Comparing Nursing Home

Medicare, the federal governments health insurance program, finances acute medical care for nearly all elderly Americans over the age of sixty-five. However, very few long-term care services are covered. Medicare finances long-term care only partially through it’s limited skilled nursing facility (SNF) and home health benefits. “Despite recent growth in spending on these benefits, much of the SNF and home-care paid for by Medicare remains short-term rehabilitative care, often related to a hospital stay or outpatient procedure. Medicare covers SNF care for up to 100 days following a hospital stay of at least three days. For homebound persons needing part-time skilled nursing care or therapy services, Medicare pays for home health care, including personal care services provided by home health aides.” (Feder, Komisar, and Niefeld) All that is not covered, the elderly are expected to cover with savings, private insurance policies, and financial support

What are the views of older adults regarding Assisted Living Facilities (ALF) and Skilled Nursing Facilities (SNF).

Roles of Administrator and Case Managers in this facility vs. roles of Administrator and Case Manager in other facilities

The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.

Many nursing homes assume in error that if a patient has stopped making progress towards recovery then Medicare coverage should end. In fact, if the patient needs continued skilled care simply to maintain his or her status then the care should be provided and is covered by Medicare.In fact, patients often receive an array of treatments that don 't need to be carried out by a skilled nurse but that may, in combination, require skilled supervision.Even in cases where the SNF initially treats the patient as a Medicare recipient, after two or more weeks, often, the SNF will determine that the patient no longer needs a skilled level of care and will

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)

The quality of long term care has become a topic for the elderly and their family. Some of the issues are cost, quality, and access of care. The expansion of the elderly population, is expected to affect significantly the provision of long-term care. The impact of care has been considered. Social choice will play in shaping the future of the long-term care system. The Federal Government and the expansion of the Affordable Care Act are part of this social decision. One of the major concerns is the cost of long term care. Most of the U.S. population have the benefits of using Medicare.

Long term care is one of the fastest growing health sectors due to the increased average life

You mentioned two of the main payers for the over 65 population, Medicaid and Medicare. I work in long-term care (LTC) and deal with regulations governing Medicaid and Medicare reimbursement daily. Currently, at least in North Carolina, our skilled nursing facility (SNF) Medicaid rates were frozen at the 12/31/14 CMI rate. That means for over a year now SNFs have been paid at the same rate, but expenses have not frozen. This rate freeze has placed financial pressures on SNFs and presented them with operational challenges regarding implementing and maintaining quality initiatives.

The results of main affects for assigned clients in the control group: gender (F(1,1.935) = 0.015, p = .907, η2 = .051), age

| Based on explicit knowledge and this can be easy and fast to capture and analyse.Results can be generalised to larger populationsCan be repeated – therefore good test re-test reliability and validityStatistical analyses and interpretation are

These two statistical test were appropriate for this research study as described by the authors.

Hello Lauren, nice solid post! Well done on explaining when assisted living and village living might be a good option for care. Assisted living is an alternative care for the elderly. This allows them to have independency and privacy of home life, but also the care and supervision of a nursing home (Berger, pg. 568). My great-grandfather is in assisted living and he loves his apartment and the independence assisted living gives him. He is able to go out and walk around without having to check in with nurses 24/7. However, they do keep an eye on him and check up on him periodically and inform his children (my grandmother and great-uncle) on how he is doing. Another form of alternative care option is something called, village care. This form

Nursing topics were grouped together so that it flowed logically together and the nurse only needed to indicate negative exceptions to a healthy assessment. This would also minimize charting and clarify problematic areas in the patient’s assessment. If a section was normal, a quick check box indicating “no problems noted” was provided.

The Chi-squared test has certain requirements in terms of the minimum expected population for each category. The data did not meet these criteria, meaning that the chi-squared test in this circumstance would be inappropriate. To avoid such issues, the nonparametric Kolmogorov-Smirnov test was used in preference as it has less rigorous data requirements..