Kathleen Corpuz

Week 7 Discussion

Define the following terms in your own words long-term care, activities of daily living, skilled nursing and hospice care.

Out of hospital care: medical and non-medical needs, require help for activities of daily living: toileting, bathing, eating/feeding, dressing, transferring for the everyday life

Skilled nursing – specialized care, providing people with medical services the entire stay, physical operational therapist

Hospice care – end of life interdisciplinary care: priests, nurse , prognosis of 6 months, treating the symptoms

What LTC services are covered under Medicare? What services are not covered? How are the services not covered under Medicare typically financed for low, middle and high income persons?

Skilled nursing: Medicare (Part A) 100 days, qualifying hospital in-patient care, coinsurance 21-100 days

Medicaid program quality per state may suck, rates differ each state

Prepaid insurance will prepay for services, other option is out of pocket

What are the main issues facing the LTC system in the U.S.? Discuss these issues.

Women are treated unequally, one state another – facilities taking what insurance?

Burden on families for continuity

Inadequate financing of LTC – unpaid labor marganilized care

Focus on high need patients for high reimbursement – but the whole goal is to keep them independent

Dignified care at home but services out of pocket are a burden

LTCSS – community based alternatives, for those who prefer at home so financial incentives are not aligned to these preferences

Work force shortages for specialization with aides of specific care to specific populations – not compensated well, problem with baby boomers

	Created by Kathleen Corpuz almost 6 years ago

Slide Set on HPM 100 Medicare , created by Kathleen Corpuz on 20/02/2019.