HSM 410 Week 5 Discussion Question 2 – The Future of Long-Term Care (GRADED A)
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Module
HSM 410
Institution
DeVry University
HSM 410 Week 5 Discussion Question 2 – The Future of Long-Term Care Long-Term Care The primary payers for long-term care are Medicaid and Medicare. Each program pays for all or a segment of th e services attained by nearly a third of community residents. A quarter of recipients pay out of pocket ...
hsm 410 week 5 discussion question 2 – the future of long term care graded a
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HSM 410
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LONG TERM CARE 1
HSM 410 Week 5 Discussion Question 2 – The Future of Long-Term
Care
Long-Term Care
The primary payers for long-term care are Medicaid and Medicare. Each program pays
for all or a segment of the services attained by nearly a third of community residents. A quarter
of recipients pay out of pocket (Bodenheimer & Grumbach, 2012).
Medicaid is a significant payer for long-term care owing to the fact that federal law
necessitates that Medicaid programs in each state ought to offer home health care and nursing
home care for the eligible poor. It caters for nearly half of national long-term care spending
(Bodenheimer & Grumbach, 2012).
Albeit most perceive that Medicare caters for long-term care, it offers only restricted
coverage of home health care and nursing home stays. Qualification is based on and abides by; a
hospital stay is a minimum of three days. Medicare caters for short-term stays in professional
nursing institutions – full coverage for up to 80 additional days. This spending, added to
expenditure for health gains for qualified Medicare donees, accounts for twenty percent of long-
term care spending (Bodenheimer & Grumbach, 2012).
Taxes are the fundamental source of long-term care funding, with most payments made
through Medicaid, which is funded by federal and state taxpayers. With more middle-class
Americans not managing to plan for their future long-term care requirements, the program has
significantly become the default payer instead of a safety net of last resort for those who cannot
cater for their health care needs (Bodenheimer & Grumbach, 2012). The ensuing strain on
Medicaid threatens to subvert the inherent goal of Medicaid. The strain from middle-class
beneficiaries particularly threatens chronic-care and acute-care medical services for the destitute.
Widespread and incrementing dependence by long-term care users on Medicaid has aided to
increment expenditure to unsustainable degrees (Bodenheimer & Grumbach, 2012). With the
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