Home- and Community-Based Services for Older Adults - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Home- and Community-Based Services for Older Adults write by Keith Anderson. This book was released on 2018-05-01. Home- and Community-Based Services for Older Adults available in PDF, EPUB and Kindle. As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?
Long-term Care in Illinois
Long-term Care in Illinois - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Long-term Care in Illinois write by John V. Lambert. This book was released on 2004. Long-term Care in Illinois available in PDF, EPUB and Kindle. Illinois is the fifth largest state in the country with 12.4 million people in 2000; the population increased by almost 9% or about one million people in the past decade. About 12% of the state's population is age 65 and older -- 1.5 million people in 2000. By 2025 the Illinois elderly population is expected to increase by over 50% and will be 16.6% of the state's total population. Illinois is one of the few states in the country that provides older persons and younger adults, who meet the eligibility criteria, with state entitlements to home and community-based long-term care services. Both entitlements resulted from court cases that were brought to eliminate waiting lists for services. The state funds the Community Care Program for older adults and the Home Services Program for persons with physical disabilities with a combination of state general revenue funds and Medicaid Section 1915 (c) waiver funds. The Community Care Program uses contracted agencies for the provision of homemaker, adult day care services, and case management services. In contrast, the Home Services Program's relies primarily on personal assistants, whom consumers supervise, to provide services. According to state officials, in 2002 the state had about 3,000 people with developmental disabilities in state-operated development centers (SODCs), 6,500 people in private intermediate care facilities for the mentally retarded (ICFs/MR) and 8,800 people in Section 1915 (c) Medicaid home and community-based services waivers for the developmentally disabled.
Long Term Care in Maine
Long Term Care in Maine - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Long Term Care in Maine write by John V. Lambert. This book was released on 2004. Long Term Care in Maine available in PDF, EPUB and Kindle. Demographic challenges posed by the growing elderly population and demands for greater public commitment to home and community-based care for persons with disabilities have drawn the attention of federal and state policymakers. Spending on long-term care by both the public and private sectors is significant. In 2001, spending for long-term care services for persons of all ages represented 12.2% of all personal health care spending (almost $152 billion of $1.24 trillion). Federal and state governments accounted for almost two-thirds of all spending. By far, the primary payer for long-term care is the federal-state Medicaid program, which paid for almost half of all long-term care spending in 2001. Maine is one of the smallest states in the country with 13 million people in 2000; it is also one of the oldest states, with 14.4% of its population aged 65 and older. By 2025, over one-fifth of its population will be 65 and older. Medicaid spending for long-term care in Maine in FY2001 was $411 million -- almost one-third of all Medicaid spending. In part due to the aging population and because of a 1993 budgetary crisis involving rapidly escalating Medicaid nursing home costs, Maine has pursued an aggressive policy to decrease dependence on nursing homes. Between 1995 and 2001, the percentage of public long-term care funding devoted to these facilities decreased from 84% to 61%. Moreover, the state has decreased reliance on large state-operated residential facilities for persons with mental retardation in favor of smaller community-based facilities. Maine's efforts to reduce reliance on institutional care has been in part due to expanded use of Medicaid's home and community-based waiver program as well as multiple state-funded programs. PARTIAL
The Availability and Generosity of Medicaid Home & Community Based Services for Economically Vulnerable Older Adults
The Availability and Generosity of Medicaid Home & Community Based Services for Economically Vulnerable Older Adults - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Availability and Generosity of Medicaid Home & Community Based Services for Economically Vulnerable Older Adults write by Hazal Erçin. This book was released on 2021. The Availability and Generosity of Medicaid Home & Community Based Services for Economically Vulnerable Older Adults available in PDF, EPUB and Kindle. Most older adults express a wish to age and die in their own homes, yet without a support system, dying at home can be impossible due to high needs for assistance with self-care, mobility, symptom management, and day-to-day functioning at the end of life. The care needs of economically vulnerable, community-dwelling older adults are addressed by Medicaid 1915(c) waivers which allow Medicaid funds to be used to provide home and community-based services (HCBS). Medicaid 1915(c) waivers reach the most economically vulnerable older adults -- also known as "dual eligible" older adults as they are qualified for both Medicare and Medicaid. HCBS waivers allow states to provide services that can help with symptoms, housework, daily activities, caregiver support, and with home safety. There is no federal policy regulating the services provided by Medicaid waiver programs and 1915(c) waivers are offered at the discretion of the states. As a result, states vary dramatically in the availability of the suite of services provided as well as the level of funding, or generosity of these services. These state-level differences may create disparities in the end-of-life experiences among dual-eligible older adults based on the state they live and die in. Aims: This dissertation investigated 1) state variation in Medicaid 1915(c) waiver availability and generosity of HCBS to dual-eligible older adults, and 2) the association between state variation in availability and generosity and end of life experiences. Methods: Three papers were written to answer the aims of this dissertation. First, a policy analysis was conducted to explore the availability and generosity of 1915(c) waivers utilizing three datasets: 1) waiver application documents located at CMS.Medicaid.org, 2) the Medicaid Analytic Extract - Other Services (MAX-OT) dataset, and 3) Genworth State Cost of Care Survey 2013. Analysis of these datasets resulted in summative descriptions of 8 state-level indicators for availability and generosity of HCBS. For the second and third papers, the National Health and Aging Trends Study (NHATS) (Wave 2-7, 2012-2017) was utilized in addition to state-level data summaries created for the policy analysis. For paper 2, regression analyses were used to determine the effect of waiver availability and generosity on unmet end of life needs. For paper 3, regression analyses examined the effect of HCBS on the quality of life reported at the end of life. Results: Substantial variation exists between states in available services, coverage for target groups, service slots available, ability to direct ' own care, and generosity of services. Paper 2 found that 40.26% of the sample had unmet needs for self-care and mobility activities Unmet need for assistance was associated with lower availability of HCBS and less generosity for homemaker services, having dementia, and not having participant direction option. Paper 3 found that 56.07% of low-income respondents reported having a low quality of end of life. Lower quality at the of end of life was associated with fewer available HCBS slots, living alone, higher numbers of chronic diseases, and receiving hospice during the last month of life and. Discussion: Community-dwelling dual eligible older adults nearing the end-of-life experience unmet needs with self-care and mobility activities and low quality of end of life, such as high symptom burden and lower functioning. The findings indicated that 1915(c) waivers could tailor their services for older adults at the end of life due to their higher risk for unmet needs and lower quality of end of life. Generosity for the services and slots available for dual-eligible older adults were also associated with end-of-life experiences of this sample, therefore Medicaid waivers should increase their generosity and slots to better meet the needs of economically vulnerable older adults at the end of life.
Home and Community Services for the Elderly
Home and Community Services for the Elderly - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Home and Community Services for the Elderly write by United States. Congress. House. Select Committee on Aging. This book was released on 1992. Home and Community Services for the Elderly available in PDF, EPUB and Kindle.
