GiveCare Pulse

The state is revalidating 5,600 'high-risk' providers and freezing payments; some clients have lost home care or been hospitalized.

The week priced care labor three ways, from a Massachusetts picket line to a July 10 deadline for immigrant caregivers.

How coverage ends a year after the cuts, in a notice you never opened rather than a denial you can appeal, plus the nursing-home jobs milestone that solves nothing and the caregivers the shortage overlooks.

Today: why nursing homes are failing four ways at once, and the one state now paying for long-term care as the federal budget cuts it.

The day two research teams measured America's care shortage from both sides, and the family caught in the middle.

H.R. 1's first anniversary, the CBO's 12.9 million, the TPS ruling reaching the care shift, and WA Cares paying its first long-term-care claims.

Today: how one week's immigration news landed on care at both ends of life, plus a Flushing daycare cluster, a $906 million hospice indictment, and the childcare subsidy rollback.

The week Medicaid's fraud war started costing families their care: a boy without therapy in Minnesota, a rushed rewrite in Ohio, a $162 million wage theft settlement, and Washington state writing the first public long-term care checks.

Washington sends the first public long-term-care check while the federal government loosens the duty to fund community care and stretches the word fraud to cover caregivers themselves.

The week the care workforce got paid less and watched more, a state pushed against the federal retreat, and an $818 billion dementia bill landed where it usually does, on families.

Today: why a Social Security projection, a retirement-savings gap, and a caregiver-cost survey all point to the same thing, the money for old age thinning while families absorb the difference.

Today: why the Supreme Court's deportation ruling reaches into the country's population math and its care workforce, the fraud crackdown's newest faces, and the report putting a number on what caregiving costs a woman's retirement.

This week other countries built a floor under elder care while American families carried the load themselves, from a burnout survey to a staffing number that doesn't hold.

The Supreme Court cleared the removal of 350,000 immigrant workers from care jobs this week, as a fraud crackdown caught honest agencies and a DOJ memo reopened the institutions, leaving families to pick up what the system put down.

The week the federal government moved three levers on the cost of aging, and each one moved the wrong way.

Federal enforcement scaled up against care fraud the same week Pennsylvania's shortage came due, and the load kept rolling downhill onto families.

We open with the Justice Department memo that says states need not provide home care to disabled people, and why it matters that it landed the same week the money ran short.

Why dignity in aging is reaching the families who can pay or coordinate it, and what that leaves for everyone else.

We open on the DOJ suing New York over its $11 billion home-care program, then follow the same enforcement logic into a coverage cut and a deportation that left a 15-year-old without his only caregiver.

Today: a watchdog's 22 percent warning on Social Security, Oregon's $37 million stopgap against an $11 billion Medicaid cut, and a care-worker visa bill colliding with $70 billion in enforcement.

Today: the fraud crackdown sues a state and reports sick kids to ICE, employer benefits skip the parents half the workforce is caring for, and the hidden toll of caring for someone with no finish line.

Today: the workplace toll on the sandwich generation, what the Medicaid fraud crackdown costs the people it reaches, a border run for dental care, and Ontario naming its care economy in crisis.

Today: why Pennsylvania's decision to freeze home-care reimbursement is really a pay cut for aides, and how federal Medicaid rules and a tightening care market squeeze the same workers.

Today: Ohio starts suspending the home-care providers it flagged, family caregivers there keep their Medicaid pay after a second round of testimony, and CMS holds firm on the work-rule deadline that home-care groups warn will cost coverage.

We start in Britain, where research found one unpaid carer a month kills the person they care for, then trace how the cost of care in the U.S. keeps falling on caregivers: Medicaid's work rule, a care-worker visa bill, an Iowa nursing home on the federal watchlist, and a Social Security deadline.