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Editorial Highlights

Longer-form articles on senior care finance, decision-making, and what Medicaid actually pays for. Companion reading to our state-by-state Medicaid guides.

When In-Home Care Costs More Than a Nursing Home
PUBLISHED 2026-08-12

When In-Home Care Costs More Than a Nursing Home

Aging at home is cheaper than a facility only up to a break-even number of paid care hours — often just 3–4 a day. Here's the math, by state.

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Medicaid Spend-Down by State: Why It Won't Lower Your Bill
PUBLISHED 2026-08-05

Medicaid Spend-Down by State: Why It Won't Lower Your Bill

Medicaid spend-down doesn't cut what you pay for care — it only unlocks eligibility. In about half the states there's no income spend-down at all. Here's the trust that replaces it.

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Can You Switch Nursing Homes on Medicaid? The Open Bed Is the Real Test
PUBLISHED 2026-07-29

Can You Switch Nursing Homes on Medicaid? The Open Bed Is the Real Test

You have a federal right to move nursing homes on Medicaid. The wall families hit isn't eligibility — it's finding an open Medicaid bed. How the transfer actually works.

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Assisted Living Levels of Care: What Sets Your Real Bill
PUBLISHED 2026-07-22

Assisted Living Levels of Care: What Sets Your Real Bill

Assisted living 'levels of care' set your monthly bill, not the advertised rate. How the tiers and acuity assessment work, and what to ask before you sign.

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Why a Nursing Home Can Turn Down Your Parent's Medicaid
PUBLISHED 2026-07-16

Why a Nursing Home Can Turn Down Your Parent's Medicaid

Nursing homes aren't required to take Medicaid — acceptance is an economic call. How the reimbursement gap, 'Medicaid pending,' and 2026's new rate data work.

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Do Medicaid Work Requirements Apply to Seniors? Who's Exempt in 2026
PUBLISHED 2026-07-10

Do Medicaid Work Requirements Apply to Seniors? Who's Exempt in 2026

Nearly every senior on Medicaid is exempt from the 2026 work requirements. But near-seniors and family caregivers aren't — and the paperwork is the real risk.

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Does Medicaid Pay for Home Care? Yes, But It Comes With a Waitlist
PUBLISHED 2026-07-03

Does Medicaid Pay for Home Care? Yes, But It Comes With a Waitlist

Medicaid covers home care in every state, but through capped waivers with waiting lists, while nursing homes are a guaranteed entitlement. The 50-state gap, explained.

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Filial Responsibility Laws: Will You Pay a Parent's Bill?
PUBLISHED 2026-06-13

Filial Responsibility Laws: Will You Pay a Parent's Bill?

About 28 states have filial responsibility laws on the books, but they're rarely enforced. Here's the one scenario where an adult child actually gets the bill.

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PACE Program Explained: Medicare-Medicaid's Underused Alternative to Nursing Homes
PUBLISHED 2026-05-23

PACE Program Explained: Medicare-Medicaid's Underused Alternative to Nursing Homes

PACE serves ~100,000 dual-eligible seniors with fully integrated Medicare and Medicaid care — but it exists in only 33 states, and the trade-offs aren't obvious.

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Medicaid Estate Recovery: What States Can Take After Death
PUBLISHED 2026-05-16

Medicaid Estate Recovery: What States Can Take After Death

Federal law forces states to recover from Medicaid recipients' estates. Here's the federal floor, what 32 states expand beyond it, and who can't be touched.

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Nursing Home Staffing in 2026: How to Read CMS Data Now That the Federal Rule Is Gone
PUBLISHED 2026-05-05

Nursing Home Staffing in 2026: How to Read CMS Data Now That the Federal Rule Is Gone

The federal nursing home staffing rule was repealed February 2, 2026. What state-level CMS data shows, the four facility-level numbers families should check, and the state mandates still in force.

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Florida Medicaid LTC Waitlist Explained: 50K+ People, 116K Slots
PUBLISHED 2026-04-25

Florida Medicaid LTC Waitlist Explained: 50K+ People, 116K Slots

Florida's SMMC LTC waitlist had 50,000+ people in late 2023 against ~116,000 enrollment slots. Here's how the federal "Factor C" cap and priority scoring decide who moves first.

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Levels of Care for Elderly: 6 Types Explained [2026 Guide]
PUBLISHED 2026-04-01

Levels of Care for Elderly: 6 Types Explained [2026 Guide]

The 6 levels of elderly care explained: independent living, assisted living, memory care, nursing homes, in-home care, and hospice. Costs, what's included, and how to choose.

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Assisted Living vs Nursing Home: Cost Comparison [2026]
PUBLISHED 2026-02-24

Assisted Living vs Nursing Home: Cost Comparison [2026]

Assisted living vs nursing home cost comparison. National medians, what's included, how to pay, and state-by-state pricing for 2026.

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How to Pay for Assisted Living: 8 Options [2026 Guide]
PUBLISHED 2026-02-24

How to Pay for Assisted Living: 8 Options [2026 Guide]

How to pay for assisted living: 8 proven options including Medicaid waivers, VA benefits, long-term care insurance, and more. Costs, eligibility, and pros/cons for each.

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