Generations articles from March 1990

Generations archives from March 1990

Which way for long-term-care financing?
March 22, 1990... There is good news and bad news about long-term-care financing. The bad news is that the United States does not have, either in the private or public sectors, satisfactory ways of helping people anticipate and pay for nursing home care and...

A comparison of long-term-care financing in the U.S. and other nations: dispelling some myths.
March 22, 1990... A COMPARISON OF LONG-TERM-CARE FINANCING IN THE U.S. & OTHER NATIONS Dispelling Some Myths This article compares the organization and financing of long-term care for the elderly in the United States with that of other advanced...

Who cares about long-term care? A review of national opinion surveys.
March 22, 1990... A FEW YEARS ago the term long-term care was familiar to only a handful of practitioners and legislators. Today, that has changed dramatically Long-term care has emerged onto the public policy agenda. A half dozen comprehensive bills, and...

The politics of financing long-term care.
March 22, 1990... The painful experience of the Congress last year with repeal of the Medicare Catastrophic Coverage Act of 1988 has inevitably changed the politics of refinancing long-term care. The result may not be entirely negative. Members of Congress...

LTC insurance: it's your choice. (private long-term-care insurance)
March 22, 1990... More and more, people are becoming aware of a major gap in their financial planning for retirement. That gap is in financing any long-term care that might be needed. The cost of long-term care, either in a nursing home or at home by paid...

Public insurance options for financing long-term care.
March 22, 1990... F In an unprecedented approach to solving the long-term-care financing problem, a number of key senators and congressmen have proposed a new way to provide long-term care-through public insurance by expanding Medicare to cover chronic-care...

Private vs. social LTC insurance: beware the comparison. (long-term-care insurance)
March 22, 1990... e debate about whether social or private insurance is the best way to solve the nation's long-term-care financing problem is a positive step in our thinking. The debate signals the acceptance of insurance principles as the basis for...

Should we worry about induced demand for long-term-care services?
March 22, 1990... At the center of the debate on long-term-care financing reforms are the effects of these reforms on increases in both public and private costs. Increases are likely for two reasons. First, many persons who currently are not eligible for...

Strategies for reducing home-care expenditures.
March 22, 1990... That home care (home health, homemaker, daycare, and respite services and the like) is not a cost-effective substitute for nursing homes now appears to be a settled issue. Patient benefits are few and fleeting. Most patients who use home care...

Striking a balance between flexibility & cost control: state community-based care systems.
March 22, 1990... IN THE ABSENCE of a federal long-term-care policy, states have taken a primary role in expanding the availability of community-care services for their elderly citizens. By reorganizing human-services delivery systems, states have created a...

Social health maintenance organizations as innovative models to control costs. (financing long-term care)
March 22, 1990... O The dominant form of healthcare delivery for Medicare beneficiaries is through private healthcare providers who deliver a variety of services on a fee-for-service basis. While a growing number of Medicare beneficiaries are enrolled in health...

Lessons in managing long-term-care costs: Continuing-Care Retirement Communities.
March 22, 1990... Continuing-Care Retirement Communities (CCRCS) have been providing housing, healthcare, social activities, and meals to elderly residents for over 25 years. While there are many variations, the typical CCRC today has about 200...

Nursing home reimbursement: cost, quality, & access trade-offs.
March 22, 1990... Over the past 25 years nursing home expenditures have grown faster than any other type of healthcare. The public share of these expenditures, borne largely by Medicaid, has also risen sharply. Because of these increases, the states-which have...

Who will provide long-term care in the future?
March 22, 1990... LONG-TERM CARE is a labor-intensive process that requires the collaboration of a complex matrix of professions, occupations, and levels of staff. Moreover, the significant substitution of capital for labor in the form of labor-saving devices...

The report of the Advisory Panel on Alzheimer's Disease 1988-1989.
March 22, 1990... It is widely recognized that Alzheimer's disease and related dementing disorders are a major public health problem both in the number of people affected (2.5 to 3 million at the present time, projected to exceed 5 million by the year 2040)...

National Dementia Care & Respite Services Program: can specialized day centers provide needed services and still be financially viable?
March 22, 1990... Everyone agrees we need alternatives to institutionalization, and everyone agrees families need help in caring for demented relatives at home. Adult day centers may be the solution to both of these concerns, if we can pay for them. The...

The Connecticut Partnership for LTC. (financing plan for long-term care)
March 22, 1990... In June of 1987 Connecticut governor William A. O'Neill's Commission on Private and Public Responsibilities for Financing Long Term Care for the Elderly issued its final report. The first recommendation called for the development of an...

The On Lok model: consolidating care and financing. (San Francisco community-based comprehensive healthcare provider)
March 22, 1990... Since 1983, On Lok, a community-based provider of comprehensive care in San Francisco, California, has had waivers allowing prospective monthly payments from Medicare, Medicaid, and/or the individual (based on the individual's entitlement)....

Recent changes in the Medicare skilled nursing benefit.
March 22, 1990... A year after enactment of the Medicare Catastrophic Coverage Act of 1988 (MCCA), Congress repealed most of the new benefits in that landmark Medicare legislation. Central to this action was the opposition of many elderly persons to the...