long-term care (LTC)

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Epidemiology

  • nearly all long-term care entrants are without severe disability* 4 years before & 2 years after entry

* dependence on >= activities of daily living

Management

Notes

  • primarily finded by out-of-pocket payment & Medicaid
  • Medicare part A covers $144/day (2016) for days 21-100 of nursing home
  • patient is responsible for $185.50 per day for days 21-100 in 2021 but coverage ends at day 100
  • Medicaid kicks in when patient spends down assets to a minimum level of worth (varies state by state)[1]

Additional terms

References

  1. 1.0 1.1 1.2 Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
    Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
  2. Kaye HS, Harrington C, LaPlante MP. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff (Millwood). 2010 Jan-Feb;29(1):11-21 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20048355
  3. Terzakis K, MacKenzie MA. Preparing Family Members for the Death of a Loved One in Long-Term Care. Annals of Long-Term Care. February 2019. https://www.hmpgloballearningnetwork.com/site/altc/articles/preparing-family-members-death-loved-one-long-term-care
  4. Lam K et al. The natural history of disability and caregiving before and after long-term care entry. JAMA Intern Med. 2023;183(12):1295-1303 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37930717 PMCID: PMC10628843 (available on 2024-11-06) https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2811180