Comparing Medicare And Long-Term Care

Medicare

Kelsey Reinholt

SOC 400

10/22/2015

Les Lazarevic

ABSTRACT

The focus of this paper is to provide knowledge over the Medicare and its requirements. This paper explains some challenges that might occur with the choices on Traditional Medicare, with Medicare+Choice, there is usually an incentive financially or at least an encouragement for a transfer to the private sector for little to no cost. Medicare and Medicaid, two publicly funded health programs, both cover populations in need of long-term care, but they are poorly coordinated. Spending on post-acute services in Medicare and long-term care services have grown more rapidly since 1999. Although growing numbers of people receive home and community-based

The confusing array of Medicare+Choice options includes health maintenance organizations, preferred provider organizations, provider sponsored organizations, religious fraternal benefit plans, private fee-for-service plans, and point-of-service plans. Practical geriatrics: Medicare managed mental health care: A looming crisis. (2005). Psychiatric Services, 56(7), 795-7. Retrieved from https://search.proquest.com/docview/213115255?accountid=41759

DISCUSSION

Some variability differs with the capability of providing out-of-network health providers and the services in which can be provided. By having a broad range of choices that can be provided, will cause a higher the cost for the individual that is paying. Most Medicare patients have received the managed care plans due to promises of a lower copayment amount and often medication benefits. Medicare post-acute spending has grown rapidly with the number of users between 1999 and 2007. The growth in Medicare short-term post-acute service use, in part, reflects short hospital stays and a growing demand for rehabilitation services. In my experience I have noticed that medicare long-term facilities are usually less costly than home health or even

(2005). Psychiatric Services, 56(7), 795-7. Retrieved from https://search.proquest.com/docview/213115255?accountid=41759 Ng, T., Harrington, C., & Kitchener, M. (2010). Medicare and medicaid in long-term care. Health Affairs, 29(1), 22-8. Retrieved from https://search.proquest.com/docview/204518361?accountid=41759

CONCLUSION

Our main focus should be to advocate for the coverage that would particularly benefit the patient rather than the particular model of funding. The essential features are universal health care (everyone must be covered), continuous health care coverage, affordability of insurance, economic sustainability for society, and provision of high-quality, timely, and equitable care that promotes patients' well-being.

Practical geriatrics: Medicare managed mental health care: A looming crisis. (2005). Psychiatric Services, 56(7), 795-7. Retrieved from https://search.proquest.com/docview/213115255?accountid=41759

Ng, T., Harrington, C., & Kitchener, M. (2010). Medicare and medicaid in long-term care. Health Affairs, 29(1), 22-8. Retrieved from