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Fixing U.S. nursing homes can often seem like an impossible task. Elders, families, caregivers, advocates, lawmakers, researchers, and even providers generally agree that our system is broken, but little has changed about long-term care since the emergence of nursing homes as the dominant model of eldercare in the 1960s.

Mission Possible will break through the barriers to change and present concrete ideas on how to improve eldercare services in the U.S. and around the world. Guided by a 2022 NASEM report on the state of nursing care, this podcast will build bridges between theory and practice, incorporating the voices of influential people from all facets of the sector – including clinical leaders, outspoken advocates, residents, caregivers, and investors.

Changing the status quo won’t happen overnight, but it’s far from impossible. Listen in to find out why improving the lives of elders is truly a Mission Possible.

Mission Possible is a joint production of The Center for Innovation (The Green House Project/Pioneer Network), the National Consumer Voice for Quality Long-Term Care, and AMDA.

Mar 23, 2023

Please note that this interview was conducted in fall 2022; while some of the references to macroeconomic conditions may have shifted since then, the overall discussion on reform strategies remains timely and relevant.

As the co-founder and former CEO of the National Investment Center for Seniors Housing & Care (NIC), Robert Kramer has a deep and broad perspective on the financial factors that shape long-term care. Like it or not, in a for-profit healthcare system, where investors put their dollars – and where they don’t – has a direct impact on the types of services that are available to elders across the country. 

It also has a significant effect on the quality of those services provided. For decades, capital has generally shied away from building new infrastructure dedicated to Medicaid-funded long-term care services, and the nation’s nursing homes continue to age into obsolescence. But per-bed prices for those homes remain at record highs, illustrating the continued profitability of an existing system that far too often falls short of even adequacy – and highlighting the need for serious shifts in the way we fund eldercare.

The Center for Innovation’s Alex Spanko sat down with Kramer to talk through the current nursing home investment landscape, and discuss possible financial levers for driving change in long-term care. 

For a transcript of this podcast, CLICK HERE

Learn more about the producers of “Mission Possible”: