Financing Long Term Care in Texas
Author | : H. Clyde Farrell |
Publisher | : |
Total Pages | : 175 |
Release | : 2000 |
Genre | : Finance, Personal |
ISBN | : |
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Author | : H. Clyde Farrell |
Publisher | : |
Total Pages | : 175 |
Release | : 2000 |
Genre | : Finance, Personal |
ISBN | : |
Author | : John Lambert |
Publisher | : Nova Science Publishers |
Total Pages | : 0 |
Release | : 2004 |
Genre | : Community health services |
ISBN | : 9781594540172 |
Ten percent of the Texas population is 65 and older. The state has a large, rapidly growing elderly population, estimated to reach 4.4 million, or 16.1% of the state's total population in 2025. Medicaid spending for long-term care in FY2001 was $3.3 billion -- 28.5% of all Medicaid spending. Medicaid spending for institutions was more than 70% of Medicaid long-term care spending and more than 20% of all Medicaid spending in F Y2001. Spending for home and community-based services has increased rapidly in recent years and represented 29.2% of Texas long-term care spending in FY2001, primarily due to increased use of the Medicaid Section 1915(c) home and community based waiver program. From FY1990 to FY2001 spending for this program increased from less than 1% to over 21% of all Medicaid long-term care spending in Texas. Texas provides a wide range of services in the home and community to about 100,000 adults with disabilities. Despite this, the state has significant overcapacity in its nursing home industry. As a result, the nursing home occupancy rate is quite low -- 68.5% in 2000. The state continues to serve many persons with developmental disabilities in large state institutions and has no plans to close any facilities in the foreseeable future. Interviews with state officials and a review of state reports highlighted a number of issues including: an imbalance in Medicaid financing favoring institutional care, rather than home and community-based care; a shortage of frontline long-term care workers; and waiting lists for home and community-based services.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 344 |
Release | : 2001-02-27 |
Genre | : Medical |
ISBN | : 0309132746 |
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.
Author | : Policy Research Project on Managed Community Long-Term Care in Texas |
Publisher | : Lyndon B. Johnson, School of Public Affairs |
Total Pages | : 168 |
Release | : 1997 |
Genre | : Medical |
ISBN | : |
Author | : Joshua Wiener |
Publisher | : RTI Press |
Total Pages | : 18 |
Release | : 2017-09-12 |
Genre | : Business & Economics |
ISBN | : |
This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
Author | : Phyllis R. Shelton |
Publisher | : |
Total Pages | : 190 |
Release | : 2000 |
Genre | : Business & Economics |
ISBN | : 9780963351678 |
Author | : Phyllis Shelton |
Publisher | : Kensington Books |
Total Pages | : 322 |
Release | : 2003 |
Genre | : Business & Economics |
ISBN | : 9780758205537 |
Author | : United States. Congress. Senate. Special Committee on Aging |
Publisher | : |
Total Pages | : 104 |
Release | : 2006 |
Genre | : Business & Economics |
ISBN | : |
Author | : |
Publisher | : |
Total Pages | : 92 |
Release | : 1981 |
Genre | : Long-term care of the sick |
ISBN | : |
Author | : World Health Organization |
Publisher | : World Health Organization |
Total Pages | : 12 |
Release | : 2024-03-13 |
Genre | : Health & Fitness |
ISBN | : 9240090622 |