With Medicaid, Long-Term Care of Elderly Looms as a Rising Cost

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    [COLOR=#004276]Medicaid[/COLOR] has long conjured up images of inner-city clinics jammed with poor families. Its far less-visible role is as the only safety net for millions of middle-class people whose needs for long-term care, at home or in a nursing home, outlast their resources.

    With baby boomers and their parents living longer than ever, few families can count on their own money to go the distance. So while [COLOR=#004276]Medicare[/COLOR] has drawn more attention in the election campaign, seniors and their families may have even more at stake in the future of Medicaid changes those proposed, and others already under way.

    http://www.nytimes.com/2012/09/07/health/policy/long-term-care-looms-as-rising-medicaid-cost.html?pagewanted=all&_moc.semityn.www
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    Medicaid should pay for more home health aides and nurses. It's often cheaper to care for an older person in their own home than in a facility.
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    Quote from Not_A_Hat_Person
    Medicaid should pay for more home health aides and nurses. It's often cheaper to care for an older person in their own home than in a facility.
    Agree but there lies the rub.

    COL in NYC and much of NYS can be quite dear and the state already has one of if not the highest Medicaid spending in the country. Finding quality CNAs to do homecare is difficult and many of the best work for private agencies or families that pay more. You've got some Medicaid and Medicare pts who have 24/7 care (two shifts of CNAs), which is expensive. HHAs around here in general aren't thrilled with working one single 24 or several day shifts because they aren't paid overtime, just for (IIRC) eight or twelve hours of the 24 on the assumption the pt will be asleep half the "day".

    Personally think in some cases smaller group settings may work out to be cheaper and provide better care. This would allow pooling of resources such as nursing and support personnel. It would also provide greater chances for social interaction. Have heard from many, that all the HHAs assigned to care for their loved one wants to do is remain indoors and watch television.


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