David Grabowski
@DavidCGrabowski
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Professor, Health Care Policy, Harvard Medical School -- health economics, aging, long-term care, post-acute care
Boston, MA
Joined January 2017
Incredibly honored and excited to be elected to the National Academy of Medicine class of 2023
Congratulations and welcome to the 100 new members elected today to the National Academy of Medicine! #NAMmtg
https://t.co/brhVbv4Ppo
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1/ Who’s responsible for filling the growing gap in long-term care workers? Immigrants. Highlights from my recent @Health_Affairs study with @DavidCGrabowski
https://t.co/rjyZIxzMzi
healthaffairs.org
Persistent shortages of workers providing long-term services and supports (LTSS) for more than a dozen years have led to increased reliance on foreign-born workers to meet the growing demand....
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Care workers make all other work possible, and as @davidcgrabowski said, "Foreign-born workers are a big part of that backbone. Without them, we’d have huge staffing shortfalls and individuals’ quality of care and quality of life would be worse." https://t.co/3rD8MGnuTY
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"Caregivers are the backbone of long-term care , and foreign-born workers are a big part of that backbone. Without them, we'd have huge staffing shortfalls and individuals' quality of care and qualify of life would be worse." https://t.co/qP0w7EKmdz
cnn.com
Terry Hodge would have a tough time caring for the 150 or so elderly women at Bethany Health Care Center without the dozens of immigrant nursing assistants, housekeepers, dietary aides and other...
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New perspective from @mad_sters and @DavidCGrabowski discusses the transformative potential of VP Harris' proposal to have Medicare cover long-term home care and key considerations in its implementation. https://t.co/tb5ja3zCBx
nejm.org
Kamala Harris’s proposal for expanding Medicare to cover long-term care at home is a hopeful sign for millions of Americans, though key questions remain about eligibility, coverage, payments, and f...
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Perspective by Madeline R. Sterling, MD, MPH (@mad_sters), and @DavidCGrabowski, PhD: Covering Long-Term Care at Home? Implications of a New Proposal for Expanding Medicare https://t.co/MVOwATT5fZ
#HealthPolicy
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Kamala Harris’s proposal for expanding Medicare to cover long-term care at home is a hopeful sign for millions of Americans, though key questions remain about eligibility, coverage, payments, and financing. Read the full Perspective: https://t.co/MVOwATT5fZ
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Older Americans are exposed to considerable financial risk from long-term care needs. @ipogadog and @chvanhoutven make the case for expanding coverage of paid home care through Medicare.
brookings.edu
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Such an important piece from @mad_sters and @DavidCGrabowski on VP Harris’ policy proposal to expand Medicare to cover LTC at home!
New @NEJM Perspective piece on VP Harris' policy proposal to "Expand Medicare to Cover Long-term Care at Home." @DavidCGrabowski and I discuss how this could be a game-changer for many Americans, as well some key questions that will need to be answered. https://t.co/gTxUjrtCmM
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New @NEJM Perspective piece on VP Harris' policy proposal to "Expand Medicare to Cover Long-term Care at Home." @DavidCGrabowski and I discuss how this could be a game-changer for many Americans, as well some key questions that will need to be answered. https://t.co/gTxUjrtCmM
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Definitely agreed with @DavidCGrabowski on this one! Happy to finally see home care in the news as part of @KamalaHarris’ new #Medicare proposal
Our co-director @doc_doc_pru was interviewed for this @politico article about @KamalaHarris’ proposed plan for Home Care under the #Medicare benefit: https://t.co/qgcM3cmaUj
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Expanding Medicare to cover the cost of long-term care at home would be a HUGE development. Great quote: “There isn’t a lot in the world of health policy that does this well with such a broad swath of the electorate.” @CitizenCohn
https://t.co/jFSriqaMho
huffpost.com
The Democratic nominee has a plan to help the "sandwich generation," aging Americans and people with disabilities.
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More research is needed to understand why I-SNPs enter certain markets and why dual-eligible long-stay nursing home residents choose to enroll in them; to assess I-SNP enrollment barriers; and to compare hospital admission rates & quality outcomes by I-SNP enrollment status. END/
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Although I-SNPs have no formal affiliation with Medicaid, 94% of I-SNP enrollee were duallly eligible for Medicaid and Medicare. 5/
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Availability of I-SNPs is very concentrated. Nearly 70% of nursing homes did not have any long-stay residents enrolled in I-SNPs in 2021, and in more than 60% of US counties, there were no I-SNPs available. 4/
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The share of long-stay nursing home residents enrolled in I-SNPs quadrupled from 2006 to 2021, from 2.2% to 8.8%. 3/
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I-SNPs are special type of MA plan in which enrollees are long-stay nursing home residents. Key difference relative to regular MA plan is that the I-SNP provides for on-site nurse practitioners in nursing home to help improve primary care, care planning & care coordination. 2/
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🚨NEW @Health_Affairs paper with @amanda_c_chen @josephhnath Enrollment in Medicare Advantage (MA) Institutional Special Needs Plans (I-SNPs) has grown dramatically among long-stay nursing home residents. However, availabiltiy is limited in many US markets https://t.co/0GC2o5xaff
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4 new papers in @NEJM from leading health policy experts on 2024 election Sherry Glied & Ben Sommers on the coverage expansions under Biden-Harris that led to the lowest uninsured rate in US history, and the need to extend ACA subsidies and stabilize Medicaid enrollment. 1/5
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We need more legal immigration of health care workers. I have argued this for quite a while. There are really no serious counterarguments apart from those of special interests. @DavidCGrabowski
This @BostonGlobe OpEd is spot-on. Immigration won't solve the health care worker shortage but it can be a part of the solution. And, this is not just true for hospitals. Link below to our work on benefits of immigration for nursing home staffing & quality https://t.co/v5CCwmoDKP
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