ABSTRACT
This policy brief reports the results of a study that examined how policy makers acquire information about long-term care (LTC) and why research findings in the field often don't filter through to them. It describes the "brokers" that provide LTC research information to policy makers and outlines what can be done to make certain such information reaches policy makers and is suited to their needs. It concludes by recommending that more effort be put into disseminating LTC research information, both to communicate more effectively within the resource constraints that currently exist and to encourage increased investment in research brokering activities for the future.
Subject(s)
Communication , Long-Term Care , Policy Making , Research Personnel , Health Policy , Health Services Research , Humans , Information Management , Interprofessional Relations , United StatesABSTRACT
This policy brief describes an innovative model of managed long-term care (MLTC) in New York State (NYS) that serves Medicaid eligible adults at a nursing home level of impairment, most of whom are also eligible for Medicare. The ten MLTC plans discussed here are capitated to provide all Medicaid funded long-term care (LTC) benefits. Plans are also responsible for coordinating primary and acute care services covered by Medicare. This MLTC model is currently offered by ten diverse organizations throughout the state and serves over 4,500 voluntary participants. It is the newest of the four MLTC models operating in NYS.
Subject(s)
Long-Term Care , Managed Care Programs , Medicaid , Models, Organizational , Adult , Aged , Capitation Fee , Community Health Services/economics , Eligibility Determination , Health Services for the Aged/economics , Humans , Insurance Coverage , Medicare , New York , State Government , United StatesABSTRACT
Can the disability and the home care communities come together on the best way to provide client-centered home care with an appropriate balance between patient choice and provider liability? Should nurses be responsible and liable for all nursing tasks provided in home settings? Or are there some tasks--such as medication administration skin care, and even ventilator administration--that can safely be performed by non-nurses? And if tasks can legally be performed by non-nurses, what is necessary to ensure that tasks are done safely?
