Institute Talk: A Conversation with Daughterhood Founder Anne Tumlinson on Challenges of Caring for Aging Parents

Anne Tumlinson is the nationally recognized eldercare expert who founded Daughterhood, an online community providing support and advice to adult children caring for their aging parents. She is also the founder of Anne Tumlinson Innovations, a research and advisory firm focused on transforming the way care is delivered and financed.

With more than 25 years of research and consulting experience, Tumlinson has often testified in Washington and written on innovation in aging services. Previously, she led Medicaid program oversight at the federal Office of Management and Budget.

Recently she talked with Gerontology Institute Director Len Fishman about the evolution of Daughterhood, practical problems facing caregivers and policy issues that affect innovation in the field. The following is an edited version of their conversation. Continue reading

Study Examines Impact of Medicare Purchasing Program on Skilled Nursing Facilities Serving Vulnerable Populations

What happens when the government decides to reward skilled nursing facilities that perform better and penalize others that don’t do so well? The early results were not good for facilities that primarily serve vulnerable populations.

A new study led by Gerontology Institute Fellow Jennifer Gaudet Hefele looked at first-year results from the Medicare Skilled Nursing Facility Value-Based Purchasing (VBP) Program that provides bonus incentives and payment penalties to facilities based on performance. The research, recently published in Health Affairs, found facilities serving vulnerable populations got fewer bonuses and were subject to more penalties. Continue reading