https://www.erikasessions.com/aging-sessions-blog daily 0.75 2025-10-14 https://www.erikasessions.com/aging-sessions-blog/alabamas-caregiver-shortage-meeting-the-challenge-of-a-rapidly-aging-state monthly 0.5 2025-11-14 https://www.erikasessions.com/aging-sessions-blog/south-carolinas-caregiver-crisis-building-workforce-solutions-in-a-rapidly-aging-state monthly 0.5 2025-11-12 https://www.erikasessions.com/aging-sessions-blog/floridas-caregiver-shortage-why-agencies-innovators-and-policymakers-must-act-now monthly 0.5 2025-11-10 https://www.erikasessions.com/aging-sessions-blog/packaging-a-competitive-application-appendices-and-extras-that-matter monthly 0.5 2025-10-23 https://www.erikasessions.com/aging-sessions-blog/risk-management-for-rural-health-transformation-anticipate-adapt-and-advance monthly 0.5 2025-10-21 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/2d263479-6ae0-42be-9ca7-23c09bcff425/SHC+-+quanitfy+and+prioritize+example.png Aging Sessions Blog - Risk Management for Rural Health Transformation: Anticipate, Adapt, and Advance - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.erikasessions.com/aging-sessions-blog/sustainability-and-evaluation-planning-beyond-2030-for-rural-health-transformation monthly 0.5 2025-10-17 https://www.erikasessions.com/aging-sessions-blog/writing-a-compelling-narrative-for-cms-a-states-story-of-transformation-for-rural-health monthly 0.5 2025-10-15 https://www.erikasessions.com/aging-sessions-blog/michigans-direct-care-workers-win-union-representation-what-it-means-for-providers-clients-and-the-national-landscape monthly 0.5 2025-10-14 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/5e5e3eac-4c09-481c-b053-2ab2238e0ea0/SHC+-+scenario+outlook+for+MI.png Aging Sessions Blog - Michigan’s Direct Care Workers Win Union Representation: What It Means for Providers, Clients, and the National Landscape - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.erikasessions.com/aging-sessions-blog/the-rht-application-roadmap-meeting-deadlines-with-confidence monthly 0.5 2025-10-13 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/9a811799-b513-4f56-85a1-d5cf98427588/SHC+-+RHT+milestones.png Aging Sessions Blog - The RHT Application Roadmap: Meeting Deadlines With Confidence - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.erikasessions.com/aging-sessions-blog/building-a-stakeholder-engagement-strategy-that-wins-cms-approval-for-rural-health-transformation monthly 0.5 2025-10-09 https://www.erikasessions.com/aging-sessions-blog/assessing-your-rural-health-landscape-data-every-state-needs monthly 0.5 2025-10-09 https://www.erikasessions.com/aging-sessions-blog/how-states-can-position-themselves-for-rural-health-transformation-success monthly 0.5 2025-10-09 https://www.erikasessions.com/aging-sessions-blog/l6b8ewxs77kuuli53hmyv9hiap6a7c monthly 0.5 2025-10-09 https://www.erikasessions.com/aging-sessions-blog/the-national-impact-how-the-rural-health-transformation-program-could-reshape-care-for-the-next-decade monthly 0.5 2025-10-09 https://www.erikasessions.com/aging-sessions-blog/from-policy-to-practice-cross-cutting-themes-and-calls-to-action-from-the-2025-hcbs-conference monthly 0.5 2025-10-09 https://www.erikasessions.com/aging-sessions-blog/five-lessons-for-states-preparing-rural-health-transformation-applications monthly 0.5 2025-09-30 https://www.erikasessions.com/aging-sessions-blog/pusmwksjns2521v8anvy464ivanid2 monthly 0.5 2025-09-29 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/fd2d492b-40fa-4e69-849d-36365d5fce20/SHC+-+Timeline.png Aging Sessions Blog - Looking Ahead: Forecasting State and Federal Policy Trends in HCBS and Aging Services - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.erikasessions.com/aging-sessions-blog/conference-reflections-the-hidden-gem-on-enabling-technology-in-hcbs monthly 0.5 2025-09-26 https://www.erikasessions.com/aging-sessions-blog/conference-reflections-the-enabling-technology-intensive-bridging-beliefs-markets-and-medicaid monthly 0.5 2025-09-24 https://www.erikasessions.com/aging-sessions-blog/ykjo8tjut9g4e9c4fyhaceq6ox3ip7 monthly 0.5 2025-09-22 https://www.erikasessions.com/aging-sessions-blog/who-should-apply-rural-health-transformation-by-the-numbers monthly 0.5 2025-09-29 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/24a5d4b5-f946-4f5a-afd4-858d59e88ef7/output+%281%29.png Aging Sessions Blog - Who Should Apply? Rural Health Transformation by the Numbers - Make it stand out The chart on the left shows the top 5 states by absolute rural population. The chart on the right shows the top 5 states by rural percentage of total population. https://www.erikasessions.com/aging-sessions-blog/direct-care-careers-a-shared-solution-with-state-specific-impact monthly 0.5 2025-09-18 https://www.erikasessions.com/aging-sessions-blog/the-rural-health-transformation-program-what-states-need-to-know-now monthly 0.5 2025-09-29 https://www.erikasessions.com/aging-sessions-blog/good-better-best-continuous-improvement-in-minnesotas-choices-system monthly 0.5 2025-09-18 https://www.erikasessions.com/aging-sessions-blog/shaping-the-future-part-ii-aging-policy-oaa-reauthorization-and-grant-making-shifts monthly 0.5 2025-09-18 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/1f3e4151-3215-425a-927f-29cda1be5711/SHC+-+reauth+vs+reg.png Aging Sessions Blog - Shaping the Future, Part II — Aging Policy, OAA Reauthorization, and Grant-Making Shifts - Reauthorization vs. Regulation Reauthorization is an Act of Congress responsible for the renewal of the Older Americans Act (OAA) law while the Regulation of the OAA, rules and guidance to implement the law, is the responsibility of the Administration for Community Living (ACL). Congress has not yet reauthorized the OAA and the ACL has undergone a significant reduction in force (RIF). https://www.erikasessions.com/aging-sessions-blog/shaping-the-future-part-i-obbb-act-and-medicaid-policy-shifts monthly 0.5 2025-09-18 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/8d0d5cd0-9201-46bb-bdb5-c48bf970e8d1/SHC+-+SIDEBAR+medicaid+waiver+comparision+with+new+OBBB.png Aging Sessions Blog - Shaping the Future, Part I — OBBB Act and Medicaid Policy Shifts - MEDICAID COMPARISION CHART Medicaid has several pathways to deliver HCBS. Each comes with different rules around eligibility, targeting, and flexibility. The OBBB Act adds a new option — a standalone 1915(c) waiver without institutional level of care requirements. https://www.erikasessions.com/aging-sessions-blog/resilience-and-reinvention-preparing-for-the-global-age-wave-with-a-north-star-vision monthly 0.5 2025-09-18 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/9897413a-6ca5-4ae7-aa5f-b16bfaab7ba5/SHC+-+NORTH+star+framework+for+aging+policy.png Aging Sessions Blog - Resilience and Reinvention: Preparing for the Global Age Wave with a North Star Vision - Ohio’s Path to a North Star Vision for Aging At the top sits the North Star Goal: A healthy and thriving aging population. Supporting this vision is a four-step pathway. Beneath the pathway are the Four Pillars of the Foundation. Put together, the structure conveys pillars at the base, a pathway of strategic steps, and a guiding North Star above. https://www.erikasessions.com/aging-sessions-blog/3kndxvflzq9ypmf3futw5pidankhwa monthly 0.5 2025-09-18 https://www.erikasessions.com/aging-sessions-blog/universal-training-and-credentialing-building-a-stronger-direct-care-workforce monthly 0.5 2025-09-18 https://www.erikasessions.com/aging-sessions-blog/strengthening-family-caregivers-through-connection-and-support monthly 0.5 2025-09-18 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/ce884f01-e4a7-42a1-aa43-d23a1368c419/SHC+-+TOP+5+TAKEAWAYS+for+family+caregivers.png Aging Sessions Blog - Strengthening Family Caregivers Through Connection and Support - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.erikasessions.com/aging-sessions-blog/building-better-matches-lessons-from-registries-and-job-platforms-in-direct-care monthly 0.5 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https://www.erikasessions.com/aging-sessions-blog/inspiring-the-next-generation-of-caregiving-and-aging-services-leaders monthly 0.5 2025-02-06 https://www.erikasessions.com/aging-sessions-blog/in-quality-its-all-connected monthly 0.5 2025-02-04 https://www.erikasessions.com/aging-sessions-blog/federal-funding-cuts-how-cutting-medicaid-funding-will-hurt monthly 0.5 2025-01-30 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/e189a7c7-6b63-4bf0-8ba3-10b0e436c220/leyla-m-Jpcg8aU84Nw-unsplash.jpg Aging Sessions Blog - Medicaid Cuts = Healthcare Crisis: Why Every American Should Be Concerned - Understanding Medicaid and Its Role in Long-Term Care Medicaid is a critical safety net for millions of Americans, providing health services and supports to low-income individuals, older adults, and people with disabilities. Jointly funded by federal and state governments, Medicaid is an essential asset to offer cost effective, accessible services for some of the nation’s most vulnerable populations. It includes of long-term services and supports (LTSS), home and community-based services (HCBS), skilled nursing care, and personal assistance for individuals who require help with daily activities. When an older relative or neighbor needs help running errands, getting to appointments, cleaning their home, getting dressed, taking essential medications, Medicaid waiver programs offer services paid for jointly by states and the federal government. This helps people with physical disabilities, intellectual and developmental disabilities, and older adults age in place, safely, and ensure independence is optimized. To be eligible for services and qualify for Medicaid, individuals must meet specific income and asset requirements, which vary by state. Since there are eligibility requirements, Medicaid is not considered an entitlement program; that is, just because you meet qualifying factors does not mean you are entitled to receive services since there a funding and access limits determined at a state level. Even if you’re eligible, you may be put on a waiting list as many states have limited service availability due to limited program funding. Many of those who rely on Medicaid are among the most vulnerable in our society—older adults that need assistance or who have complex care needs, individuals with disabilities, and those in low-wage jobs who do not receive employer-sponsored health insurance. The program also plays a vital role in sustaining the direct care workforce, a sector overwhelmingly comprised of women and people of color, who provide essential care but often earn low wages with minimal career advancement opportunities. The Trump Administration’s Federal Funding Freeze: What Happened? On January 29, 2025, the Trump Administration attempted to implement a temporary freeze on federal grants, loans, and financial assistance programs, a move that sparked immediate legal challenges and widespread concern among Medicaid stakeholders. Although a federal judge temporarily halted the freeze, the incident highlighted the administration’s broader policy agenda—one that includes long-term reductions in Medicaid funding. A White House memo later clarified that Medicaid would not be directly affected by the temporary freeze. However, the uncertainty surrounding the decision underscored the Republican-led push for permanent Medicaid spending cuts, which would have far-reaching consequences for millions of Americans who rely on the program for essential care. https://www.erikasessions.com/aging-sessions-blog/the-future-of-in-home-caregiver-recruitment-and-retention monthly 0.5 2025-01-29 https://www.erikasessions.com/aging-sessions-blog/the-direct-care-workforce-crisis-continued-vigilance-for-change-is-essential monthly 0.5 2025-01-28 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/8043ef28-1cf5-4f0d-8480-e2b14b5c0193/samuel-schroth-L8lbuhnSPD8-unsplash.jpg Aging Sessions Blog - The Direct Care Workforce Crisis: Continued Vigilance for Change is Essential - The United States continues to face an escalating crisis in direct care work, one that threatens the well-being of millions of older adults and people with disabilities who rely on essential care services. Despite being one of the fastest-growing occupations in the country, direct care work is plagued by low wages, poor job quality, and high turnover, creating a workforce shortage that impacts families, employers, and the broader healthcare system. Without immediate intervention, the gap between the demand for care and the supply of workers will only widen, leading to serious economic and social consequences. The Scope of the Crisis Direct care workers (DCWs) go by many names depending on state, services, and care setting. Some names include home health aides, personal support service providers, home care aides, long-term care workers, and certified nursing assistants. DCWs play a critical role in long-term services and supports both in the home and in congregate, facility-based care settings. More than 5 million individuals work in these roles, ensuring that older adults, individuals with disabilities, and those with complex medical conditions receive the care they need. However, the profession is characterized by historic systemic inequities which result in high turnover rates, low wages, and minimal career advancement opportunities, making it difficult to attract and retain workers. https://www.erikasessions.com/aging-sessions-blog/innovating-for-autonomy-enhancing-quality-of-life-through-in-home-care monthly 0.5 2025-01-23 https://www.erikasessions.com/aging-sessions-blog/tools-for-2025-the-kaiser-family-foundations-kff-medicaid-waiver-tracker monthly 0.5 2025-01-20 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/1737409413749-91OYTEOAQZKOCSPZ7NFL/unsplash-image-3ULMRQZ5APA.jpg Aging Sessions Blog - Tools for 2025: The Kaiser Family Foundation's (KFF) Medicaid Waiver Tracker - The Kaiser Family Foundation's (KFF) Medicaid Waiver Tracker is an invaluable tool for monitoring the evolving and dynamic landscape of Medicaid policies across the United States. This resource provides up-to-date information on approved and pending Section 1115 Medicaid demonstration waivers, allowing the public and policy stakeholders to stay informed about state-specific initiatives and federal policy shifts. Changes in Medicaid administration, funding, and policy affects every facet of the care continuum. Key Features of the KFF Medicaid Waiver Tracker: Comprehensive Tracking: The tracker offers detailed tables categorizing waivers by eligibility changes, benefit modifications, and initiatives addressing social determinants of health (SDOH). KFF enables users to quickly identify and analyze trends in Medicaid reforms. Key Themes Maps: Visual representations highlight states with approved or pending waivers in areas such as health-related social needs (HRSN), pre-release coverage for incarcerated individuals, and continuous eligibility for children. These maps provide a clear overview of policy adoption across the nation. Regular Updates: KFF ensures the tracker reflects the most current information, with the latest update as of January 14, 2025. This commitment to timeliness makes it a reliable source for policymakers, researchers, and healthcare professionals. https://www.erikasessions.com/aging-sessions-blog/living-out-palm-springs-an-unparalleled-approach-to-living-and-aging monthly 0.5 2025-01-16 https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/00e76d12-1dbf-4071-85a3-a09bc191f984/IMG_6259.JPG Aging Sessions Blog - Living Out Palm Springs: An Unparalleled Approach to Living and Aging - Make it stand out A southeast view from the veranda of one of the Living Out Palm Springs residences. With ADA compliant access, the broad doors have a sliding, tinted glass and a screen door. The veranda has space for comfortable seating. the view looks out over the main entry of the property onto Palm Springs punctuated with several palms backed by the epic, craggy majesty of Mount San Jacinto. “The Witch” formation is just out of view. https://images.squarespace-cdn.com/content/v1/672ad2c2360f9f5dea0434c1/1d6c0d1f-fabe-4e59-8c24-f6b6ae2b2a76/IMG_6238.JPG Aging Sessions Blog - Living Out Palm Springs: An Unparalleled Approach to Living and Aging - Make it stand out The main front entry for Living Out Palm Springs has a spacious drive up to the front door with a covered awning and seating. 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