Healthcare Intelligence Network-Story of the Week: Long Term Care

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The average age of the world’s population is increasing at an unprecedented rate. The number of people worldwide 65 and older is estimated at 506 million as of midyear 2008; by 2040, that number will hit 1.3 billion. Thus, in just over 30 years, the proportion of older people will double from 7 percent to 14 percent of the total world population, according to a new report, An Aging World: 2008. The report examines the demographic and socioeconomic trends accompanying this phenomenon. It was commissioned by the National Institute on Aging (NIA), part of the National Institutes of Health and produced by the U.S. Census Bureau.

Healthcare Intelligence Network-Story of the Week: Long Term Care

Democrats Ignoring Long-Term Care, Activists Respond. LET MY PEOPLE GO! – Nick's Crusade

44 years ago, Congress passed several historic amendments to the Social Security Act, the Medicare and Medicaid programs. Back then, there were no home ventilators, there were few medications for managing disease, there were no home Hoyer lifts, and Congress couldn’t imagine the elderly and disabled living at home successfully and independently. The technology and possibilities for independent living have been available for over three decades now, but the law has not changed. The feds only mandate that state Medicaid agencies cover long-term care in nursing homes and other institutions. Basically, Pharaoh will only allow you care in a prison-like setting. People with disabilities are forced every day to leave their taxpaying jobs and families behind to go into these prisons. It’s the only way they can get the care needed to stay alive. “Give up your freedom or give up your life,” is no choice at all.

The Pharaoh is now drafting his plan to reform America’s insane health care system, but has said that long-term care, which Medicaid is the number one provider of, will not be reformed in this package. How can they reform health care without addressing long-term care, one of the biggest expenses straining state budgets and bankrupting American families? It is bizarre that legislators and voters could ever see this as a separate issue, when it is one of the worst examples of how badly the system is broken. Institutions cost the most of any long-term care option, but are enshrined in law as mandatory, while home care services, the least expensive option, are slashed to the bone by states because they are “optional.” States are still forcing people with disabilities into institutions, the most costly option, because of the antiquated and discriminatory institutional bias in federal Medicaid law that both parties continue to choose to ignore…..

More, including a video…

Democrats Ignoring Long-Term Care, Activists Respond. LET MY PEOPLE GO! – Nick's Crusade

Top 10 Senior Care Twitter Feeds | Carebuzz.com Blogs

Carebuzz loves Twitter! Yesterday we found an interesting tweet by @ElderCareRN. She referred to an article written by MacKenzie Kimball, an Associate Editor in HCPro’s long-term care division. Kimball came across a number of informative Twitter feeds related to long-term care and made a list of HCPro’s top 20 Twitters (is that such a term? Or would those of us who tweet be called Twitterers or Twitees?). If you haven’t seen the list go to Top 20 LTC Twitter Feeds, each of the selected top 20 includes a brief description……
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Top 10 Senior Care Twitter Feeds | Carebuzz.com Blogs

LGBT Elders Face Isolation and Homophobia in Long-Term Care

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Posted on | July 22, 2009 | Comments

Gen Silent” Documentary Trailer – LGBT elders who fought the earliest battles for equality now face so much fear about discrimination in health care and long-term care that they hide their sexuality, are afraid to ask for help, and die earlier. But, a small group of professionals is trying to change that.

LGBT Elders Face Isolation and Homophobia in Long-Term Care : Queer Visions | Gay Rights Media

Antipsychotic Drugs Associated With High Blood Sugar In Older Adults With Diabetes

Older patients with diabetes who take antipsychotic medications appear to have an increased risk of hospitalization for hyperglycemia (elevated blood glucose level), especially soon after beginning treatment, according to a report in the July 27 issue of Archives of Internal Medicine, one of the JAMA/Archives journals……
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Antipsychotic Drugs Associated With High Blood Sugar In Older Adults With Diabetes

Foreign Policy In Focus | Ratify the UN Disability Treaty

The United Nations Convention on the Rights of Persons with Disabilities (CRPD, or the Convention) is the first human rights treaty of the 21st century. The CRPD is also the first legally binding international instrument with the power specifically to protect the rights of the world's largest minority, some 650 million persons with disabilities.

Adopted in December 2006, along with an optional protocol providing for communications and inquiry procedures, the Convention is currently in operation. Some 139 states have signed and 58 states have ratified the Convention, but not the United States. Nor did the United States actively participate in or otherwise facilitate the CRPD's negotiations and drafting, despite a wealth of technical expertise garnered from years of experience with the seminal Americans with Disabilities Act (ADA)…..

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Foreign Policy In Focus | Ratify the UN Disability Treaty

House Democrats' reform bill | MDSCentral

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Introduced on July 14 and cited as the work of three different House committees, America’s Affordable Health Choices Act of 2009 addresses multiple long-term care issues.

Of most concern to long-term care providers and industry leaders are the proposed cuts in Medicare payments to SNFs, which would add up to approximately $44 billion over the next 10 years. The cuts are included in multiple provisions of the bill, but the proposed changes with the most significant impact on SNF reimbursement are as follows:

  • On January 1, 2010, the SNF market basket update implemented on October 1, 2009 will be removed.
  • The SNF market basket will be further reduces by a productivity adjustment.
  • As of October 1, 2010, SNFs will only be paid a certain percent of the charges on a claim if the resident was readmitted to a hospital within 30 days of his or her initial discharge. For fiscal year 2011, the percent paid would be 0.993.

House Democrats' reform bill | MDSCentral

House panel OKs new long-term care program - Yahoo! News

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WASHINGTON – A House committee has approved a new voluntary insurance program meant to help families with the costs of long-term health care.

The measure was OK'd on voice vote late Monday by the House Energy and Commerce Committee as an amendment to a sweeping health care overhaul bill.

A similar measure was approved by the Senate's health committee. The Obama administration supports the concept but it still would need approval from the full House and Senate.

The program would be financed by a voluntary payroll deduction which would pay a modest daily cash benefit meant to help people pay for services to allow them to stay in their homes later in life.

Republicans raised concerns about long-term costs.

House panel OKs new long-term care program - Yahoo! News