Word: care
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Currently, assisted living is not covered by most states and is paid out-of-pocket by individuals. Grabowski said the system “accentuates a two-tiered elderly health care,” in which people from lower income communities live in Medicaid-financed nursing homes, while those who can afford the costs choose assisted living—the favored type of care...
...There are many reasons why we don’t want to create Medicaid mills and segregate our Medicaid populations," Grabowski said. "Rather, we should opt for a more integrated model of care...
...about lack of beds or space, and people who look for [assisted living] aren’t finding them only in places with rich people or big cities,” Wiliams said, pointing to homes in Wisconsin and Florida with only four or five beds as examples of care that “better fit the needs of small communities” that the study may not have considered...
...Bigger Medicaid Tab Of the 31 million uninsured people who would gain coverage under a revamped health system, about half would do so through a vast expansion of Medicaid - the state-and-federal health care program for the poor. The Senate bill would make eligible anyone earning up to 133% of the federal poverty level (for a family of four, an income of about $29,300 a year); the House bill would lift that threshold to 150% of poverty (or about $33,000 for a family of four...
...Both House and Senate bills would pay the states' share of the cost of the new patients over the first two years and up to 95% after that. But states would still face an enormous new financial obligation. There is also the question of finding enough providers to care for 15 million new patients. "It is a huge load on the states at a time when we are still climbing out of the recession," Tennessee Governor Phil Bredesen said this week in Nashville. His state - already facing $1.5 billion in budget cuts this year and next - has estimated that...