{"title":"Patients' rights and provider accountability.","authors":"D A Randall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 2","pages":"4-11"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21162196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Home intravenous drug therapy under Medicare.","authors":"S Leader","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 3","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21171862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Initial inquiries from applicant families show the widespread interest in and need for assistance to pay for in-home care. Nationally, over the next 30 months, the health status of Alzheimer's patients and their primary caregivers who receive case management, family education and training, and Medicare reimbursement for in-home and day care services will be compared to a control group who do not receive special assistance or Medicare waivered services. The cost and effectiveness of these services, and whether or not the rate of nursing home placement differs for the two groups, will be reported to Congress. The Congress will then consider if an expansion of Medicare services to include nonmedical in-home care and/or case management for all Alzheimer's families is financially feasible.
{"title":"The Medicare Alzheimer's demonstration project in the greater Cincinnati area.","authors":"D Christenson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Initial inquiries from applicant families show the widespread interest in and need for assistance to pay for in-home care. Nationally, over the next 30 months, the health status of Alzheimer's patients and their primary caregivers who receive case management, family education and training, and Medicare reimbursement for in-home and day care services will be compared to a control group who do not receive special assistance or Medicare waivered services. The cost and effectiveness of these services, and whether or not the rate of nursing home placement differs for the two groups, will be reported to Congress. The Congress will then consider if an expansion of Medicare services to include nonmedical in-home care and/or case management for all Alzheimer's families is financially feasible.</p>","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 4","pages":"22-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21188923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Federal regulation and assuring high-quality care.","authors":"K A Kahn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 2","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21162195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical needs and ethical considerations in the care of the elderly suffering from dementia.","authors":"A Bissonnette","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 2","pages":"12-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21186867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Polymedicine and the elderly: is it avoidable?","authors":"M Feinberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 1","pages":"15-25"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21163385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The market for community services for older persons.","authors":"R W Hereford","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21163387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Significant progress is being made in California to establish statewide and regionally based services for brain-impaired adults, their families and caregivers. However, there continues to be a large and growing need to provide families and professionals with accurate, timely, and centralized information about brain impairment and the availability of services to meet their needs. For caregivers of brain-impaired adults, affordable respite care is the most desired, but least available service in all regions of California. Funding allocations limit the number of families who receive respite care from RRCs. The demand for respite is great. By the end of 1987, 357 families were on waiting lists to receive respite care from one of the seven RRCs in operation. Data collected on 485 families showed that less than one out of two family clients were able to receive respite services because of limited RRCs resources.(ABSTRACT TRUNCATED AT 250 WORDS)
{"title":"California's regional resource centers: a program serving families and caregivers of brain-impaired adults.","authors":"L Van Tilburg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Significant progress is being made in California to establish statewide and regionally based services for brain-impaired adults, their families and caregivers. However, there continues to be a large and growing need to provide families and professionals with accurate, timely, and centralized information about brain impairment and the availability of services to meet their needs. For caregivers of brain-impaired adults, affordable respite care is the most desired, but least available service in all regions of California. Funding allocations limit the number of families who receive respite care from RRCs. The demand for respite is great. By the end of 1987, 357 families were on waiting lists to receive respite care from one of the seven RRCs in operation. Data collected on 485 families showed that less than one out of two family clients were able to receive respite services because of limited RRCs resources.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 4","pages":"12-21"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21166196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long term care legislation: where are we, how did we get here, and where do we go from here?","authors":"S C Edelstein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 2","pages":"30-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21181530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Recognition of long term care as an insurable risk has provided a framework for reexamining how we finance and deliver nursing home, home health, and community care to our elderly citizens. Insurance options are beginning to be marketed that provide consumers the opportunity to pay for their long term care needs in a more reasonable way than the situation in which individuals have to first self-insure and then rely on Medicaid when their resources are inadequate. The emergency of long term care insurance has stimulated public policy interest in supporting market development. Government payers will benefit if private insurance can reduce the role of Medicaid as a source of payment for middle-income elderly by delaying or avoiding the need to spend-down their resources. States, in particular, have taken the lead in seeking ways to help make the available products appealing and affordable so that the market can be broadened to include those at risk of needing Medicaid assistance.(ABSTRACT TRUNCATED AT 250 WORDS)
{"title":"Developing public-private long term care insurance partnerships.","authors":"M R Meiners, H L McKay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recognition of long term care as an insurable risk has provided a framework for reexamining how we finance and deliver nursing home, home health, and community care to our elderly citizens. Insurance options are beginning to be marketed that provide consumers the opportunity to pay for their long term care needs in a more reasonable way than the situation in which individuals have to first self-insure and then rely on Medicaid when their resources are inadequate. The emergency of long term care insurance has stimulated public policy interest in supporting market development. Government payers will benefit if private insurance can reduce the role of Medicaid as a source of payment for middle-income elderly by delaying or avoiding the need to spend-down their resources. States, in particular, have taken the lead in seeking ways to help make the available products appealing and affordable so that the market can be broadened to include those at risk of needing Medicaid assistance.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":79711,"journal":{"name":"Pride Institute journal of long term home health care","volume":"8 4","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}