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
MY RECOMMENDATIONS REGARDING MANAGED CARE MODELS FOR FRAIL ELDERS INCLUDE: 45 1. MANAGED CARE MODELS MUST RECOGNIZE THAT THE OLDER ADULT AND HIS OR HER INFORMAL SUPPORT NETWORK OF FAMILY AND FRIENDS ARE THE CENTRAL FOCUS OF THE PLAN OF CARE. 2. MANAGED CARE MODELS MUST PROVIDE QUALITY SERVICES WHICH RESPOND SPECIFICALLY TO THE NEEDS OF FRAIL ELDERS. WHILE THE 'HIGH TECH' INTERVENTIONS OF THE LAST DECADES RESPOND TO THE NEEDS OF SOME POPULATIONS, SERVICES FOR ELDERS MUST INCLUDE 'LOW TECH-HIGH TOUCH- SERVICES SUCH AS: HOMEMAKER, COMPANION AND HOME DELIVERED MEALS. 3. MANAGED CARE ORGANIZATIONS MUST UTILIZE A COMPREHENSIVE CARE MANAGEMENT MODEL IN ORDER TO IDENTIFY THE UNIQUE STRENGTHS AND DEFICITS IN EACH CLINICAL SITUATION, AND TO MAXIMIZE ALL AVAILABLE COMMUNITY RESOURCE OPTIONS. 4. MANAGED CARE MODELS MUST PROVIDE APPROPRIATE ACCESS TO SPECIALTY CARE WHEN NECESSARY. IN VIEW OF THE INCREASING PREVALENCE OF ALZHEIMER'S DISEASE AND RELATED DISORDERS, IT IS IMPERATIVE THAT THE SERVICES OF GERIATRICIANS, GERIATRIC PSYCHIATRISTS, NEUROLOGISTS, NURSES AND SOCIAL WORKERS BE AVAILABLE TO ADDRESS THE NEEDS OF THESE ELDERS AND THEIR CAREGIVING FAMILIES. 5. SPECIAL ATTENTION MUST BE PAID TO THE ROLE OF RESPITE CARE SERVICES FOR INFORMAL CARE PROVIDERS. IT IS NATIONALLY RECOGNIZED-THAT A FULL 80% OF ALL CARE TO FRAIL ELDERS IS PROVIDED BY THEIR INFORMAL CARE SYSTEMS; SPOUSES, CHILDREN, GRANDCHILDREN, AS WELL AS SIGNIFICANT FRIENDS AND NEIGHBORS.
46 WITHOUT ADEQUATE RESPITE CARE, INFORMAL CAREGIVERS ARE UNABLE TO CONTINUE THEIR VITAL ROLE IN THE LONG TERM CARE SYSTEM. 6. MANAGED CARE MODELS MUST ADDRESS THE CURRENT INSTITUTIONAL BIAS IN THE LONG TERM CARE SYSTEM, RECOGNIZING THE DESIRE OF THE ELDERLY TO REMAIN IN THE COMMUNITY, TO REMAIN IN THEIR OWN HOME WHENEVER POSSIBLE, MANAGED CARE MODELS MUST INCLUDE A FULL RANGE OF COMMUNITY CARE SERVICES IN THEIR BENEFIT PLANS. THANK YOU FOR YOUR ATTENTION.
- Page 1 and 2: S. HRG. 105-262 MEDICAID MANAGED CA
- Page 3 and 4: CONTENTS PEOPLE WITH SPECIAL NEEDS,
- Page 5 and 6: V Bazelon Center for Mental Health
- Page 7 and 8: 2 also apparent that structuring a
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- Page 11 and 12: 6 delay the onset of secondary disa
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- Page 15 and 16: 10 obstetric and gynecological serv
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- Page 19 and 20: 14 people with disabilities and spe
- Page 21 and 22: 16 and prospective enrollees the pl
- Page 23 and 24: 18 by the disorder. In fact, schizo
- Page 25 and 26: 20 r_ 06/23/1997 16: 03 7836845968
- Page 27 and 28: 22 Kathy. STATEMENT OF KATHLEEN H.
- Page 29 and 30: 24 even lead to an improvement-but
- Page 31 and 32: 26 MANAGED CARE AND LONG TERM T h e
- Page 33 and 34: Consortium for C. 20249&Oid Citizen
- Page 35 and 36: 30 11 Managed care
- Page 37 and 38: Strong Oualitv Assurance Measures 3
- Page 39 and 40: NATIONAL ASSOCIATION 34 DEVELOPMENT
- Page 41 and 42: 36 Mrs. M.'s care plan is quite com
- Page 43 and 44: 38 nurses and social workers be ava
- Page 45 and 46: 40 EXPENDITURES FOR NURSING HOMES S
- Page 47 and 48: REQUIRES THE SKILL OF A HIGHLY TRAI
- Page 49: 44 ALZHEIMER'S DISEASE AND RELATED
- Page 53 and 54: 48 PROBLEM FOR PEOPLE SUFFERING FRO
- Page 55 and 56: 50 Ms. CHRISTENSEN. Thank you. Don.
- Page 57 and 58: 52 it will eradicate the virus. Man
- Page 59 and 60: I 54 Today I participate in a state
- Page 61 and 62: 56 Ms. CHRISTENSEN. Thank you. [Ina
- Page 63 and 64: 58 rather than to community-based s
- Page 65 and 66: 60 now has to start looking at thin
- Page 67 and 68: 62 plan for that matter, can measur
- Page 69 and 70: 64 ual is getting state-of-the-art
- Page 71 and 72: 66 a larger population of people wi
- Page 73 and 74: 68 of recovery or rehabilitation th
- Page 75 and 76: 70 are entitled to renew their pres
- Page 77 and 78: 72 point and say that Patsy comes f
- Page 79 and 80: 74 .The WASHNTND MEDICAL CENTER CEN
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- Page 85 and 86: eligible people and for the program
- Page 87 and 88: Table l.b Selected Provisions Relat
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- Page 94 and 95: Executive Summary 1. Setting the Co
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46<br />
WITHOUT ADEQUATE RESPITE CARE, INFORMAL CAREGIVERS ARE UNABLE<br />
TO CONTINUE THEIR VITAL ROLE IN THE LONG TERM CARE SYSTEM.<br />
6. MANAGED CARE MODELS MUST ADDRESS THE CURRENT INSTITUTIONAL<br />
BIAS IN THE LONG TERM CARE SYSTEM, RECOGNIZING THE DESIRE OF THE<br />
ELDERLY TO REMAIN IN THE COMMUNITY, TO REMAIN IN THEIR OWN HOME<br />
WHENEVER POSSIBLE, MANAGED CARE MODELS MUST INCLUDE A FULL<br />
RANGE OF COMMUNITY CARE SERVICES IN THEIR BENEFIT PLANS.<br />
THANK YOU FOR YOUR ATTENTION.
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