More and more "investment advisers" are selling Trusts as vehicles for preventing probate, avoiding taxes and providing for estate management. Approximately 40 million baby boomers soon will require increasingly expensive medical care during a longer life expectancy than their parents. As they become ill with Cancer, Strokes, Alzheimer's Disease, Parkinson's Disease and other debilitating illnesses, that care will in many cases be delivered in a Skilled Nursing Home setting. The average stay at a nursing home...

AVOIDING THE LOSS OF OUTLIERS

What is an outlier? This term refers to a Medicare recipient who has remained in an acute care facility beyond the allotted days anticipated for a particular illness and who has charges in excess of the total DRG reimbursement. This is usually someone who is catastrophically ill, with many needs, such as ventilator respiratory support, dialysis, feeding issues, etc. Who pays for outlier services to an acute care hospital? These services are factored in to a cost...

“MEDI-CAL” THE WELFARE MYTH

Unfortunately families, with loved ones suffering from a Catastrophic Illness such as Dementia, Parkinson’s, Stroke, or Alzheimer’s and in need of Long Term Nursing Home Care, labor under the mistaken notion that Federal funds from Medi-Cal are only for low-income patients. In fact, many Nursing Home operators are equally suffering from the same mistaken beliefs. Nothing could be further from the truth.

The Private Pay Myth Many nursing home operators prefer...