chapters 5-9 review Flashcards
(31 cards)
three major types of long-term care settings are
nursing homes
assisted-living facilities
CCRCs
nursing homes provide
residents with around-the-clock nursing care and supervision
assisted-living facilities provide
residents with limited assistance with certain tasks, such as meals and housekeeping.
CCRCs provide
residents with multiple levels of services, ranging from independent living –> nursing home care, all of which are on same campus
long term care facility can be in terms of profit
for profit (operating w intent of making money)
or
non profit (operating w intent of meeting a need in the community)
long term care facilities can be
> free-standing (independently owned and operated)
> part of a chain (owned and operated by a corporation that owns and operates other similar facilities as well).
legislations such as _____ has greatly improved the quality of care provided in nursing homes.
OBRA of 1987
if a facility is free-standing that means
it’s independently owned and operated
if a facility is part of a chain that means
it’s owned and operated by a corporation that owns and operates other similar facilities as well.
The Omnibus Budget Reconciliation Act (OBRA) was enacted in what year
1987
nursing homes (in the U.S.) must follow ____ regulations
federal and state regulations + local regulations
are there any federal laws that govern assisted-living facilities?
no, currently there are NO federal laws that govern assisted-living facilities.
each ___ has its own regulations for long-term care
each state
which kind of org. set standards for hc organizations + grant accreditation to organizations that meet the standards ?
independent nonprofit organizations, such as the Joint Commission, and the CCAC
participation in these programs is voluntary (what programs)
the joint commission and the CCAC
> set standards for hc organizations & grant accreditation to org. that meet the standards
medicare coverage in the context of LTC ?
> very minimal
those qualifying must meet very STRICT criteria for skilled hc, and even then coverage is limited.
medicare provides NO payment for assisted-living care.
medicaid coverage in context of LTC ?
> it pays for most nursing home care in the U.S.
this causes financial strain for both the facilities + gov’t
- because the cost of care continues to rise.
medicaid usually doesn’t pay for what kind of LTC care ?
assisted-living care
LTC insurance is
> private insurance that can help pay for long-term care.
premiums are
expensive, benefits (may be limited)
> there is a possibility that the policy-holder may never actually benefit from the policy.
what is the name of the law that called for the biggest cut in medicare budget in hx ?
balanced budget act of 1997
what is the name for an insurance policy for LTC that can be purchased by an individual ?
LTC insurance
how is most assisted-living care paid for ?
private pay
what is a benefit period ?
the period of time when a person is eligible for Medicare benefits
