Medicaid Managed Care - U.S. Senate Special Committee on Aging
Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging
ALZNEIMER'S5 ASSOCIATION GOOD MORNING 39 MY NAME IS NANCY LIBERATORE LEONARD. I AM A LICENSED CLINICAL SOCIAL WORKER WITH 11 YEARS OF EXPERIENCE AND PRACTICE AT CONNECTICUT COMMUNITY CARE, INC. CCCI IS AN INDEPENDENT STATEWIDE NOT FOR PROFIT CARE MANAGEMENT ORGANIZATION WITH OVER 20 YEARS OF EXPERIENCE IN HELPING FRAIL OLDER ADULTS REMAIN SAFELY AT HOME. I ALSO SERVE AS THE PRESIDENT OF THE NORTHERN CONNECTICUT CHAPTER OF THE ALZHEIMER'S ASSOCIATION. IT IS BOTH AN HONOR AND A PRIVILEGE FOR ME TO TESTIFY BEFORE YOU TODAY. I REPRESENT THE FRAIL ELDERLY, IN PARTICULAR, THOSE DIAGNOSED WITH ALZHEIMER'S DISEASE AND RELATED DISORDERS. THESE FACTS AND FIGURES PROVIDE A SNAPSHOT OF LONG TERM CARE ISSUES: ONE IN FIVE AMERICANS OVER THE AGE OF 50 MAY NEED LONG TERM CARE IN THE NEXT YEAR, ACCORDING TO CARING MAGAZINE. (THE JOURNAL OF THE NATIONAL ASSOCIATION FOR HOME CARE) MOST OF THOSE NEEDING LONG TERM CARE RECEIVE THEIR CARE AT HOME. ONLY 4.2 PERCENT OF PEOPLE OVER AGE 65 ARE IN NURSING HOMES, ACCORDING TO THE 1995 NATIONAL NURSING HOME SURVEY FROM THE NATIONAL CENTER FOR HEALTH STATISTICS. ONLY 20 PERCENT OF THOSE 80 AND OLDER ARE IN NURSING HOMES. XI /IIE[IMER I DISEA\SL AN.D RELATED I)SS()ERDOR' \>( v 1I *l , .A p:'I - . ! ": '. .. : ! ': '. I '-I ., ' * .: .: , it: . *1'1:.' io ,:.: ;v,: - -; . F, "s. '4 Sit*'
40 EXPENDITURES FOR NURSING HOMES STILL CONSUME A MAJOR SHARE OF LONG TERM CARE SPENDING. IN FISCAL YEAR 1995, THE FEDERAL AND STATE GOVERNMENTS SPENT OVER $49 BILLION IN MEDICAID DOLLARS, OF WHICH ALMOST $40 BILLION WENT TO NURSING HOME CARE AND ONLY $9.5 BILLION WAS SPENT ON HOME-AND COMMUNITY-BASED CARE SERVICES. MEDICAID IS THE MAJOR SOURCE OF PUBLIC FUNDING FOR LONG TERM CARE SERVICES. ALLOW ME TO FOCUS ON ONE DISEASE ENTITY PARTICULAR TO OUR OLDER CITIZENS, ALZHEIMER'S DISEASE. * 4 MILLION PEOPLE IN THE UNITED STATES HAVE ALZHEIMER'S DISEASE. * 14 MILLION PEOPLE IN THE UNITED STATES WILL HAVE ALZHEIMER'S DISEASE BY THE MIDDLE OF THE 21ST CENTURY UNLESS SCIENTISTS CAN DISCOVER A WAY TO PREVENT OR CURE THE DISEASE. * THE DISEASE PROCESS MAY BEGIN IN THE BRAIN AS MUCH AS 20 YEARS BEFORE THE SYMPTOMS OF ALZHEIMER'S APPEAR. A PERSON WILL LIVE AN AVERAGE OF 8 YEARS AND AS MANY AS 20 ONCE THE SYMPTOMS APPEAR. * THE TOTAL ANNUAL COST OF CARING FOR VICTIMS OF ALZHEIMER'S DISEASE IN THE UNITED STATES IS ESTIMATED TO BE $100 BILLION (NATIONAL ALZHEIMER'S ASSOCIATION). THIS MAKES ALZHEIMER'S THE THIRD MOST COSTLY DISEASE, AFTER HEART DISEASE AND CANCER. I CAN BEST ILLUSTRATE MY POINTS BY DISCUSSING AN ACTUAL CLIENT. CASE STUDY - MRS. M.
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ALZNEIMER'S5<br />
ASSOCIATION<br />
GOOD MORNING<br />
39<br />
MY NAME IS NANCY LIBERATORE LEONARD. I AM A LICENSED CLINICAL<br />
SOCIAL WORKER WITH 11 YEARS OF EXPERIENCE AND PRACTICE AT<br />
CONNECTICUT COMMUNITY CARE, INC. CCCI IS AN INDEPENDENT STATEWIDE<br />
NOT FOR PROFIT CARE MANAGEMENT ORGANIZATION WITH OVER 20 YEARS<br />
OF EXPERIENCE IN HELPING FRAIL OLDER ADULTS REMAIN SAFELY AT HOME.<br />
I ALSO SERVE AS THE PRESIDENT OF THE NORTHERN CONNECTICUT<br />
CHAPTER OF THE ALZHEIMER'S ASSOCIATION. IT IS BOTH AN HONOR AND A<br />
PRIVILEGE FOR ME TO TESTIFY BEFORE YOU TODAY.<br />
I REPRESENT THE FRAIL ELDERLY, IN PARTICULAR, THOSE DIAGNOSED WITH<br />
ALZHEIMER'S DISEASE AND RELATED DISORDERS.<br />
THESE FACTS AND FIGURES PROVIDE A SNAPSHOT OF LONG TERM CARE<br />
ISSUES:<br />
ONE IN FIVE AMERICANS OVER THE AGE OF 50 MAY NEED LONG TERM<br />
CARE IN THE NEXT YEAR, ACCORDING TO CARING MAGAZINE. (THE<br />
JOURNAL OF THE NATIONAL ASSOCIATION FOR HOME CARE)<br />
MOST OF THOSE NEEDING LONG TERM CARE RECEIVE THEIR CARE AT<br />
HOME. ONLY 4.2 PERCENT OF PEOPLE OVER AGE 65 ARE IN NURSING<br />
HOMES, ACCORDING TO THE 1995 NATIONAL NURSING HOME SURVEY<br />
FROM THE NATIONAL CENTER FOR HEALTH STATISTICS.<br />
ONLY 20 PERCENT OF THOSE 80 AND OLDER ARE IN NURSING HOMES.<br />
XI /IIE[IMER I DISEA\SL AN.D RELATED I)SS()ERDOR' \>( v 1I *l , .A<br />
p:'I - . ! ": '. .. : ! ': '. I '-I ., ' * .: .: , it: . *1'1:.' io ,:.: ;v,: - -; . F, "s. '4 Sit*'
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