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Long Term Care – Issues « Long-Term Care

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Elder Care – Long Term Care
Resources and Issues

Also see Long Term Care Insurance

 

Long Term Care – Resources

  • 40 Informative Forums on Long-Term Elderly Care (Aging Healthy)
    Seniors often need to be placed into nursing homes, assisted living facilities, or some other form of long-term care during their lives. But with news, laws, and regulations coming in on a regular basis, it can be difficult to keep up with it all. To help, we have gathered 40 informative forums on long-term elderly care. They contain the latest discussions on the topic, as well as the many others that relate to it such as law and money. There are even a few to help you choose the best long-term care and get the latest expert advice.

Long Term Care – Bullying

Long Term Care – Financial Issues

  • The Growing Cost of Compliance in Long-term Care (McKnight's – 11/9/10)
    For many of us, some form of organized living arrangement—a nursing home or an assisted living facility (ALF)—is in our future. While few of us will want to spend anytime in a nursing home, many of us may choose to live in an assisted living facility. Both sectors will be under substantial demographic, regulatory and enforcement pressure over the next decade. As the baby boomers age, each sector will experience dramatic growth.   
  • Filial Support Laws: “A Sleeping Giant” (Enterprising Inventor – 11/29/17)
    While few clients plan to be a financial burden to their families, some US state laws mandate that very result. “Filial support” or “filial responsibility” laws are on the books in at least 30 of the 50 states.
  • Live Long and Pay for It: America's Real Long-Term Cost Crisis (The Atlantic – 9/12/12)
    There's a looming crisis in long-term care because our current model for funding it is crumbling under the weight of multiple demands and inexorable demographic shifts. But we're doing almost nothing to respond.
  • Medicaid and Long-Term Services and Supports: A Primer (12/15/15) 
    Medicaid is the nation’s major publicly-financed health insurance program, covering the acute and long-term services and supports (LTSS) needs of millions of low-income Americans of all ages. Advances in assistive and medical technology that allow people with disabilities to be more independent and to live longer, together with the aging of the baby boomers, will likely result in increased need for LTSS over the coming decades. This primer describes LTSS delivery and financing in the U.S., highlighting covered services and supports, types of care providers and care settings, beneficiary subpopulations, costs and financing models, quality improvement efforts, and recent LTSS reform initiatives.
  • Medicare vs. Medicaid: Which Pays for What? (Krause Financial Services)
    The differences between Medicare and Medicaid and how they relate to skilled nursing care could not be more important.
  • With Medicaid, Long-Term Care of Elderly Looms as a Rising Cost (New York Times – 9/6/12)
    With baby boomers and their parents living longer than ever, few families can count on their own money to go the distance. So while Medicare has drawn more attention in the election campaign, seniors and their families may have even more at stake in the future of Medicaid changes — those proposed, and others already under way

Long Term Care – Miscellaneous issues

  • A Right to Person-Centered Care Planning (April 2015)
    Person-centered planning is now almost universally understood as a necessary component of an effective delivery system for long-term services and supports. Done well, person-centered planning can ensure greater independence and a better quality of life for consumers receiving LTSS.  
    Corresponding Webinar: How New CMS Person-Centered Care Planning Rules Apply to Medicaid Delivered LTSS  
  • Bridging Medical Care and Long-Term Services and Supports (SCAN Foundation – April 2012)
    This policy brief provides a vision for bridging medical care and long-term services and supports, describing the current disconnect and highlighting models with demonstrated success in linking these two systems.   
  • CMS reduces penalties for medical errors at nursing homes: 5 things to know (12/26/17)
    Under President Donald Trump, CMS has softened penalties against nursing homes for patient safety errors, according to The New York Times. Five things you should know.
  • Making Connections: Medicaid, CHIP and Title V Working Together on State Medical Home Initiatives (Nat'l Academy for State Health Policy)
    The medical home model–an approach to offering excellent primary care–is gaining momentum. A wide range of stakeholders are now embracing medical homes, and the Affordable Care Act has dedicated resources to developing and spreading the model. In this context, states have been leaders in building medical homes – especially for vulnerable populations. 
  • She needs 24-hour nursing. Then she was told it would end (Shreveport Times – 10/6/17)
    Bossier City resident Deshae Lott recently was told life-saving services for her disability would stop. So she fought it.  
  • The Bipartisan Failure to Address Long-Term Home-Based Care for Disabled Americans (The American Prospect – 9/4/19)
    Republican and Democratic voters think health care is an important problem requiring action from government. While Republicans have made themselves the anti-Obamacare party, recent Democratic debates made more salient the tension between Democrats supporting some version of Medicare for All and those promoting alternatives typically involving both a private and public option. The problem with this trajectory is that they're all ignoring a major issue that affects the public-option conversation: long-term care for people with disabilities. Take, for example, a 20-something person with cerebral palsy requiring a wheelchair to achieve independent mobility. It's not Medicare that pays for that ramp or other improvements to make her home more accessible. Nor does Medicare pay for her attendants who help with daily living activities, including bathing, eating, and transporting her to work and school.
  • The hidden risks of suicide and depression for seniors living in long-term care
    By 2030, 20 percent of Americans will be senior citizens. Many will eventually enter long-term care, a move that presents tough choices and challenges for seniors and their families — including risks of depression and suicide. In partnership with Kaiser Health News, special correspondent Cat Wise reports on how families and facilities are struggling to understand and manage these risks.