Long-Term Care and Medicare Policy: Can We Improve the Continuity of Care?

Long-Term Care and Medicare Policy: Can We Improve the Continuity of Care?

by David Blumenthal
     
 

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ISBN-10: 0815710135

ISBN-13: 9780815710134

Pub. Date: 01/15/2003

Publisher: Brookings Institution Press

As the population ages, policymakers must evaluate the nation's readiness to assist a growing group of people with conditions requiring chronic and long-term care. Based on the 2002 annual meeting of the National Academy of Social Insurance, this new volume offers a variety of viewpoints from policymakers, researchers, and experts who examine how well the needs of

Overview

As the population ages, policymakers must evaluate the nation's readiness to assist a growing group of people with conditions requiring chronic and long-term care. Based on the 2002 annual meeting of the National Academy of Social Insurance, this new volume offers a variety of viewpoints from policymakers, researchers, and experts who examine how well the needs of the elderly and disabled Americans are being met by today's financing and delivery systems, in light of potential reform options. Particular attention is paid to care coordination issues—namely, the impact of acute-care policies on long-term and chronic care—to draw attention to how the segmentation of healthcare provision can create disruptions in patient care. Authors address the advantages and disadvantages of varying levels of state, federal, and private involvement in long-term care. Clearly, for people to access appropriate long-term care today and tomorrow, a careful balance of financing sources and integrated health care must be achieved. Researchers, analysts, and policymakers, therefore, will find this volume useful to informing thoughtful analysis of important long-term care issues.

Product Details

ISBN-13:
9780815710134
Publisher:
Brookings Institution Press
Publication date:
01/15/2003
Edition description:
New Edition
Pages:
270
Product dimensions:
6.00(w) x 9.00(h) x (d)

Table of Contents

Prefacevii
1.Overview1
Part 1.Chronic and Long-Term Care: What Are the Needs?19
2.Long-Term-Care Needs of Elders and Persons with Disability21
3.Reality of Caring for the Long-Term-Care Population40
4.Planning for and Financing Long-Term Care48
Commentary on Part One
Maribeth Bersani68
Ingrid McDonald70
Paul Yakoboski71
Part 2.Care for the Elderly and Disabled under the American Social Contract75
5.Evolution of the American Social Contract for Care77
6.Medicare Coverage for Chronic Conditions: The HIV-AIDS Example92
Commentary on Part Two
Michael Hash98
Shelley I. White-Means100
Part 3.Prospects for Long-Term-Care Policymaking at State and Federal Levels105
7.Perspective on the Politics of Long-Term Care107
8.The View from the Office of the Assistant Secretary for Planning and Evaluation110
9.The Role of States in Long-Term-Care Reform115
10.Long-Term-Care Policy in the New Reality120
Commentary on Part Three
John Rother125
Joanne Silberner127
Part 4.Building on Experience: What Have We Learned about Meeting Needs for Chronic and Long-Term Care?129
11.Ensuring Quality in Long-Term-Care Settings131
12.Importance of Interdisciplinary Teams to Support Self-Care: The Example of Kaiser Permanente144
13.Chronic-Care Initiatives: What We Have Learned and Implications for the Medicare Program151
Commentary on Part Four
Jennie Chin Hansen175
Bruce C. Vladeck177
Part 5.Visions for the Future: How Might We Meet Tomorrow's Needs for Chronic and Long-Term Care?181
14.Private Long-Term-Care Solutions: The Government as Employer183
15.The Life Care Annuity: A Better Approach to Financing Long-Term Care and Retirement Income191
16.Long-Term Care for the Elderly: Lessons from Abroad208
17.Caring Communities: What Would It Take?214
18.Meeting Tomorrow's Need for Chronic and Long-Term Care225
Commentary on Part Five
Richard Bringewatt232
William Scanlon235
Epilogue241
19.National Policymakers on Long-Term-Care Policy243
Benjamin Cardin243
Thomas A. Scully249
Mark McClellan255
Contributors261
Conference Program264
Index267

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