Long-Term Care Reimbursement Paper

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.Long-Term Care Reimbursement Paper 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.
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People can receive care in a home setting, a community, or an institutional setting.Long-Term Care Reimbursement Paper Some of these settings include home care services, nursing homes, or assisted living facilities. The amount of care given varies by person based on his or her needs to function in their daily lives. They are determined by Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Barton lists ADLs as eating, bathing, dressing, getting to and using the bathroom, getting in or out of bed or a chair, and mobility. Barton describes IADLs as going outside the home, keeping track of money or bills, preparing meals, doing light housework, using the telephone, and taking medicine.
People provide care by informal family providers in the home setting as well as nurses or other staff that they hire to assist. The majority of the informal settings consist of an elderly parent under the care of an adult daughter. Often these women have young children of their own to take care of. This group is sometimes referred to as the “sandwich generation” because their own needs become sandwiched between those of older parents or other family members and those of children, adolescents, and young adults (Barton, 2006). There may be a decline in informal care in the future as family trends change and less that can give the time, support, and finances to do this job.
In a formal setting, trained caregivers are compensated for their care.Long-Term Care Reimbursement Paper
Long-term care can be defined as a broad set of paid and unpaid services for people who are mentally or physically disabled, or whose chronic illness places them in need of medical or personal assistance for long periods of time. “It is estimated that there are more than twelve million Americans of all ages whose mix of serious disability and chronic illness places them at the high risk for functional decline, hospitalization, or nursing home placement.” (Benjamin) Several different populations require long-term care services, and the needs of these populations vary.Long-Term Care Reimbursement Paper In addition to the elderly, many of the long-term care users are younger persons with physical disabilities; persons with developmental disabilities; and persons with chronic…show more content…

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and non institutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care. 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.Long-Term Care Reimbursement Paper Medicare covers SNF care for up to 100 days following a hospital stay of at least three days. For home bound 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
When it comes to long-term care, it is widely known as a field of work that has a very high worker turnover rate. Many studies have been done in addition to extensive research to seek out what is causing this phenomenon and what can be done to fix it. Taking history into consideration, closing the gap in worker turnover and aiming to get higher retention rates will be an upward battle and will take new tactics and strategies to change the minds of those already in this particular field of work as well as make it more appealing to those not yet in it. According to research, the turnover rate in long-term care is a substantial problem, with rates ranging from 55% to 75% for nurses and aides and sometimes over 100% for aides alone. There are …show more content…

By taking the time to assess if any candidate is really fit for the job it will help them by getting a person who really has a passion for the field. Although it may be more work and will take more time, a more stringent onboarding process will assist companies in not just getting bodies in chairs but employees for life. Long-Term Care Reimbursement Paper
An obvious strategy within the Long Term Care field would be to Increase pay and expand benefits for workers within the field. There is currently a large gap in wages between workers within long-term care and acute care. By closing that gap there may be an increase in those willing to stay within their jobs for a longer time. Although a good amount of long-term care facilities depend on public reimbursement, increase to the that will directly affect workers, through budget redistributions must be considered. Employee health benefits and insurance should also be considered for all employees within the field as a measure to give workers a peace of mind for themselves and families but will also show them that the company they work for values them and their health as healthy happy workers will indeed have the potential for longevity within any given company.Long-Term Care Reimbursement Paper


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