Long-term care and medicare policy : can we improve the continuity of care? / David Blumenthal ... [and others], editors.

Format:

Book

Contributor:

Blumenthal, David, 1948-

National Academy of Social Insurance (U.S.). Conference 2002 : Washington, D.C.)

Language:

English

Subjects (All):

Medicare--Congresses.

Medicare.

Long-term care of the sick--United States--Finance--Congresses.

Long-term care of the sick.

Long-term care of the sick--Government policy--United States--Congresses.

Long-term care insurance--United States--Congresses.

Long-term care insurance.

Long-term care of the sick--Government policy.

Finance.

United States.

Genre:

Conference papers and proceedings.

Physical Description:

xii, 276 pages : illustrations ; 23 cm

Place of Publication:

Washington, D.C. : National Academy of Social Insurance : Distributed worldwide by Brookings Institution Press, [2003]

Summary:

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 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 health care 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.

Contents:

Part 1. Chronic and Long-Term Care: What Are the Needs? 19

2. Long-Term-Care Needs of Elders and Persons with Disability / Christine Bishop 21

3. Reality of Caring for the Long-Term-Care Population / Robyn Stone 40

4. Planning for and Financing Long-Term Care / Robert B. Friedland 48

Commentary on Part One

Maribeth Bersani 68

Ingrid McDonald 70

Paul Yakoboski 71

Part 2. Care for the Elderly and Disabled under the American Social Contract 75

5. Evolution of the American Social Contract for Care / Theodore R. Marmor 77

6. Medicare Coverage for Chronic Conditions: The HIV-AIDS Example / Chris Collins, June Eichner 92

Commentary on Part Two

Michael Hash 98

Shelley I. White-Means 100

Part 3. Prospects for Long-Term-Care Policymaking at State and Federal Levels 105

7. Perspective on the Politics of Long-Term Care / Judith Feder 107

8. The View from the Office of the Assistant Secretary for Planning and Evaluation / Ruth Katz 110

9. The Role of States in Long-Term-Care Reform / Joshua M. Wiener 115

10. Long-Term-Care Policy in the New Reality / David Durenberger 120

Commentary on Part Three

John Rother 125

Joanne Silberner 127

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 Settings / Catherine Hawes 131

12. Importance of Interdisciplinary Teams to Support Self-Care: The Example of Kaiser Permanente / Bruce Fireman 144

13. Chronic-Care Initiatives: What We Have Learned and Implications for the Medicare Program / Marty Lynch, Carroll Estes, Mauro Hernandez 151

Commentary on Part Four

Jennie Chin Hansen 175

Bruce C. Vladeck 177

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 Employer / John Cutler 183

15. The Life Care Annuity: A Better Approach to Financing Long-Term Care and Retirement Income / Mark Warshawsky 191

16. Long-Term Care for the Elderly: Lessons from Abroad / Mark Merlis 208

17. Caring Communities: What Would It Take? / Deborah Stone 214

18. Meeting Tomorrow's Need for Chronic and Long-Term Care / Charles J. Fahey 225

Commentary on Part Five

Richard Bringewatt 232

William Scanlon 235

19. National Policymakers on Long-Term-Care Policy 243

Benjamin Cardin 243

Thomas A. Scully 249

Mark McClellan 255.

Notes:

Includes bibliographical references and index.

"This book is based on papers delivered at the fourteenth annual conference of the National Academy of Social Insurance, held January 24-25, 2002 ... "--P. vii.

ISBN:

0815710135

OCLC:

51087968