My chosen career path at this point in life is to be an Executive Director for a Long Term care Nursing Facility. In the world of for-profit Long Term Care Nursing, everything has a dollar amount associated with it. The average cost of a LTC Nursing facility in the state of Maryland is about $7k per month; unfortunately, people are not able to pay out of pocket this amount of money and the financial burden can tear families apart when coming to the decision that their loved one can no longer care for themselves. Financial concerns should be the least of a families concerns when making such a life altering decision. Nowadays the LTC Nursing facility does not just cater to the needs of the elderly but to also a much younger populations who are
inally, Title VII provides support for programs to ensure protection of the rights of older adults, including the Long-Term Care Ombudsman Program and elder abuse prevention services. The Long-Term Care Ombudsman Program is required to investigate and resolve complaints made by or on behalf of nursing facility residents or other institutionalized populations. Title VII funds are allocated based on the state’s proportion of residents age 60 and
In 2010, the aggregate shortfall of government funding for Medicare and Medicaid beneficiaries was estimated at $28 billion dollars. Currently, Medicare and Medicaid in combined do not cover the complete cost of care for program recipients but their beneficiaries account for about half the care provided by hospitals . In the chart it shows the uncompensated care and payment shortfalls from Medicare and Medicaid in billions of dollars, 2010 Similarly, between 2000 and 2010, the cost of uncompensated care grew by 82 percent, from $21.6 to $39.3 billion. In the below chart it shows the cost-based uncompensated care in billions of dollars, 1990 – 2010 .EMTALA’s
California Supreme Court Clarifies Long Term Care Act’s Application to Release of Confidential Information The California Supreme Court has clarified the application of the Long-Term Care Act’s disclosure requirements in consideration of Welfare and Institutions Code section 5328’s general prohibition against the release of information contained in the course of providing treatment to mentally ill and developmentally disabled individuals. In State Dept. of Public Health v. Superior Court (2015) 60 Cal.4th 940, the Supreme Court considered the issue of whether the disclosure requirements of the Long-Term Care Act (LTCA) or Welfare and Institutions Code section 5328 applied where a public records request was made for health records. The case involved the Center for Investigative Reporting, a news organization investigating the treatment of mentally ill and developmentally disabled in state owned health care facilities, which issued a public records request to the Department of Public Health (DPH) for copies of all citations issued to the facilities it was investigating.
Medicare is a federal government administered healthcare program originally implemented on July 1, 1996. Medicare has four parts (A, B, C and D) that provide different areas and differing levels of coverage. All Medicare programs provide coverage for cover healthcare services to qualifying individuals, known as beneficiaries, which includes Social Security beneficiaries over the age 65, people under 65 with certain disabilities, and people of all ages with end-stage renal disease. Each program provides coverage for medically necessary care and services to covered beneficiaries and has deductibles or copays for covered services. Medicare Part A, Medicare Part B and Medicare Part C all provide coverage for medical services.
3. The meaning and importance of the “spend down” provision in Medicaid as it relates to long term care is the spending assets.
It is my analysis of the financial burden and decisions we had to make for my grandmother is that as the demand increases for long-term care as the baby boomer population ages, Medicare and Medicaid will be forced to reevaluate how they pay for long-term care. Many states are not equipped to handle the comprehensive needs of this aging population (Ford, Henderson, & Handley, 2010). Also, families are forced to take on enormous financial burdens due to the lack of coverage by Medicare (Can Medicare, 2015). The are no true pros to this situation.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
The current TRICARE Prime enrollment fees for families have steadily increased since I retired in 2007. In 2018, they are expected to be quadruple of what they were when I retired. Heath insurance rates continue to rise despite a cost of living increase in military retired pay and the Obama administration seeks to cut health costs by having retirees and families pay more (Philpott, 2013). The Soldiers, Sailors, Marines and Airmen who fight
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.
More and more people are starting to get older everyday, and there are less young individuals compared to the older ones. Due to this fact, many people believe that healthcare can not be rationed based on a person age. They believe that you can not determine a
While some on Medicare enjoy good health and a comfortable retirement, many have significant health needs and frailties. Nearly half of all people on Medicare have four or more chronic conditions, nearly one-third have a cognitive/mental impairment, and about one-third are functionally impaired (Kaiser Family Foundation, 2015). Over the next few decades, the number of beneficiaries will obviously increase but, at the same time, the composition of the Medicare population will change. With more and more people living into their eighties and beyond, more will live with multiple conditions and complex needs.
I enjoyed reading your discussion post and I find it very informative. Medicare is an insurance plan provided by federal government for persons who are age 65 and older, totally disabled, and someone with end-stage renal disease (Touhy & Jett 2012). Your patient interestingly brought up some great points about medicare. It is sad to know that retired people have to deal with the financial hurdle of medicare. It can be very disappointing, because of the added premiums and uncovered medical bills.
The Affordable Care Act forbids health care wellness plans from inflicting a lifetime monetary value on most assistance received by Americans in any wellness plan revamping on or after September 23, 2010. While some strategies already offered insurance with no limits on lifetime aids, millions of Americans were formerly in health care wellness plans that did not. According to the Kaiser Family Foundations Employer Health Benefits Survey, a least 58 percent of all workers protected by their employer’s health care coverage plan in 2009 had some form of lifetime border placed on their assistances. In adjunct, to a least 88 percent of individuals with independently bought health insurance coverage that also had a lifetime boundary on their coverage
Medicare and Medicaid play a part in our long-term health care system in the United States. Long-term health care is medical and nonmedical care that is provided to individuals who are chronically ill or who have disabilities (MacTaggart and Hyatt, 2013, p. 1). Medicare and Medicaid may help pay for some of the long-term services.
