56 Matching Results

Search Results

Advanced search parameters have been applied.

Long-Term Care (LTC): Financing Overview and Issues for Congress

Description: This report provides an overview of long-term care (LTC) and an explanation of the nation’s complex financing system of public and private payers. It also describes some of the major challenges facing Congress as it contemplates LTC reform and whether and how to include LTC in health reform legislation.
Date: February 1, 2010
Creator: Stone, Julie
Partner: UNT Libraries Government Documents Department

Recent Developments in Medicare Affecting Long-Term Care Hospitals

Description: Medicare pays about $36 billion annually for post-acute care in four separate settings: long-term care hospitals (LTCHs), inpatient rehabilitation settings (IRFs), skilled nursing facilities (SNFs), and in the home. This report provides background information on several operational issues affecting LTCHs that are currently attracting attention from Congress, specifically efforts to develop a patient assessment tool, to develop qualification criteria that should be imposed on LTCHs, and to change Medicare’s LTCH payment methods.
Date: March 14, 2006
Creator: Tilson, Sibyl
Partner: UNT Libraries Government Documents Department

Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress

Description: This report will discuss the role of long-term care insurance (LTCI) in financing long term care (LTC) costs and current trends in the LTCI industry; factors affecting the demand for LTCI, including cost and complexity of the product and adequacy of consumer protections; and key features of legislative proposals in the 111th Congress to address these issues.
Date: May 27, 2009
Creator: Mulvey, Janemarie
Partner: UNT Libraries Government Documents Department

Housing and the Aging Population: Options for the New Century

Description: This book is the second volume in the Garland Reference Library of Social Science Series. In this book, the authors address the topic of aging from a wide variety of perspectives and provide a basis for the discussion of housing issues concerning the elderly in the coming century.
Date: 1994
Creator: Folts, W. Edward (William Edward) & Yeatts, Dale E., 1952-
Partner: UNT College of Public Affairs and Community Service

Long-Term Services and Supports: Overview and Financing

Description: This report provides an overview of Long-term services and supports (LTSS), including who needs LTSS, how need for LTSS is determined, and how much LTSS costs. The report also provides information on who the primary LTSS payers are, how much they spend, and what types of services are purchased.
Date: April 4, 2013
Creator: Colello, Kirsten J.; Mulvey, Janemarie & Talaga, Scott R.
Partner: UNT Libraries Government Documents Department

Long-Term Care Administrator Licensure and Certification: An Emerging Health Profession

Description: The long-term care administrator profession is one that is both new and evolving. The unique historical perspective of this health profession is brief in the number of years it encompasses and crucial in understanding the current issues facing the profession. Administrator experiences provide a point of reference regarding the profession's structural problems. Ethical considerations play a dynamic role in administrators' daily jobs as well as their continued licensure. The significance of the profession's ongoing problems at the state and national level causes the need for alternatives to the current system. A combination of these alternatives must be embraced to assist in the recruitment and retention of long-term care administrators.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Syverson, Thomas
Partner: UNT Libraries

Long-Term Care: Elderly Individuals Could Find Significant Variation in the Availability of Medicaid Home and Community Services

Description: Testimony issued by the General Accounting Office with an abstract that begins "As the baby boomers age, spending on long-term care for the elderly could quadruple by 2050. The growing demand for long-term care will put pressure on federal and state budgets because long-term care relies heavily on public financing, particularly Medicaid. Nursing home care traditionally has accounted for most Medicaid long-term care expenditures, but the high costs of such care and the preference of many individuals to stay in their own homes has led states to expand their Medicaid programs to provide coverage for home- and community-based long-term care. GAO found that a Medicaid-eligible elderly individual with the same disabling conditions, care needs, and availability of informal family support could find significant differences in the type and intensity of home and community-based services that would be offered for his or her care. These differences were due in part to the very nature of long-term care needs--which can involve physical or cognitive disabling conditions--and the lack of a consensus as to what services are needed to compensate for these disabilities and what balance should exist between publicly available and family-provided services. The differences in care plans were also due to decisions that states have made in designing their Medicaid long-term care programs and the resources devoted to them. The case managers GAO contacted generally offered care plans that relied on in-home services rather than other residential care settings. However, the in-home services offered varied considerably."
Date: September 26, 2002
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Long-Term Care: Implications of Supreme Court's Olmstead Decision Are Still Unfolding

Description: Testimony issued by the General Accounting Office with an abstract that begins "In the Olmstead case, the Supreme Court decided that states were violating title II of the Americans with Disabilities Act of 1990 (ADA) if they provided care to disabled people in institutional settings when they could be a appropriately served in a home or community-based setting. Considerable attention has focused on the decision's implications for Medicaid, the dominant public program supporting long-term care institutional, home, and community-based services. Although Medicaid spending for home and community-based service is growing, these are largely optional benefits that states may or may not choose to offer, and states vary widely in the degree to which they cover them. The implications of the Olmstead decision--in terms of the scope and the nature of states' obligation to provide home and community-based long-term care services--are still unfolding. Although the Supreme Court ruled that providing care in institutional settings may violate the ADA, it also recognized that there are limits to what states can do, given the available resources and the obligation to provide a range of services for disabled people. The decision left many open questions for states and lower courts to resolve. State programs also may be influenced over time as dozens of lawsuits and hundreds of formal complaints seeking access to appropriate services are resolved."
Date: September 24, 2001
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Long-Term Care: Baby Boom Generation Increases Challenge of Financing Needed Services

Description: Testimony issued by the General Accounting Office with an abstract that begins "The confluence of the aging baby boom generation, longer life expectancies, and evolving options for providing and financing long-term care services will require substantial public and private investment in long-term care and the development of sufficient capacity to serve this growing population. Spending for long-term care was about $134 billion in 1999. Medicaid and Medicare paid for nearly 58 percent of these services, contributing about $59 billion and $18 billion, respectively. Private long-term care insurance was viewed as a possible way to reduce catastrophic financial risk for the elderly needing long-term care and to relieve some of the financing burden now shouldered by public long-term care programs. Yet private insurance represents only about 10 percent of long-term care spending. Questions remain about the affordability of policies and the value of the coverage relative to the premiums charged. Although many states have adopted standards for long-term care policies, it is uncertain whether these standards have bolstered consumer confidence in the reliability of long-term care insurance. If long-term care insurance is to have a more significant role in addressing the baby boom generation's upcoming chronic health care needs, consumers must view the policies being offered as reliable, affordable products with benefits and limitations that are easy to understand."
Date: March 27, 2001
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Empowered Work Teams in Long-Term Care: Strategies for Improving Outcomes for Residents and Staff

Description: Book discussing empowered work teams in long-term care and strategies for improving outcomes for residents and staff.
Access: This item is restricted to the UNT Community Members at a UNT Libraries Location.
Date: 2008
Creator: Yeatts, Dale E., 1952-; Cready, Cynthia M. & Noelker, Linda S.
Partner: UNT College of Public Affairs and Community Service

Commission on Long-Term Care: Report to the Congress

Description: The federal Commission on Long-Term Care. Established as part of the American Taxpayer Relief Act of 2012 and signed into law January 2, 2013, the commission's goal was to advise Congress on how comprehensive, high-quality long-term care can be better provided and financed for the nation's older adults and people with disabilities. The Commission is composed of 15 members of the Senate and House of Representatives and released this final report on September 18, 2013. In this document, the commission charted a vision of a fiscally sustainable and effective service delivery system built around concepts of person-and-family-centered care, with integration of long-term services and supports (LTSS) and medicare for both older and younger people with significant cognitive or physical functional limitations. The report provides a solid foundation from which Congress and federal agencies can initiate a more extensive effort to confront the identified LTSS challenges and to move forward on the development and implementation of a better, more comprehensive LTSS system.
Date: September 30, 2013
Creator: United States Senate Commission on Long-Term Care
Partner: UNT Libraries Government Documents Department

A Comparison of Prior Health Care Experience to Successful Relocation in Long-Term Care

Description: The problem of this study is to compare prior health care experience with satisfactory adjustment in a long-term care facility. Both quantity and quality of prior experience in a health care facility are examined in terms of the significance to successful relocation. Demographic data and perceived control of health are examined in relation to significance of the findings.
Date: August 1987
Creator: Tickle, Eugenia Hendricks, 1937-
Partner: UNT Libraries

Special Care Units for People With Alzheimer's and Other Dementias: Consumer Education, Research, Regulatory, and Reimbursement Issues

Description: This report analyzes the available information about special care units for people with dementia. It discusses ways in which the Federal Government could encourage and support what is positive about special care units and at the same time protect vulnerable patients and their families from special care units that actually provide nothing special for their residents.
Date: August 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Resident Care Policies in an Administrative Policy Manual for Texas Long-Term Care Facilities

Description: Federal and state regulations require that licensed long-term care facilities have policies for every resident-related topic. Long-term care administrators must plan, implement, and evaluate resident care policies that can be easily personalized to the needs of the specific facility's population. Part 1 of this paper is an overview of resident policies, covering admission, physician services, transfers and discharges, nursing services, restraints, abuse and neglect, pharmaceutical services, dietary services, clinical records, therapeutic recreation services, and social services. Part 2 presents the policies themselves, ready for use by Texas long-term care administrators as part of their facility's administrative policy manual.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: May 2001
Creator: Arnwine, Hilary Campbell
Partner: UNT Libraries

Resident Profile and Considerations for the Development of a Strategic Plan

Description: The graying of America will have implications for all areas of society, especially the delivery of long-term care services. Many older individuals are aging in place, a phenomenon that is apparent at Dickinson Place, a church-sponsored low-income housing property for the elderly in Dallas, Texas, where the average age of residents has risen from 65 in the early 1970s to 78 in 1999. This change has prompted the board of directors to review the facility's mission, its physical plant, and the services it provides for strategic planning purposes, to ensure that Dickinson Place can continue to meet the needs of its residents both now and in the future.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Burgos, Dalila
Partner: UNT Libraries