Medicare Part B Case Study

State Veterans homes fill an important need for veterans who wish to spend their last years with other individuals who served in former active duty. Research states that the most preferred service offered is nursing home care. State Veterans homes must be licensed within that state and can perform skilled nursing home services acquired by the state. Every state has the minimum of one home while others may have multiple. Demographics suggest that activities and the social atmosphere of the veteran homes should revolve around the needs of women and men. They are structured to help offer more opportunity to be involved in the community as well.

According to Buppert (2017), federal laws prevail over state laws when clarifying what rules the advance practice registered nurse (APRN) must follow. There are several guidelines listed within the Consensus Model for APRN that was created in 2008 by the APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Advisory Committee (American Associations of Nurse Practitioners, 2017). I have listed several of the regulations that the APRN must follow below.

In response to Helen Salfarlie answer regarding the question, long-term care services must be individualized, integrated and coordinated. I am in agreement with her answer which she stated that a variety of services is necessary because individual need, as determined by health status, finances and other factors, vary greatly among people who require long-term services. I am also in agreement with the other statements she stated which are definitely

For anyone that needs to provide care for aging loved ones it can be a difficult task. But, how do you manage to provide care and maintain or obey cultural traditions? In the article, As Parents Age, Asian-Americans Struggle to Obey a Cultural Code, by Tanzina Vega, it takes a look at the struggle to provide care in line with one’s culture in today’s society.

Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities. Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several

Long-term care facilities have become home to some individuals due to loss of capacity for independent living which normally caused by some illness that result in them not being able to care for themselves or to perform any daily living activities, such as cooking, eating, bathing, and toileting. Now as an administrator of a long-term care facility, I am responsible to make sure that everything runs smooth; in another word I play most important role in the facility. I am in charge of everything that goes on including patient admissions, facility policies, laws, finances, facility maintenance, residential care and staffing. A number of ethical issues can and will arise in a long-term care facility, such as providing patient care, dealing with

Medicaid and Medicare are two major government-sponsored health care programs that enacted in 1965. Harrison and Harrison (2013) define that Medicare provides healthcare benefits to those generally over age 65, and Medicaid a companion program establishing government reimbursement for healthcare cost for the indigent were authorized in Social Security. The two programs were part of President Lyndon B. Johnson “Great Society”, program that addresses health insurance for the elderly and the poor. The intentions of the plan were to help meet the need of people who needed healthcare.

Medicare is a federal government administered healthcare program originally implemented on July 1, 1996. Medicare has four parts (A, B, C and D) that provide different areas and differing levels of coverage. All Medicare programs provide coverage for cover healthcare services to qualifying individuals, known as beneficiaries, which includes Social Security beneficiaries over the age 65, people under 65 with certain disabilities, and people of all ages with end-stage renal disease. Each program provides coverage for medically necessary care and services to covered beneficiaries and has deductibles or copays for covered services. Medicare Part A, Medicare Part B and Medicare Part C all provide coverage for medical services. Medicare Part C and Part D provides prescription drug coverage.

Ng, T., Harrington, C., & Kitchener, M. (2010). Medicare and medicaid in long-term care. Health Affairs, 29(1), 22-8. Retrieved from

Daniel Callahan’s position on age-based rationing is more sound in comparison to James Childress’s position.

Medicare is a government program that was formed in 1965. It was created to help provide health coverage for people 65 years old or older, people under 65 years old with certain disabilities, and people with End-Stage Renal disease. Medicare is currently the largest payer for health services in the United States. Medicare paid for 20% of the total national health spending in 2012. Since 1969, Medicare spending per enrollee has continued to rise. With this rising cost per enrollee and the increasing number of enrollees due to the aging population, the sustainability of the program looked bleak. In order to retain sustainability, the way in which Medicare processed reimbursements continued to evolve. Constant change in the reimbursement system

3. The meaning and importance of the “spend down” provision in Medicaid as it relates to long term care is the spending assets.

“Almost Home” a 90 minute DVD (on reserve in the Learning Recourse Center). View this documentary about changing culture in a nursing home setting. Submit answers to the questions below in the ELearning drop box by orientation day to the Extended Care facility.

In Canada in 2012, 10% of those 65 to 74 years, 21% of those aged 75 to 84 and 45% of those 85 years and older received care in their home. Recent research has found that 25% of employed Canadians are caring for an elderly dependant. Of these, three quarters are middle-aged women caring for a parent with chronic health problems. Increased expenses and reduced work hours may create financial strains for these caregivers and their families. Additionally, working Canadians will likely be hit with a significantly higher tax bill in the future to pay for increased health care spending required to support the growing number of Canadian seniors. The majority of seniors would prefer to live at home as long as possible, even if they have a long-term health condition that limits their independence. Home care or aging at home is beneficial to the public health care system because it is generally less costly than hospital or hospice care. To live at home safely and maintain a good level of well-being, however, seniors frequently require help with their daily activities such as personal care, medical care, household maintenance and transportation. With the growing number of seniors in Canada it will be necessary for the government to introduce more social programs to support caregivers and seniors in their homes. Many studies show that seniors who receive social support and professional home care services

With the increase in age, comes an increase in age-related chronic illnesses. Dementia and Alzheimer’s disease are expected to almost double every 20 years as life expectancy increases. There is also an increased need for specialized health care workers. By 2030, it is estimated that 36,000 geriatricians will be needed in the U.S. In 2008, however, there were only 7,000 practicing geriatricians. As health care costs increase, Medicare could be pushed to its breaking point. As a result of the Baby Boomer phase, there is an increasing elderly population in America. A baby boomer turns 60 every eight seconds. Increased life expectancy partnered with declining fertility rates are causing the population to age (Everyday