The future of health care in America: hearings before the Subcommittee on Education and Health of the Joint Economic Committee, Congress of the United States, One Hundredth Congress, second session

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Page 102 - Fully one-half of Medicaid dollars for nursing home care is spent on behalf of persons who enter nursing homes as private paying residents. The process of "spending-down" one's income and depleting one's assets to qualify for Medicaid can occur very quickly.
Page 788 - Conducted by the Subcommittee on Natural Resources, Agriculture Research, and Environment of the House Committee on Science, Space and Technology QUALITY OF MEDICAL CARE AND INFORMATION TO CONSUMERS 74 RPMI9kMl.M>anv.NM>«blk 12207 5U/434-76CO OF PRESENTOR BIOGRAPHY CAROLYN F.
Page 463 - Board apply a standard that focuses on whether the challenged actions fall within a range of reasonableness, to be determined by reference to the standards of a prudent and competent practitioner in the same or similar circumstances.
Page 65 - These opinions are those of the author and should not be attributed to other staff members, officers or Trustees of the Brookings Institution.
Page 75 - Medicaid patients. Moreover, it is an odd welfare program whose eligibility requirements are met by a majority of the people using services. In other US welfare programs, such as Aid to Families with Dependent Children and the Supplemental Security Income program, only a small minority of the population is expected to be financially eligible.
Page 66 - States does not have, either in the private or the public sectors, satisfactory mechanisms for helping people anticipate and pay for long-term care. The disabled elderly and their families find, often to their surprise, that neither private insurance nor Medicare covers the costs of long-term care to any significant extent.
Page 21 - T. FRANKLIN WILLIAMS, MD DIRECTOR NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH PUBLIC HEALTH SERVICE DEPARTMENT OF HEALTH AND HUMAN SERVICES BEFORE THE US SENATE SPECIAL COMMITTEE ON AGING JUNE 19, 1986 Mr.
Page 67 - Careglvers are usually relatives—generally spouses, daughters, or daughters-in-law—and occasionally friends. This unpaid care which frequently put great strain on families, is sometimes supplemented by paid services, such as home health workers, homemaklng help, or by adult day care and respite care. Only about 21 percent of the disabled elderly were In nursing homes In 1985. Most families who seek nursing home care find It beyond their financial reach. The cost of a year in a nursing home averages...
Page 307 - There is a wisdom which knows when to go and when to return, what is to be done and what is not to be done, what is fear and what is courage, what is bondage and what is liberation - that is pure wisdom.
Page 75 - The spend-down requirements ensure that Medicaid finances only that part of the care that is beyond the resources of the elderly. While targeted to the poor, Medicaid also provides a safety net for middle-income people with high long-term care expenses.

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