long-term care infrastructure op-ed in The Hill

America’s long-term care infrastructure: A road to nowhere – Op-ed in the Hill co-authored by Nexus Insights

In a recent op-ed in The Hill, Nexus Insights Fellows Anne Tumlinson, David Grabowski and Robert Kramer, raise an important point that has been missing from recent discussions around transforming long-term care following the pandemic. The Biden Administration has proposed a $400B investment in home- and community-based services (HCBS). We assert this investment is necessary but not sufficient. Without additional spending on services to help families navigate and manage long-term care services, this HCBS investment is basically a “road to nowhere.” We argue for the need to create a network of long-term care service hubs across the country to help families navigate services.

As you know, there have been A LOT of thought pieces around improving long-term care going forward, but we have not seen this point made elsewhere. Thus, we believe it would be an ideal time to make this point as policymakers consider the Biden proposal.


Long-term care is complex. Few Americans plan ahead and most wait until a crisis pushes them into a frantic search for solutions. It doesn’t have to be this way.

Every day older adults lose their ability to care for themselves. Often, they are discharged from the hospital too weak or confused to be left alone or care for themselves. Now what? Who will take care of them? Is home- or facility-based care the best option? How much will it cost and who will pay? Does Medicare cover it? Does Medicaid? If home care is the answer, how do you find a qualified and affordable caregiver? Where do you even start? Life-changing decisions must be made, and fast.

Read the full op-ed in The Hill.

Anne Tumlinson is CEO of ATI Advisory and the Founder of Daughterhood. David Grabowski is Professor in the Department of Health Care Policy, Harvard Medical School. Robert Kramer is the founder of Nexus Insights, and the co-founder and Strategic Advisor & former CEO of the National Investment Center for Seniors Housing & Care (NIC).

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Kelsey Mellard CEO of Sitka

Sitka raises $14M, expands partnerships, and grows team to help transform specialty care

Big news from Nexus Fellow & Sitka CEO Kelsey Mellard:

In 2018, we founded Sitka to help improve access to and delivery of specialty care across the nation. Today, we’re excited to share that we’ve raised $14 million in Series A financing led by Venrock, with participation from existing investors. This round of funding will enable us to accelerate product development and expand growth with new and existing partners.

When we started Sitka, our mission was to bring specialty care into a value-based care system that works better for primary care providers, specialists, and most importantly, for patients. This year, the pandemic accelerated our work and vConsults have become a crucial tool within the healthcare industry. We have onboarded hundreds of fellowship-trained specialty physicians to our network and partnered with large healthcare systems and national primary care providers, including ChenMed.

As part of our commitment to improving the specialty care experience for patients and providers, we’re also excited to welcome Darshak Sanghavi, MD, former Chief Medical Officer of UnitedhealthCare Medicare & Retirement, as an advisor.

It’s been an unusual year, but I’m so proud of the Sitka team and how much we have grown together. As an always and fully remote team, Sitka was uniquely prepared for the fast shift into a fully digital reality.

Now, as we enter the next Sitka chapter, I’m excited to grow our team, expand partnerships, and transform access to care. Together, we can drastically improve the experience for primary care providers and specialists. Most importantly, we can improve care for patients.

Kelsey Mellard, Sitka CEO

Reposted from trustsitka.com.

Read the full announcement.

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