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As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
The U.S. political system arguably is not particularly effective at addressing gradual long-term problems such as rising health care costs and ageing. But the problems caused by rising health care costs are not just long-term ones. In fact, some of them are already having significant effects on various aspects of our society. Health care costs are already reducing workers' take-home pay to a degree that is both under-appreciated and at least partially unnecessary, consuming roughly a quarter of the federal budget, and putting substantial pressure on state budgets (mostly through the Medicaid program), thereby constraining funding for other governmental priorities. Identifying and addressing inefficiencies in the nation's health care system can yield significant benefits, even in the short term, and focusing attention on those effects that are already occurring may be helpful in developing the consensus necessary to make the needed changes.
Examines the pressures on the federal budget by presenting projections of federal spending and revenues over the coming decades. An aging population and rapidly rising health care costs will sharply increase federal spending for health care programs and Social Security. Such spending will cause federal debt to grow to unsustainable levels. Policymakers will need to let revenues increase substantially, decrease spending significantly, or adopt some combination of those two approaches. Contents of this report: Long-term Outlook for the Federal Budget; Long-term Outlook for Mandatory Spending on Health Care; Long-term Outlook for Social Security; Long-term Outlook for Revenues; Long-term Projections through 2080. Charts and tables.
The United States is in the midst of a major demographic shift. In the coming decades, people aged 65 and over will make up an increasingly large percentage of the population: The ratio of people aged 65+ to people aged 20-64 will rise by 80%. This shift is happening for two reasons: people are living longer, and many couples are choosing to have fewer children and to have those children somewhat later in life. The resulting demographic shift will present the nation with economic challenges, both to absorb the costs and to leverage the benefits of an aging population. Aging and the Macroeconomy: Long-Term Implications of an Older Population presents the fundamental factors driving the aging of the U.S. population, as well as its societal implications and likely long-term macroeconomic effects in a global context. The report finds that, while population aging does not pose an insurmountable challenge to the nation, it is imperative that sensible policies are implemented soon to allow companies and households to respond. It offers four practical approaches for preparing resources to support the future consumption of households and for adapting to the new economic landscape.
This book examines the challenges countries are facing with regard to providing and paying for long-term care.
Provides a view on projected trends in health care costs and their effect on the long-term outlook for state and local governments in the context of the current economic environment. It addresses 3 key points: (1) the state and local gov¿t. sector's long-term fiscal challenges; (2) rapidly rising health care costs which drive the sector's long-term fiscal difficulties; and (3) the considerations involved in targeting supplemental funds to states through the Medicaid program during economic downturns. The author also analyzed strategies to help states address increased Medicaid expenditures during economic downturns. The simulation model adjusts the amount of funding states would receive based on changes in unemployment and spending on Medicaid services.