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This book reflects on efforts to implement the Partnership for Long Term Care, a project funded by the Robert Wood Johnson Foundation. The Partnership's early failures and successes are discussed, and alternative visions of future long term care financing are described. Contributors represent a variety of ideological viewpoints on individual versus societal responsibilities and the relative roles of the public and private sectors in providing a safety net for the elderly, yet all are skeptical of the success of the Partnership. They outline difficulties from practical and policy standpoints and discuss lessons learned. This book lacks a subject index. c. Book News Inc.
State Long-Term Care Partnership Program - Reporting Requirements for Insurers (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the State Long-Term Care Partnership Program - Reporting Requirements for Insurers (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule sets forth reporting requirements for private insurers that issue qualified long-term care insurance policies in States participating in the State Long-Term Care Partnership Program established under the Deficit Reduction Act of 2005 (DRA) (Pub. L. 109-171). Section 6021 of the DRA requires that the Secretary of Health and Human Services (the Secretary) specify a set of reporting requirements and collect data from insurers on qualified long-term care insurance policies issued under the program and the subsequent use of the benefits under these policies. Under a State Long-Term Care Partnership Program, an amount equal to the benefits received under the long-term care insurance policy is disregarded in determining the assets of an individual for purposes of Medicaid eligibility and estate recovery. This book contains: - The complete text of the State Long-Term Care Partnership Program - Reporting Requirements for Insurers (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section
In exploring integration of acute and long-tern care, this book begins by characterising the dually eligible population, and describing problems associated with meeting their health and social service needs in an uncoordinated system. It continues by analysing the advantages of using capitation and care management as a vehicle for integrating those services, and by discussing concerns about care integration strategies. It concludes by profiling nine federal and state programs that to varying degrees, integrate the acute and long-term care services that people who are dually eligible for Medicare-Medicaid, often require. They are: Federal initiatives such as the Program for All-inclusive Care of the Elderly (PACE), which capitates both Medicare and Medicaid acute and long-term care services for those who are dually eligible, and the Social/Health Maintenance Organization (S/HMO) and EverCare demonstrations, which capitate Medicare benefits only; Comprehensive state demonstrations such as Minnesota Senior Health Options, the Wisconsin Partnership Program, and the Continuing Care Network Demonstration of Monroe County, New York, which, like PACE, capitates both Medicare and Medicaid benefits; and Capitated state Medicaid demonstrations such as the Arizona Long-Term Care System, Oregon Health Plan, and Florida's Community-Based Diversion Pilot Project, which capitate Medicaid only, but actively pursue various Medicare co-ordination strategies. Proposals that explore using care management techniques to integrate Medicare and Medicaid services delivery, without capitation, are also discussed briefly. The book concludes with the observation that although federal and state initiatives to integrate acute and long-term care for those who are dually eligible, only serve a relatively small percentage of this population, they provide a set of options which Congress may want to examine when formulating long-term care policy in the future.
Now in its second edition, Long-Term Care: Managing Across the Continuum has been thoroughly revised and updated to provide you with a solid foundation on which to build your management expertise. The text provides a comprehensive overview of the current state of long-term care, the changes that are taking place, and of the skills managers need to be successful.
Lasting healthcare for the entire population, specifically the elderly, has become a main priority in society. It is imperative to find ways to boost the longevity of healthcare services for all users. Sustainable Health and Long-Term Care Solutions for an Aging Population is a pivotal reference source featuring the latest scholarly research on issues pertinent to health cost and finding effective ways of financing healthcare for the elderly. Including coverage on a number of topics such as provider accreditation, corporate social responsibility, and data management, this book is ideally designed for policy makers, academicians, researchers, and advanced-level students seeking current research on the innovative planning and development of healthcare.