The Effect of Financial Incentives and Access to Services on Self-funded Admissions to Long-term Care

2003 ◽  
Vol 37 (5) ◽  
pp. 483-497 ◽  
Author(s):  
Ann Netten ◽  
Robin Darton
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Access To Services ◽  
Term Care

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2018 ◽  
pp. 46-70
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

The Impact of Financial Incentives on the Composition of Long‐term Care in Norway

2012 ◽  
Vol 34 (2) ◽  
pp. 258-274 ◽  
Author(s):  
Henning Øien ◽  
Martin Karlsson ◽  
Tor Iversen
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Term Care ◽  
The Impact

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2019 ◽  
pp. 821-845
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

Do Local Governments Respond to (Perverse) Financial Incentives in Long-Term Care Funding Schemes?

2013 ◽  
Vol 14 (2) ◽  
pp. 525-549 ◽  
Author(s):  
Henning Øien
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Financial Incentives ◽  
Local Governments ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Home Based ◽  
Home Based Care

Abstract A highlighted issue in long-term care (LTC) financing is the presence of unfortunate incentives in financing schemes. For instance, in Norway, a high share of high-income recipients provides financial incentives to the local governments (the agencies in charge of the LTC system) to increase reliance on nursing home care relative to community housing and home-based care. This article examines the effects of the Norwegian LTC funding system on the composition of LTC services at the local government level. I use a cross-section from 2009 of 391 local governments to estimate a fractional probit model using quasi-maximum likelihood estimation. Controlling for need and geographical variations in care costs, I find that the share of “rich” elderly has a significant association with three measures of the volume of nursing home care relative to home-based care.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

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