...Frank J. Thompson; Joel C. Cantor; Jennifer Farnham Abstract Medicaid is vastly more important than Medicare or private insurance in funding long-term care (LTC). However, states vary tremendously in their commitment to Medicaid LTC. This article advances knowledge of the origins, nature...

...Joseph L. Falkson Copyright © 1979 by the Dept. of Health Administration, Duke University 1979 Washington Report National Health Policy at Mid-Term Joseph L. Falkson President Carter's recent mid-term massacre of various and sundry cabinet secretaries offers...

...Jon B. Christianson This paper discusses the regulation of long-term care in the United States. First, it addresses alternate models of regulation that potentially could explain both enforcer and provider actions. Then it describes in more detail the incentives for enforcement of regulatory...

...Robert B. Hudson This article addresses the policy issues and outcomes associated with the block grant option in long-term care (LTC). Block grants are being considered in a number of human service areas currently, especially in the wake of the 1980 elections. The article assumes that Medicaid...

...Karl Pillemer As one solution to the widely perceived “crisis” in the long-term-care system, state and local agencies have developed methodologies which specify the amount and type of long-term-care services needed in an area. This article focuses on need-based methodologies, and criticizes the use...

...Frederick R. Eisele; Richard R. Hoke Copyright © 1979 by the Dept. of Health Administration, Duke University 1979 Guest Editorial Health Care Policy and the Elderly: Toward a System of Long-term Care Frederick R. Eisele, The Pennsylvania State University...

...Charles Brecher; James Knickman This article describes current problems in the financing and delivery of long-term care, and assesses several proposals for reform. Proposed financing changes are found to differ in their objectives, with some reforms seeking to shift from greater to lesser...

...Katherine Swartz Karen Davis and Diane Rowland, Medicare Policy: New Directions for Health and Long-Term Care (Baltimore: The Johns Hopkins University Press, 1986), 137 pp., $19.50. Copyright © 1987 by Duke University Press 1987 Book Reviews...

.... In this paper we analyze the potential of using home equity to finance long-term care of the elderly, including payments for home care and for long-term care insurance. We first estimate each homeowner's risk of need for care (and risk of institutionalization) and then calculate the degree to which home equity...

...William G. Weissert Recent expansion of Medicaid coverage to home-and community-based long-term care moves that payment program away from its traditional institutional bias. But tension over the appropriate role of home care and fears of budget-busting have caused the current administration to set...

... Certification System files, and the American Hospital Association Survey. Separate Tobit models are estimated for each DRG. The analysis shows that transfers to home health care are heavily influenced by the hospital's long-term care arrangement and by conditions in local nursing home and home health care...

... People. Beverly Hills: Sage. Pepper Commission. 1990 . A Call for Action. Report of the U.S. Bipartisan Commission on Comprehensive Health Care. Washington, DC: U.S. Government Printing Office. Implications of the Clinton Health Reform Plan for Older Persons and Long-Term Care...

...David Falcone; Robert Broyles Race continues to impede access to health services, for acute as well as long-term care. Whites, for example, use disproportionately more days of nursing home care than do nonwhites, not simply because they are more likely to be private payers and, therefore...

...Joanna K. Weinberg Robert B. Hudson, ed. The Future of Age-Based Public Policy . Baltimore, MD: Johns Hopkins University Press, 1997. 384 pp. $52.50 cloth; $18.95 paper. Rosalie A. Kane, Robert L. Kane, and Richard C. Ladd. The Heart of Long-Term Care . New York: Oxford University Press...

... Rights: Administrative Burden in Medicaid Long-term Care Programs Pamela Herd Rebecca A. Johnson Georgetown University Abstract Context: States use Medicaid waivers to provide supports for disabled people in communities, rather than in institutions. Because waivers are not entitlements, those deemed...

...Hirsch S. Ruchlin This study analyzes the failure of current regulatory efforts to elicit an acceptable level of performance in long-term care facilities and proposes a strategy for correcting that failure. Seven factors are identified as being responsible for the failure of current regulatory...

...Joshua M. Wiener; Rose M. Rubin This study analyzes the potential effect on the Medicaid program of private sector financing mechanisms for long-term care. The data are from the Brookings-ICF Long-Term Care Financing Model and include projections over the next thirty years. While private financing...

...Edward Alan Miller; Pamela Nadash; Marc A. Cohen Abstract The growing need for long-term services and supports (LTSS) poses significant challenges to both individuals and government. This article documents the continuing failure to tackle this problem at the national level—a failure that was most...

...Cynthia Massie Mara Stone Robyn . Long-Term Care for the Elderly . Washington, DC : Urban Institute Press , 2011 . 172 pp. $26.50 paper. © 2013 by Duke University Press 2013 References Stone Robyn I. 2000 . Long-Term Care for the Elderly with Disabilities...

...Andrew I. Batavia; Gerben DeJong; Louise Bouscaren McKnew Long-term care for people with disabilities in this country traditionally has been provided through family members and friends. Federal and state policy has focused primarily on financing professional health care services provided through...