Problems and Issues in Long-term Care: Hearings Before the Subcommitee on Health and the Environment of the Committee on Energy and Commerce, House of Representatives, Ninety-ninth Congress, Long-term Care Services for the Elderly, October 18, 1985, Alzheimer's Disease and Related Disorders, January 27, 1986U.S. Government Printing Office, 1986 - 392 lappuses |
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acute Administration adult day agencies Alzheimer Alzheimer's disease Alzheimer's patients assets assistance Bay Pines benefits Biederman BILIRAKIS caregiver Chairman Committee community-based cost coverage covered diagnosis disabled Egg Beaters elderly persons elderly population eligible expenditures expenses facility Federal financing long-term Florida funds Gerontology going health care health insurance hearing home equity home health hospital husband impairment income increase individuals institutional LIBRARY OF CONGRESS limited living long-term care insurance long-term care services MACKALL major Medicaid Medicare Medigap million National nursing home nutrition Older Americans Act older persons option outpatient Palm Harbor payment percent Pfeiffer physician Pinellas County policies premium private insurance private sector problems RB-CCODA require residents respite respite care skilled nursing social services statement subcommittee term testimony Thank tion veteran victims WAXMAN WYDEN
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220. lappuse - ... abuse, or exploitation of children and adults unable to protect their own interests, or preserving, rehabilitating or reuniting families, (4) preventing or reducing inappropriate institutional care by providing for community-based care, home-based care, or other forms of less intensive care, or (5) securing referral or admission for institutional care when other forms of care are not appropriate, or providing services to individuals in institutions...
187. lappuse - The presence of a chronic illness or condition alone does not necessarily result in a need for long-term care. For many individuals, their illness or condition does not result in a functional impairment or dependence and they are able to go about their daily routines without...
214. lappuse - ... persons. Each State administers its own program and, subject to Federal guidelines, determines eligibility and scope of benefits. In general, each State also determines the payment rate for services provided to Medicaid recipients. The Federal Government's share of medical expenses is tied to a formula based upon the per capita income of the State. As a minimum, the Federal Government will pay 50 percent of the costs of medical care; this amount ranges up to 78 percent in the lower per capita...
222. lappuse - ... (1) secure and maintain maximum independence and dignity in a home environment for older persons capable of self-care with appropriate supportive services; and "(2) remove individual and social barriers to economic and personal independence for older persons. "DEFINITIONS "SEC. 302. For purposes of this title — "(1) The term 'social services...
187. lappuse - ... time. Major subgroups of persons needing long-term care include the elderly and non-elderly disabled, persons with developmental disabilities (primarily persons with mental retardation), and persons with mental illness. This section of appendix B focuses on the elderly long-term care population. The range of chronic illnesses and conditions resulting in the need for supportive long-term care services is extensive. Unlike acute medical illnesses, which occur suddenly and may be resolved in a relatively...
222. lappuse - Title III supports a wide range of supportive services, as well as congregate and home-delivered nutrition services. Certain supportive services have been given priority by Congress, including in-home services, such as homemaker and home health aide, visiting and telephone reassurance, and chore. Each area agency Is required to spend a portion of its supportive services allotment on these services. Other community-based long-term care services which may be provided under title III include case management,...
215. lappuse - As a result of State variations such as these, persons with identical circumstances may be eligible to receive Medicaid benefits in one State but not in another; even individuals in the same State with similar incomes may not be equally eligible for benefits due to welfare rules.
239. lappuse - Although growth has been considerable in a short period of time, the private insurance industry has approached this potential market with caution. Insurers are concerned about the potential for adverse selection in long-term care insurance, where only those persons likely to need care actually buy insurance. In addition, they point to the problem of induced demand for services that can be expected to be generated by the availability of new long-term care insurance. With induced demand, sometimes...
215. lappuse - States may at their option cover the "medically needy," persons whose Income and resources are large enough to cover daily living expenses, according to Income levels set by the State, but not large enough to pay for medical care. If the income and resources of the "medically needy...
188. lappuse - At least 80 federal programs assist persons with long-term care problems, either directly or indirectly through cash assistance, in-kind transfers, or the provision of goods and services.