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States should require that all beds in a nursing facility be certified for Medicaid and Medicare as a condition for the facility’s participation in Medicaid.
States should require adequate numbers of appropriately trained staff to ensure a high quality of care.
Quality measures: Participant preferences and satisfaction should be used as key quality measures.
Long-term services and supports (LTSS) encompass a broad range of assistance. They are needed by people of all ages who cannot function independently due to physical or mental impairments.
The Department of Labor should establish clear protections for participants in defined benefit plans when fiduciaries wish to transfer their pension annuities to private insurance companies.
Plans that wish to offer lump-sum buyouts should be required to provide clear and complete disclosures. These should be in hard-copy form and state the implications of choosing a lump sum.
When retirement plans transfer risk from the plan to others—either by purchasing annuities from private insurers that take responsibility for paying monthly benefits or by offering retirees current
More than 30 million Americans participate in some form of public government employee retirement plan. Among others, they include:
Federal, state, and local government retirement plans are usually defined-benefit (DB) pensions with benefits based on an employee’s salary in the years just before retirement.