Download or read book An Analysis of the Impact of Medicaid Medicare Funding Reductions on Skilled Nursing Facilities written by Lucinda Marie Ramsey and published by . This book was released on 1994 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book For Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Download or read book Medicaid Long Term Care written by Kathryn Allen and published by DIANE Publishing. This book was released on 2007-12 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: To be eligible for Medicaid long-term care (LTC), individ. may transfer assets to others to ensure that their assets fall below certain limits. Individ. who make transfers for less than fair market value (FMV) can be subject to a penalty that may delay Medicaid coverage. An Act (DRA) in 2005 changed the calculation & timing of the penalty period & set require. for the treat. of certain types of assets. This report provides data on the extent to which asset transfers for less than FMV occur. Covers: the fin¿l character. of elderly nursing home (NH) residents; the demographic & financial character. of Medicaid NH applicants; the extent to which these applicants transferred assets for less than FMV; & the potential effects of the DRA prov. related to medicaid eligibility for LTC.
Download or read book Report to the Congress Medicare Payment Policy written by Medicare Payment Advisory Commission (U.S.) and published by . This book was released on 1998 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Mandatory Medicare Participation for Medicaid Certified Nursing Homes written by Kenneth L. Hamilton and published by . This book was released on 1977 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: A major concern about medical care has been the sharp rise in costs. Resistance by taxpayers to the increasing burden of Medicare and Medicaid, and pressures to restrain medical costs have encouraged new government controls in the health sector. This paper investigates the costs and benefits to the citizens of Georgia of a Georgia policy decision to require all skilled nursing facilities participating in Medicaid (which is state and federally funded) also to participate in Medicare (which is federally funded). Benefits to the state result primarily from the transfer of health service costs from Medicaid to Medicare. The costs to society result from a reduction in the number of skilled nursing home beds, and an increase in the net cost of providing the same service. The findings of this study are that the social costs of a) reduced availability of skilled nursing home beds, and b) increased health care expenditures, outweigh the benefits of state tax dollar savings.
Download or read book Improving the Quality of Care in Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1986-02-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Download or read book The Impact of Medicaid HCBS Generosity on Transitions from Skilled Nursing Facilities to Community and Beyond written by Sijiu Wang and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectives: Returning home and remaining in the community is preferred by many older adults who were admitted to skilled nursing facilities (SNFs). The Medicaid Home- and Community-Based Services (HCBS) provide services to Medicaid enrollees in the community, and may facilitate the transitions from SNFs to the community. The objective of this study was to understand the relationship between Medicaid HCBS generosity (breadth and intensity) and SNF-to-community discharge and post-discharge outcomes among Medicare-Medicaid dual eligible SNF patients.Study Design: This study linked the national Medicare and Medicaid datasets for CY 2010-2013. For Specific Aim 1, the study population was dual SNF residents who were 65+ and were newly admitted to SNFs for post-acute care between 2010 and 2013. The key outcome was community discharge from SNF within 100 days. HCBS generosity, measured as breadth and intensity, was the main variable of interest. Linear probability models with SNF fixed effects and robust standard error were estimated, accounting for individual demographics and health status. For Specific Aim 2, the study cohort was those who were discharged from SNF to community. The outcomes were remains in the community, death, NH admission, and hospitalization, measured for both 30 days and 180 days post-discharge. The main variables of interest and the statistic models were similar to Aim 1.For Aim 3, the hypotheses under the first two aims were tested among dually eligible SNF residents with dementia, with population-specific measures of HCBS generosity. Results: Higher HCBS breadth was associated with higher likelihood of community discharge, remaining in the community after discharge, and lower likelihood of NH admission after SNF discharge. Higher HCBS intensity was associated with higher likelihood of remaining in the community and lower likelihood of NH admission and hospitalization. Findings from the subgroup analysis among duals with dementia were similar to the main analysis.Conclusion: This study found HCBS generosity is associated with higher likelihood of community discharge from SNFs and better post-discharge outcomes with a modest effect. Future studies are needed to examine the effect of different types of HCBS and the effect of HCBS among Medicaid managed care enrollees.
Download or read book The Medicare Handbook written by and published by . This book was released on 1989 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Long term Care for the Elderly and Disabled written by United States. Congressional Budget Office and published by . This book was released on 1977 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Data Compendium written by and published by . This book was released on 1999 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
Download or read book Health Care Financing Review written by and published by . This book was released on 2002 with total page 636 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Art of Dying Well written by Katy Butler and published by Scribner. This book was released on 2020-02-11 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This “comforting…thoughtful” (The Washington Post) guide to maintaining a high quality of life—from resilient old age to the first inklings of a serious illness to the final breath—by the New York Times bestselling author of Knocking on Heaven’s Door is a “roadmap to the end that combines medical, practical, and spiritual guidance” (The Boston Globe). “A common sense path to define what a ‘good’ death looks like” (USA TODAY), The Art of Dying Well is about living as well as possible for as long as possible and adapting successfully to change. Packed with extraordinarily helpful insights and inspiring true stories, award-winning journalist Katy Butler shows how to thrive in later life (even when coping with a chronic medical condition), how to get the best from our health system, and how to make your own “good death” more likely. Butler explains how to successfully age in place, why to pick a younger doctor and how to have an honest conversation with them, when not to call 911, and how to make your death a sacred rite of passage rather than a medical event. This handbook of preparations—practical, communal, physical, and spiritual—will help you make the most of your remaining time, be it decades, years, or months. Based on Butler’s experience caring for aging parents, and hundreds of interviews with people who have successfully navigated our fragmented health system and helped their loved ones have good deaths, The Art of Dying Well also draws on the expertise of national leaders in family medicine, palliative care, geriatrics, oncology, and hospice. This “empowering guide clearly outlines the steps necessary to prepare for a beautiful death without fear” (Shelf Awareness).
Download or read book Spending Reduction Proposals written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 1981 with total page 968 pages. Available in PDF, EPUB and Kindle. Book excerpt:
