LTC210-Introduction to Long Term Care Administration-Unit 3 Aedric Frechelle Name of the University 1. Explain why the long-term care field is now experiencing much more competition than was the case in the past. According to the Global Burden of Disease Study 2010 (GBD 2010), which was published on December 13, 2012, even though the life expectancy has increased for men and women worldwide by more than ten years, they spend more years living with injury and illness (Wang et al., 2012)…
In this particular scenario, as the demand for services by the population increases, and when the reimbursement is available, the providers for services will also increase. For a long time, Medicare and Medicaid were the most significant buyers of long-term care services. However, with the introduction of Managed Care Organizations (MCO), the pressure and the competition has increased. MCOs have the option to choose which providers they will do business with since many of them do not cover long-term care. This directly increases the amount of providers looking to provide the services, resulting in opening up the opportunity for competition between the providers (Pratt, 2010, p. 215). Our system allows competition due to a firm belief that the customer will benefit from competition as better quality will be offered in order to gain more customers. Since the customers are also better informed due to higher education and ability to compare services, their expectations are higher and they give their ‘businesses’ to only those health care organizations that meet their needs. The health care facilities are also susceptible to pressure from payers and regulatory agencies to provide quality and cost-effective services. The providers that follow the requirements will be given incentives on top of their reimbursements. These institutions are the most favorable to increase their customer base, to have a solid financial relationship with managed care organizations (MCO), and with the Federal and State agencies. 2. Explain, using examples, the differences between licensure and accreditation. The health care industry is highly regulated. It is natural for them to be so as they deal with life and death situations. It is not like other industries where mistakes can be rectified or losses can be repaid. With the health care industry, the mistakes cost lives and hence, they must be prevented at any cost. For that purpose we have two types of external controls. One deals with governmental regulations, licensing of facilities and individuals (public), and the other deals with voluntary accreditation and certifications (private) (Study Notes, p. 6). One of the most important differences between public and private agencies is that “public agencies have a dual purpose—to control both quality and costs—while the private organizations have a single purpose—to measure, evaluate, and ensure the quality of care” (Pratt, 2010, p. 258). Another difference is that the “government programs seek to ensure a minimum level of quality or competency, while the private organization set standards that measure and ensure more of an optimum level” (Pratt, 2010, p.p. 258-259). Licensure is provided by the State and it is basically a “permission to a qualified individual or entity to perform certain specified activities that would be illegal without a license” (Pozgar, 2006, p.273). For example, in the health care industry we find practitioners like Registered Nurses (RN), Licensed Practical Nurses (LPN), Physicians (MD), Registered Dietician (RD), Licensed Physical Therapist (PT), and many others who, in order to practice their profession, need a license from the State. The exam for ...
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“Long-Term Care Essay Example | Topics and Well Written Essays - 2000 Words”, n.d. https://studentshare.net/nursing/84485-long-term-care.
The percentage of the populace made up of aged persons in the United States is anticipated to increase from 13 to 20 percent in the next few decades. The number of Americans aged 65 years and above will rise by 35% to 71 million, by 2030, encompassing of 20% of the US population.
The matter has been further complicated by the fact that the system of long-term care facility regulations, licensure, and legal system had been largely ineffectual leading to failure to protect residents and to conform to quality criteria. It has often been commented that residents in the long-term care facilities have been abused for ages (Lachs, and Pillemer, 1995).
Although long-term care is not limited to the elderly, as long-term care is also needed by anyone who need assistance in every day living as a consequence of disability regardless of age - disability happens more often in those who are older, specifically if they reach the age of 65 and up (Johnson, Toohey and Wiener 1).
The author states that the expense of providing healthcare services is spraining government and family budgets, as costs soar due to rising pharmaceutical drug prices, provider services and inflation. Long-term care involves a wide range of services for people who require caregiving support on a routine basis.
The old people for instance have most of their body functions and movements slowed down by the age and hence require round-the clock watch to ensure they lack nothing and they get all the support they require (Singh 2010).
The two articles have also changed my
Long Term Care insurance policies help many individuals to receive the expensive nursing homes and assisted living facilities. Long term insurance solves one of the biggest fears of Americans to spend all their life savings on expensive nursing costs and medical bills. Insurance is a way through which Americans can cover their expenses.
The world is an aging society and the United States is not exceptional. Research shows that by the year 2050, the number of older people is expected to go high by 135%. Long Term Care Continuum refers to the medical and social care services that are meant to support the needs of people living with chronic health problems.
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