Long-Term Care and the Elderly

1 - INTRODUCTION .............................. 1

Statement of the Problem .................. 1

Purpose of the Study ...................... 4

Definitions of Terms ..................... 5

2 - REVIEW OF LITERATURE ...................... 6

Introduction .............................. 6

Health Care Reform Proposals .............. 6

Benefits Standardization ............... 6

Insurance Practices .................... 8

Group Purchasing ....................... 11

The Long-Term Care System ................. 12

LTC Facilities .......... 15

The LTC Delivery System ................ 19

Care in LTC Facilities ............ 29

3 - CONCLUSION ................................ 35

REFERENCES ......................................... 37

Persons aged 65 years old or older account for approximately 12 percent of the American population. The average life span in the United States has increased from an expected 70 years in the mid-1960s to 79 years today. The expected life span for w

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impact on the care delivered to the elderly. Considerations of the differences between for-profit and not-form-profit LTC facilities are reviewed within the contexts of the impacts on LTC institutions of specific factors. These specific factors are (1) shifts in funding sources, (2) the Omnibus Budget Reconciliation Act of 1997, (3) reimbursement limits for LTC providers, and (4) managed care. Shifts in Funding Sources. Long-term care financing in the United States has changed and will change further. These changes will affect the operations of LTC facilities. Funding for long-term care has shifted from an almost total reliance on out-of-pocket spending by fixed-income elderly, to a dependence on tax-supported programs, principally Medicaid. The congress, however, is moving toward the capping of Medicaid and Medicare expenditures, moves that likely will increase the reliance on private-sector insurance to fund long-term care (Peck, 1996). When long-term care is funded primarily through private-sector insurance, LTC facilities increasingly will be reimbursed by managed care organizations. This type of change already is occurring within the nursing home industry and among other LTC facilities. LTC facilities are being aske
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Some common words found in the essay are:
Practices Health, Zinn Rosko, Standardization Health, Fanshel Lutz, Riley Booth, Boyle Jennings, Hahn Flood, Gill Walter, Zwanziger Melnick, Statement Persons, health care, managed care, ltc facilities, long-term care, subacute care, health insurance, health care services, care services, nursing homes, nursing home, chronic ailments, integrated delivery system, health insurance type, managed care effect, health care insurance,
Approximate Word count = 9269
Approximate Pages = 37 (250 words per page)

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