Wednesday, May 11, 2011

Nursing Homes: They Don't Have To Take You In

The Times this morning reviews that talk about cutting Medicaid will affect more people than those parasitic poor brown folk: many nursing home patients depend on it:

The House plan would turn Medicaid, which provides health coverage for the poor through a combination of federal and state money, into a block grant program for states. The federal government would give lump sums to states, which in turn would be given more flexibility and independence over use of the money, though the plan does not spell out what the federal requirements would be.

Beginning in 2013, these grants would increase annually at the rate of inflation, with adjustments for population growth, a rate far below that of inflation for health care costs. As a result, states, which have said that they cannot afford to keep up with the program’s costs, are likely to scale back coverage. Such a reduction, critics fear, could have a disproportionate effect on Medicaid spending for nursing home care for the elderly or disabled...

According to the Congressional Budget Office, in the 2010 fiscal year, 77 percent of people enrolled in Medicaid were children and families, while 23 percent were elderly or disabled. But 64 percent of Medicaid spending was for older Americans and people with disabilities, while 36 percent went to children and families.

According to the Kaiser Family Foundation, which analyzes health care issues, 7 of 10 nursing home residents are on Medicaid, in large part because even middle-class patients often run through their savings while in a nursing home and turn to the entitlement program.

http://www.nytimes.com/2011/05/11/health/policy/11medicaid.html?hpw

This is a huge deal. Typically, a middle class aged person goes into a nursing home, where the meter runs quite quickly. They start on Medicare, and, after they spend down their assets and become poor, they go on Medicaid, which lets them stay in the nursing home, and lets the nursing home stay in business. You cut medicaid, not so much. You turn Medicaid into block grants to states hurting for money, and likely to use it elsewhere, worse yet.

Which means that a lot of old folk would be out of nursing homes. Their kids' houses, bank accounts and lives are poorly, if at all, equipped for it. Visiting nurse agencies, home physical therapy, home visits by doctors? You may say I'm a dreamer...

Currently the aging parent's finances are independent (mostly) of the adult child's. That'll change very, very quickly if the Medicaid cuts go through, unless they're content to leave Granny out on the street. What will also change very, very quickly is the sort of financial guarantees from patients and their families that nursing homes will demand before admitting a new resident.

These people vote. They won't like this at all.

9 comments:

Ruth said...

In states where many hospitals are depending on the Medicare/Medicaid funds to stay in business at all, the effects will be felt first. And as you point out, the states will have many more demands on their funds, which will be allocated to their buds in many. It's a total breakdown that will make responsible children of aging parents choose between their retirements and their parents' care. Assuming, of course, that the kids will be independent when the aging part of the family gets to any age of dependence, if at all.

BlakNo1 said...

WHERE ARE U??

Matt Cutts said...

Thankyou for this post - your article is really sensitive towards the subject of quality care for people with mental health needs. This care home can provide information about what help they can provide.

emi care homes south east

ProfWombat said...

thanks--the negotiations, or what passes for them, are oft so vague in terms of what cuts will actually mean that people's eyes glaze over. A feature, not a bug, that...

Anonymous said...

Amazing! This blog looks exactly like my old one! It's on a entirely different subject but it has pretty much the same page layout and design. Wonderful choice of colors!

My weblog :: atlaslm.com

Anonymous said...

Μy сoder is trying to persuade me to moѵe to .
net from PHP. I have alωayѕ dіslikeԁ the idea because of the eхрenses.
But he's tryiong none the less. I've been uѕing WoгԁPгеsѕ οn a variety of websiteѕ for аbout a yeаr and am worrieԁ about swіtching to another plаtform.
I hаve heard fаntastic thingѕ about blοgengіne.
net. Is there a way I can transfer all my woгdpreѕs content into іt?
Αny kind of hеlp would bе
greаtly appreciateԁ!

Also vіsit my pаgе :: how much do freelance translators charge per word

Anonymous said...

Does уour sitе hаѵe a cοntact page?

I'm having a tough time locating it but, I'd like to shoot you аn
еmail. I've got some suggestions for your blog you might be interested in hearing. Either way, great site and I look forward to seeing it expand over time.

My blog post: physical therapist salary atlanta ga

Anonymous said...

As a oνersees, thіs will take ѕоme
cοoperation οut of your guardiаns paгеnts.
If уοu aгe skipрed over fоr promotiοn, can you see іt like
a wеaknеss oг an opportunitу.
Most importantly, a Govt јob pгovides tоns
οf emplοуment opрoгtunities
аnԁ ρeгmanenсe apart from mаny other benefits.


Also viѕit my webpage Forensic psychology degree Salary

Anonymous said...

Hello there! Do you use Twitteг? Ι'd like to follow you if that would be ok. I'm
undοubtedly enjoying yоuг blog and look
fοrwarԁ to nеω posts.

Fеel freе to viѕіt mу websіte - legal assistant salary wisconsin