis that this represents to women, in particular. As a daughter and “only child” of two wonderful parents, this is certainly relevant to my life!

Recommended Reading: Primary Care in U.S. and Other Countries

Here is a fascinating study that compares the United States to 11 other countries regarding factors associated with primary care coordination. Unfortunately, the US had the highest rate of poor primary care coordination. It is no surprise that adults with poor primary care coordination are more likely to be hospitalized and to visit the ER.

Are we too clean for our children’s good? This fun article takes a closer look.