Assisted Living Care

As more and more elderly Americans choose to spend their later years in assisted living facilities, FRONTLINE and ProPublica examine whether this loosely regulated, multi-billion dollar industry is putting seniors at risk? Their film “Life and Death in Assisted Living” depicts different phenomenons that occurs in assisted living that America is unaware of. A testimony provided in the film describes assisted living as being “a rock that you don’t want to look under” because of the unspoken neglect and abuse of the residents in the facilities. This film focuses on the investigation and evaluation of the care provided by Emeritus’ assisted living facilities. It provides viewers with information on what makes assisted living unique, the qualifications

As we become older, issues with our health begin to take affect and finding ways to fund for that care is becoming even more difficult. In the article “Some Elders Must Take Drastic Measures to Obtain Long-term Care”, national magazine journalist Mary A. Fischer (2011) states that many Americans must face demeaning and disempowering choices in order to qualify for Medicaid or Medicare—federal funded health insurance programs— such as refusing to pay for a spouses institutionalization, divorce, and spending down assets. The author argues that these choices leave the healthy spouse with decreased funds to plan for their own retirement expense (Fisher, 2011). Working in the health care field for 4 years, along with my family’s own personal experiences I can relate to this article, since I have seen a variety of ways that federal funded health insurances have been unable to meet the expectations and demands of its beneficiaries.

Benefit provisions vary from one state program to another, but federal guidelines require all states to provide a minimum benefit package, including hospital inpatient and outpatient care, physician care, and many other services. In the area of long-term care, all states are required to pay for nursing home care, and they must also pay for home healthcare for those who are “nursing home eligible” which are those who would need nursing home care if they did not receive home care. And although federal guidelines do not require it, an increasing number of states also pay benefits for home and community-based services. These services may include personal care, home health aide services, rehabilitation, therapies, intermission care, homemaker services, and other services. In addition, a few states pay for long-term care services received in an assisted living residence. Unlike Medicare, with its highly restrictive conditions for payment of nursing home or home care benefits, Medicaid generally meets the need for long-term care (for those who eligible). Medicaid pays benefits for personal and supervisory care even if skilled care is not needed, and the program covers ongoing care needed to cope with a chronic impairment, not just care required for a short time to facilitate recovery from an acute illness or injury. However, there are some important limitations to Medicaid long-term care benefits: (1)

In the fiscal year 2010, (O’Shaughnessy, 2012) only about 5.1%, or 3 million people, out of the 57.8 million people age sixty and over, received services funded by the Act. These services included home delivered meals, home care, personal care, or case management services on a regular or intensive basis. About 14%, 8 million people, received other services, such as transportation, congregate meals, or information and assistance on a not so regular basis. A report was made by the Government Accountability Office stating that their findings were that many older people are in need of meals and other supportive services to help remain independent in their own communities, but a large portion of them are not getting the help they are in need of. Some barriers causing this lack of help are lack of funding and lack of knowledge among the older Americans that they may be eligible for benefits and services can be available for them.

With slight similarities, federal matching grants were provided by Medicaid to finance medical cost for the low income who were on welfare, disable, and elderly (Rowland, Summer 2015). At first, Medicaid was initially for the welfare population but was extended to be used by other low-come individuals that needed health insurance for medical care (Rowland, Summer 2015). Throughout the years, Medicaid has grown with an array of services it provides and with its population of those utilizing it and has extended to provide coverage to low-income individuals, the permanently disable, and those in need of Long Term Care (Rowland, Summer 2015).

Notably, this act entails parents of disabled adult children that require care can be designated caregivers as long as the parent is not also the recipient’s designated representative. Certain restrictions on whether they live with the consumer of home health services will apply.

Long-term care is vital in the United States health care system. As the population ages, more people will need assistance to recover from illness or injury, and others will need end of life care to ease their passing. People who use long-term care are all ages. From young to old, people can receive it if they cannot care for themselves because of a condition, an illness, or an injury that requires assistance for a period of 90 days or more. The concern people face when looking at long-term care is the funding. Medicaid will likely be drained of funds long before the country’s aging population is past its peak and while there are some options of insurance coverage, not everyone may afford them.

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

This paper will discuss the early years and failed efforts that transformed the Medicaid program into what is seen today. A comparison between Medicaid and Medicare will be brief but is necessary because there are significant and critical differences between these government-funded insurance options. The substantial growth of Medicaid expenditures and beneficiaries are important and these trends will be looked at in detail. There have been provisions related to the unanticipated expansion of this program which will be reviewed. Attempts to expand Medicaid eligibility further need to be addressed (example: Patient Protection and Affordable Care Act). Stigmas that are associated with receiving Medicaid will be reviewed. I will share my

As the government’s role in public health remains, major changes have been put into effect, precisely dealing with long-term care. Before the 1930’s, providing care for the elderly was exclusively a local and state run industry. However, after the great depression, a growing demand was placed on providing some type of insurance for that population. The Social Security Act of 1935 was established to assist with “Federal old-age benefits” and was signed into effect by President Roosevelt on August 15, 1935. (Home, 2015) Another major impact to long-term care has been the creation of Medicaid that went into effect in 1965 and was an amendment to the Social Security Act of 1935. “Title XIX of the Social Security Act is a federal and state entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources” Medicaid is a collective effort between state and the government to help provide insurance for eligible citizens. Among those covered under this insurance, are the elderly, disabled and pregnant. Medicaid is the largest source of funding for medical care. The new changes to Medicaid are ongoing and will be put into effect as part of Obamacare.

Medicaid is a vital lifeline for some 72 million Americans. Two-thirds of all Medicaid spending supports senior citizens and persons with disabilities. Cutting Medicaid would jeopardize the quality of healthcare, long-term services, and nursing home care for tens of millions of Americans. There are significant cost issues in America’s healthcare system that must be effectively addressed, but these challenges will not be remedied by benefit cuts to vulnerable

Research show that in 2013, over 9.5% of seniors over the age of sixty-five lived in poverty with the percentage increasing as an individual’s age increases (McNeal, 2016). These statistics does not account for the other issues which affects families and caretakers when addressing the well-being of their loved ones and the inadequate access to long term care.

The federal government is responsible for setting out regulations for nursing home facilities all over America. It requires that require that these facilities to adhere to the codes of conduct, uphold the constitutional rights of residents in these facilities and uphold professional conduct (G.J.Jorgest, 2006). In many states such as Iowa, the local government include clauses that are aimed at making the lives of those in these facilities more bearable either as they brave their illnesses or as they age. These clauses are designed to be consistent with the regulations set by the federal government and are in most cases stricter.

For this assignment I decided to write my reflection paper on the “Life and Death in Assisted Living” video. Out of all the videos that were presented to me, I felt this video was the most interesting to me. This video showed many different incidents that happen assisted living facility on the day to day, that many people including myself was not aware of. One of the main reasons I find this video interesting is, because one day I plan to be an administrator at an assisted living. I preferably want to be an administrator of an assisted living with a hundred beds or more. As an administrator I want to make sure I understand the positions, feelings, and point of views from everyone involved in the facility, including from the residents as well.

Medicaid is a government program that effects millions of people in the united states by providing health care. These individuals that receive these benefits include low-income adults, children, pregnant woman, the elderly, and people with disabilities (medicaid.gov). Because of the many different types of people that this program serves, it has the ability to effect many people across America. In the United States, each individual state administers and makes decision about their own medicaid program. There are certain services that the states are required to provide to a pateint with medicaid. A few, but not all, of these services are home health services, in and outpatient hospital services, X-ray services, family planning services,