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The strategy has been used mostly in Indiana, where many county-owned hospitals purchased or leased nursing homes to take advantage of a wrinkle in Medicaid payment rules and augment federal reimbursements.
Medicaid covers about two-thirds of nursing home residents, but it pays less than other types of insurance.
Too often enforcement of rules for dealing with crisis is lax, advocates for nursing home residents say.
Tighter Medicaid budgets could jeopardize states’ home-based services that help older adults and disabled people live in their homes instead of more expensive nursing homes.
Although proponents say the policies offered by nursing homes are more attuned to patients, some report frustrations when trying to dispute care decisions.
Of the 528 nursing homes that graduated from special focus status before 2014 and are still operating, more than half — 52 percent — have harmed patients or operated in a way that put patients in serious jeopardy within the past three years, a KHN analysis finds.
Medicaid pays for two-thirds of nursing home residents, but some recipients don’t even know they’re on it.
States are not doing enough to help elderly and disabled Medicaid enrollees receive services in homes and community locations instead of in nursing homes, where care is more expensive, AARP report says.
Ombudsman's offices represent long-term care residents on issues such as admissions and discharges, food, physical environment and abuse.
Advocates for the elderly worry that GOP plans to end Medicaid’s open-ended spending and replace it with per-capita limits could pose a risk for low-income older people who rely on the federal-state program for nursing and other long-term care.
Seattle seniors at an upscale assisted living center lament Washington’s rush to repeal and replace Obamacare with no alternative on the table.
Medi-Cal’s controversial program to go after your assets when you die will be significantly curtailed, but some enrollees could be hit by new claims.
People in these facilities are now guaranteed more flexibility on food and roommate choices, as well as improved procedures for grievances and discharges.
Hospitals rarely help patients find the best nursing home. When they do advise, hospitals sometimes push their own facilities.
As numbers of vulnerable seniors without relatives rise, groups call for new efforts to navigate declines in physical and mental health.
Many aging gays and lesbians who have lived openly for decades are finding that the world of assisted living and nursing homes can be decidedly less accommodating.
Playing with dolls is good therapy for some elderly people with dementia. They may think the dolls are real babies, but does it matter?
Residents with dementia need to be monitored and increased training is needed for staff who care for them, said researchers who examined reported instances of abuse in assisted living facilities.
Bad coordination and communication can put patients at risk as they're discharged from a hospital.
A survey of more than 3,500 people caring for family members with dementia finds that many are spending down personal savings and cutting into their own basic needs to meet their loved one's expenses.
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