National Expenditures on Health and Nursing Home Care | |
Introduction | |
Overview of Spending Patterns | |
Overview of Financing Patterns | |
Projections of Health Care Expenditures | |
Implications for the Nursing Home Industry | |
Legislative and Economic History of the Nursing Home Industry | |
Introduction | |
Prior to the Social Security Act of 1935 | |
From Social Security to Medicare | |
The Medicare/Medicaid Era | |
Cost Containment: The Issue of the Eighties and Beyond Trends in the 1990s | |
Elements of Nursing Home Demand | |
Demographic Trends | |
Risk Factors for Institutionalization | |
Theories of Demand | |
Structure of the Nursing Home Industry | |
Nursing Homes and Their Characteristics | |
Nursing Facilities | |
ursing Facility Beds | |
Nursing Facility Residents | |
Industry Employment and Staffing | |
Financial Characteristics and Measures | |
Theories of Supply | |
Financing Arrangements and Cost Relationships | |
Payment Patterns for Nursing Home Care | |
Public Payment Options | |
Private Payment Options | |
Cost Relationships | |
Cost-Containment Regulation, and Quality Issues | |
Cost-Containment Approaches | |
Managed Care | |
The BBA of 1997] | |
PPS and the Nursing Home Industry | |
Balanced Budget Refinement Act of 1999 | |
Regulation and Quality | |
Quality Concepts | |
Quality by Profit Status | |
7Competitive Challenges and Opportunities: The LTC Continuum | |
LTC Specialization, Diversification, and Integration | |
Subacute Care | |
Data on the Subacute Care Industry | |
Issues in Subacute Care | |
Home Health Care | |
Adult Day Care | |
Competitive Challenges and Opportunities: The LTC Continuum | |
Assisted Living | |
The Market for AL | |
Continuing Care Retirement Communities | |
Hospice Care | |
Integrated Provider Networks | |
Global Comparisons | |
Data Considerations | |
Demographic Considerations | |
Institutionalization Rates | |
Comparative Delivery and Financing of LTC Services | |
The LTC Continuum of Outside the United States | |
Common Aspects of Global Long-Term Care Approaches | |
Public Policy Perspectives | |
Overview | |
Reforming LTC Financing | |
Alternative Delivery Systems | |
The Likely Reform Scenario: Continuing Incrementalism | |
Managerial Issues and Challenges | |
Managerial Challenges | |
Financial and Human Resource Concerns | |
Quality and Regulatory Matters | |
Legal Issues | |
The Ultimate Issue: A Revenue Crisis | |
Concluding Thoughts | |
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