Long-term care includes services and supports provided to individuals with functional and cognitive impairments in the home, community, and institutions. This DataBrief reports on how long-term care is financed in the U.S.
“Dual eligibles” are low-income individuals who qualify for both Medicare and Medicaid. This DataBrief describes the pathways through which dual eligibles access assistance with Medicare premiums and cost-sharing.
Grace-Marie Turner, President of the Galen Institute, discusses her organization's efforts to built a competitive marketplace for patient-centric care. Watch the full presentation here: http://video.hint.com/grace-marie-turner-promoting-patient-centered
“Dual eligibles” are low-income individuals who qualify for both Medicare and Medicaid. This DataBrief describes the pathways through which dual eligibles access assistance with Medicare premiums and cost-sharing.
Grace-Marie Turner, President of the Galen Institute, discusses her organization's efforts to built a competitive marketplace for patient-centric care. Watch the full presentation here: http://video.hint.com/grace-marie-turner-promoting-patient-centered
Join Business Forward to welcome Arielle Kane, Director of Health Care at the Progressive Policy Institute, for a discussion on the current state of health care access in America. Kane will discuss how improvements to the ACA are more beneficial than repealing the law and moving to a single-payer system.
This is a training on the financial crisis facing Medicare in the next generation. Are Democratic of Republican proposals for Medicare reform able to address the crisis, or can only single payer save the Medicare entitlement for seniors?
DataBrief No. 22: Medicare Spending by Functional Impairment and Chronic Con...The Scan Foundation
In 2006, Medicare spent almost three times more per capita on seniors with chronic conditions and functional impairment than on seniors with chronic conditions alone?
Join Business Forward to welcome Arielle Kane, Director of Health Care at the Progressive Policy Institute, for a discussion on the current state of health care access in America. Kane will discuss how improvements to the ACA are more beneficial than repealing the law and moving to a single-payer system.
This is a training on the financial crisis facing Medicare in the next generation. Are Democratic of Republican proposals for Medicare reform able to address the crisis, or can only single payer save the Medicare entitlement for seniors?
DataBrief No. 22: Medicare Spending by Functional Impairment and Chronic Con...The Scan Foundation
In 2006, Medicare spent almost three times more per capita on seniors with chronic conditions and functional impairment than on seniors with chronic conditions alone?
DataBrief No. 21: Dual Eligibles, Chronic Conditions and Functional ImpairmentThe Scan Foundation
In 2006, 37% of seniors eligible for both Medicare and Medicaid had functional impairment in addition to chronic conditions, compared to only 9% of seniors eligible for Medicare-only. This DataBrief describes how dual eligibles have higher rates of both chronic conditions and functional impairment than Medicare-only beneficiaries.
This summer, Congress is under enormous pressure to find a way to reduce the federal deficit, and Medicaid has become a prime target for cuts.
The Leadership Council of Aging Organizations hosted a Senate briefing on June 10, 2011, where Howard Bedlin, Vice President for Public Policy and Advocacy at NCOA, talked about what’s at stake for Medicaid and seniors in the current budget debate.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
After reading the report on services in Georgia, write a short paper.docxADDY50
After reading the report on services in Georgia, write a short paper that provides a summary of what it says. Explain how a market analysis was accomplished, how this information was used to determine the outcome of existing services, and how it was used to design services. Then provide an opinion on how this information could be useful in advocating for expansion of services.
Executive Summary
This report details the results of a mixed-method community outreach effort conducted by the Georgia Health Policy Center (GHPC) as part of The Community Foundation for Greater Atlanta’s Champions for Children with Exceptional Needs Initiative (Champions).
The purpose of this outreach effort is (1) to provide a systematic examination of the existing gaps in service and support for families with medically fragile and special needs children in Georgia and (2) to compile a list of service delivery options gathered from the community outreach efforts that could be provided to families through the funding of an appropriate nonprofit or network of nonprofits across Georgia. The report will be shared with The Community Foundation and the Champions Advisory Committee to guide them in the distribution of at least $2.2 million that has been appropriated by the Georgia Legislature to meet the needs of this population.
Data collection for the Initiative used both quantitative and qualitative approaches to explore the experience of families with special needs and medically fragile children. The quantitative component included a Medicaid claims analysis of children eligible for the Katie Beckett Waiver program during Calendar Year 2005. The qualitative data collection methods for the community outreach effort included:
Three focus groups with parents of special needs and medically fragile children;
Sixteen Key Informant interviews with parents, advocates, representatives from local and
state-wide non-profit agencies and medical providers;
Two community forums structured to present data collected in the needs assessment and
outreach and gather suggestions/feedback from community members regarding possible service delivery models.
Medicaid Claims Analysis
Findings from the Medicaid claims analysis of children who received services through the Katie Beckett Waiver program in 2005 exemplify the needs of many medically-fragile children in Georgia. In Calendar Year 2005 (CY2005), there were 6,572 children enrolled in Medicaid through the Katie Beckett class of assistance. The descriptive analysis of the Katie Beckett enrollees found that:
95% (6,130) of the Katie Beckett children submitted at least one Medicaid claim during the year. The top two diagnoses, specific delays in development and psychoses with origin specific to childhood (infantile autism, disintegrative psychosis and schizophrenia) comprise 28% of all the outpatient claims.
The average Medicaid reimbursement per Katie Beckett recipient was $5,033 in CY2005. The services that Medicaid paid .
Health Reform in America: An Overview of the Patient Protection and Affordabl...Adam Dougherty
A lecture to the UC Davis School of Medicine community covering the basics of the health reform law passed in early 2010. Presented by Adam Dougherty, MPH, MS1
While the health care reform bill is a step in the right direction, medicare for all or single payer is what is really needed to control costs and insure all.
Presentation by Alice Burns and Jaeger Nelson, analysts in CBO’s Budget Analysis Division and Macroeconomic Analysis Division, to the National Tax Association.
What You Will Learn • The long-term care (LTC) industry consists .docxeubanksnefen
What You Will Learn • The long-term care (LTC) industry consists of various providers, insurers, LTC professionals, and an ancillary sector. • Home health care is a prime example of community-based long-term care providers. Others include homemaker and personal care service providers, adult day care providers, and hospice service providers. • Independent living and retirement centers and custodial care providers such as adult foster care facilities can be referred to as quasi-institutions. • Institutional providers range from assisted living facilities to a variety of providers that are commonly referred to as nursing homes. Some institutional long-term care services are based in hospitals. Continuing care retirement communities integrate and coordinate the independent living and other institution-based components of the LTC continuum. • Commercial insurance companies and managed care organizations play a critical role in the financing of long-term care services. • A variety of health care personnel are involved in the delivery of long-term care. • The ancillary sector supports the other segments of the industry through case management, pharmacy services, and technology. Introduction Efficient delivery of services to a nation’s population necessitates a long-term care (LTC) industry. The LTC industry mainly consists of private providers—organizations that deliver services and can independently bill for those services. In addition, some tax-supported government agencies deliver social services. This chapter elaborates on these providers as a segment of the LTC industry. Other segments of the industry include LTC professionals employed by the industry; without them the industry cannot function. They can be classified as administrative professionals, clinicians, paraprofessional caregivers, ancillary personnel, and social support professionals. In addition, key partners play vital supportive roles. These partners include the insurance industry, managed care organizations, case management agencies, long-term care pharmacies, and developers of medical technology. The Provider Sector The term provider refers to an entity that gets reimbursed for services delivered. Various private organizations and facilities, both for profit and nonprofit, are part of the LTC industry. Both LTC institutions and community-based service providers are essential to serve a variety of needs. The LTC industry is predominantly funded by the government, and certain sectors of the industry are more stringently regulated than others. Community-Based Service Providers Four main types of providers constitute the community-based sector of the LTC industry: (1) home health providers, (2) homemaker and personal care service providers, (3) adult day care providers, and (4) hospice service providers. Home Health Providers Home health care is consistent with the philosophy of maintaining people in the least restrictive environment possible. Without the availability of skille.
DataBrief No13: Sources of Long-Term Care Spending
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Editor's Notes
Green, tan, and orange colors are not distinguishable when printed in grayscale (This is something we can have Fred fix). -- Also, could Fred try to move the second * after private insurance onto the top line? For some reason, I cannot do it.