Medicaid and Medicare

1055 Words5 Pages
According to Barton (2010) Long-term Care “emphasized continuous care over a period of at least 90 days for a range of acute and chronic conditions. Regardless of the length of time (i.e., from weeks to years), LTC is an array of services provided in a range of settings to people who have lost some capacity for independence because of an injury, a chronic illness, or a condition” (pg. 349). This is the description of someone who may have been in a debilitating car accident, an elderly person with Alzheimer’s and dementia, a person diagnosed with chronic mental illness, and individuals who are developmentally delayed or “disabled.” People who are placed in these type of long-term care facilities are usually screened using two different…show more content…
As I previously stated, there are a number of people who can provide LTC services. For those individuals who receive these services, but who are receiving them within their home or in home services, they are usually provided these services by certified nursing assistants or personal care aides. They can even be provided by family or friends. The latter usually does not receive pay. Hospice services are also provided be nursing assistants due to the nature of the work. Sometimes family members do not want to go into hospice so they are care for by their loved ones. Nursing homes are staffed with nurses, medication technicians, and nursing assistants as well. The delivery of these services can be affected by various policies and payment mechanisms. All of these services cost money as do medical insurance. Unfortunately for those people who cannot afford services, they are left with nothing or either poor care, which is unjust and just shouldn’t be. There are major challenges faced by policy makers such as trying to control the cost of Medicaid spending because Medicaid is the biggest payer of these services. Policy makers must ensure that they are also keeping the individual served front and foremost in their decisions. Ensuring that quality services are met is one piece of the puzzle. As stated, unfortunately it seems that those who have lesser insurance or who cannot afford these services are provided with less than
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