The Decline of Nursing Homes
“My spirits would drop if I went to a nursing home,” Edna Blandon, an elderly U.S. citizen, told her doctor.
Edna’s views are the same as many aging adults in our nation, but now it is no longer just the elderly who are saying ‘no’ to nursing homes.
In the past six years, the number of nursing homes in the United States has declined by approximately three-hundred and fifty.(1) Furthermore the percentage of elderly in nursing homes dropped from 9.6% in 1985 to 6.4% in 2004.(2)
This shift is primarily due to the fact that health care costs have soared over the past years and Medicaid financing has shrunk. As reported by Joseph Berger in the New York Times, “The nursing home model is no longer financially viable or medically justified.” Because of this many nursing home operators are turning to a new form of care known as Managed Care at Home or PACE (Program of All-Inclusive Care for the Elderly).
This new form of care provides almost all the exact same services that a nursing home would while at the same time allowing the elderly patients to remain in the comfort of their own homes. Jason A. Helgerson, the Medicaid director for New York State, said, “It used to be that if you needed some kind of long-term care, the only way you could get that service was in a nursing home, with 24-hour nursing care.” That is not true anymore. While there used to be only 42 of these new programs in twenty-two states in 2007, it has now expanded to include 84 programs in 29 states.
Studies show that the new program is not only a lower cost to taxpayers but can also be less expensive than the traditional nursing homes. The lessened cost, though, does not mean that the amount of care and attention provided is also lessened. The new program uses a team of skilled doctors, social workers, physical and occupational therapists and other specialists to provide a wide range of services including periodic examinations, day-time social activities, and physical therapy.
Helgerson stated that over the next three years, New York state alone plans to shift approximately 80,000 people requiring more than 120 days of long-term care services into managed care models. One New York City program has over 2,500 participants at 12 different sites. New York along with twenty-eight other states have embraced the new programs and with the government continuing to restrict payments to nursing homes,(3) the number of managed care programs in the U.S. will only continue to grow.
Cardinal Dolan summed up the philosophy behind the new programs when he said, “Seniors and others who have chronic health needs should not have to give up their homes and independence just to get the medical care and other attention they need to live safely and comfortably.”
Posted on February 28, 2012, in Nursing Homes/Assisted Living and tagged managed care at home, nursing home cost, nursing home decline, nursing homes, PACE, pace program. Bookmark the permalink. 14 Comments.
What’s up to every body, it’s my first visit of this weblog; this blog carries remarkable and genuinely good information designed for visitors.
Very good post! We are linking to this particularly
great article on our website. Keep up the good writing.
Thanks on your marvelous posting! I quite enjoyed reading it, you
are a great author.I will always bookmark your blog and will often come back later in life.
I want to encourage you continue your great job, have a nice afternoon!
Excellent post. I am dealing with a few of these issues as well..
Great post. I was checking continuously this blog and I’m impressed!
Very useful information specifically the last part 🙂 I care for such info much.
I was looking for this certain information for a very long time.
Thank you and best of luck.
I have been browsing online more than 2 hours today, yet I never found any interesting article like yours.
It is pretty worth enough for me. In my view, if all website owners
and bloggers made good content as you did, the internet will be a lot more
useful than ever before.
I like the valuable information you provide in your articles.
I’ll bookmark your blog and check again here frequently.
I am quite sure I will learn a lot of new stuff right here!
Best of luck for the next!
I think this is among the most important info for
me. And i’m glad reading your article. But want to remark on few general things, The website style is perfect, the articles is
really nice : D. Good job, cheers
Howdy! This is kind of off topic but I need some advice from an established blog.
Is it hard to set up your own blog? I’m not very techincal but I can figure things out pretty quick.
I’m thinking about making my own but I’m not sure where to start.
Do you have any ideas or suggestions? Thanks
There are a few good blogging sites, we use http://www.wordpress.com, you could use http://www.blogger.com as well.
wonderful post, very informative. I ponder why the opposite
specialists of his sector don’t realize this.
You must proceed your writing. I’m confident, you’ve a great
readers’ base already!
This was very interesting. I love reading all of the National Care Planning Council’s blog posts. They are well-researched, insightful, and overall just good reads for anyone involved in the field of elder care.
Pingback: The Problem with Government Long Term Care | Tracy Wayne Mitchell's WordPress Blog