Home care poverty is the inability of older people to access adequate home care services and their unmet needs for home care. With the increasing number of older adults (60 years old and above) with disability in China, the Chinese government pays more and more attention to home care. In this case, it is of great significance to explore whether…

Considered financial capacity of elderly for purchasing long-term care plans: Social/Health Maintenance Organizations, long-term care insurance, Life Care at Home, and Continuing Care Retirement Communities. Found that between 50 percent and 80 percent of all elderly could afford one plan, depending on the amount of discretionary income they would…

This document provides testimony from two Congressional hearings, one on the subject of long-term care services for the elderly and the other on Alzheimer's disease and related disorders. In the hearing on long-term care, opening remarks are given by Congressmen Waxman and Wyden. Expert testimony from the following witnesses is provided: (1)…

Life Care at Home (LCAH) provides benefits similar to continuing care retirement community (CCRC) at less cost to elderly who prefer to stay at home. Surveyed CCRC applicants and found that nearly one-half were interested in LCAH. Applicants interested in LCAH were concerned about community living, lifestyle changes in a CCRC, and cost. (Author/NB)

Purpose: The purpose of this study was to examine racial/ethnic differences in the relationship between functional disability and the use of health care services in a nationally representative sample of older adults by using the Andersen behavioral model of health services utilization. Design and Methods: The study used 12 years of longitudinal…

This document contains witnesses' testimonies and prepared statements from the Congressional hearing held in Chattanooga, Tennessee to gain that state's perspective on catastrophic health insurance. Opening statements are included from Representatives Marilyn Lloyd and Claude Pepper. Two panels of witnesses provide testimony. The first panel,…

This document presents witnesses' testimonies and prepared statements from the Senate hearing held in Birmingham, Alabama to alert the public to the problems associated with catastrophic illness; learn what community services exist for older adults; and clarify what requirements for services, research, and education must be met to formulate an…

In response to a request from the chairman of the Congressional Select Committee on Aging, the General Accounting Office (GAO) investigated the potential effects of legislative proposals to provide catastrophic coverage to Medicare beneficiaries on beneficiaries' out-of-pocket health care expenses. The GAO reviewed GAO and other reports to…

Notes that low Medicare reimbursement rates are already causing some mental health professionals to turn away elderly patients. Considers baby boomer cohort who, unlike elders today, have high rates of psychiatric illness and are more likely to seek mental health services. Projects increasing gap over next 25 years between need and availability of…

This document contains witness testimonies from a two-part Senate hearing called to examine different aspects of the problem of delivering appropriate, affordable, long-term health care and catastrophic coverage for older adults in America. Opening statements by Senator David Pryor are included for both sessions of the hearing. A statement by…

This document contains witnesses' testimonies from the Congressional hearing held in New York to gain that state's perspective on health maintenance organizations (HMOs). The hearing was convened by Robert Blancato and prepared statements from Representatives Mario Biaggi and Thomas Manton are included. Chairman Biaggi's statement calls the…

In this Gerontological Society of America-sponsored Congressional Briefing Seminar, authorities from several disciplines summarize history, rationale, strengths, weaknesses, and future challenges of Medicare program. In current arena of health care reform, role of Medicare is far from certain, and it is crucial to understand and confront multitude…

Changing U.S. demographics and family composition are challenging social work education programs to reposition and reconsider how to prepare students for practice in the field of geriatrics. Implications for future social service and health care needs include ongoing training and education of students with competencies in serving geriatric…

Experience gathered to date confirms that capitation of Medicare does not necessarily decrease quality of health care and may in fact encourage an improvement in health care quality. Incentives inherent in capitated reimbursement are threefold. First, practitioners, by not receiving more payment for more service, are discouraged from providing…

There are 16.4 million women over age 65 in this country, compared to 11 million men. The 41 percent of this population who live alone are the poorest of the poor in this country, with an annual median income of just over $3,000 for white women and little more than $2,000 for black women. This abject poverty affects the ability of these women to…