Brandon Reeves
HCM 300- Healthcare Principles and
Practices
Colorado State University- Global
Campus
Ann Claesson
January 28, 2015
With the aging population of the
United States rising due to the baby boomers generations, an estimated
72.1 million Americans will be 65 years of age or older. The elderly population will be needing long-term care to handle the difficulties of aging bodies. This will lead to many issues in the current management of long-term care, and if insurance companies, and state and federal agencies do not start taking longterm health care reform seriously the
United States could really suffer in the near future.
(Sultz, H., & Young, K. 2014).
FUTURE OF LONG-TERM
MANAGEMENT
INSURANCE COMPANIES AND LONG
TERM CARE
MEDICARE
Nations principle provider for home health care and hospice.
Beneficiaries include patients have been certified by physician to be terminally ill with a life expectancy of
6months or less.
(NCPC,2014)
MEDICADE
Nations primary payer for long-term services.
Beneficiaries include divers population to include; chronic conditions, disabilities and disease.
(Kaiser, 2011)
ISSUES WITH INSURANCE COMPANIES
AND LONG-TERM CARE
MEDICADE
Long-term care users accounted for 6% of Medicaid Population, but nearly half of total Medicaid spending. One-third of elderly Medicaid beneficiaries used long-term services, but accounted for 87% of all Medicaid spending on the elderly. Two-thirds of long term care is http://www.ncd.gov/rawmedia_repository/a2f3f5f9_0a5c_4d bd_b8b7_af02036aabfb_448 paid by Medicaid.
(Kaiser, 2011)
ISSUES WITH INSURANCE
COMPANIES AND LONG-TERM CARE
•
•
MEDICARE
Does not insure custodial care.
Only covers care in a skilled nursing facility, or pay for skilled home health care services when medically necessary. (Freundlich, 2014)
In Arizona the ALTCS (Arizona long term care system) an evaluation of long-stay nursing home care concluded with results of lower quality compared to New Mexico and
New York due to incidences with ulcers,
