- Apr 2019
Most health care programmes in place are designed to fund only a limited intensity of post-acute care, hence households might end up facing significant costs to fund long-term care in the absence of public support, which might end up impoverishing them and eventually even bankrupting them
The impact on overall household cost accrual should not be overlooked as the implications on already financially disenfranchised groups would impose compounded disadvantage. This 2018 survey conducted by Carescout covered 440 regions and included 15,500 individual surveys which estimate the median cost of adult day care at $18,720. median cost of assisted living at $48,000, and the median cost of nursing home care at $89,297 annually (https://www.genworth.com/aging-and-you/finances/cost-of-care.html) further contextualizing the overwhelming burden of absorbing long term health cost in the absence of public funding
The policy implications suggest that community services ought to be prioritised, and if cash subsidies are considered they ought to be made conditional on being used on long-term care without substituting pre-existing support
What we may find through the introduction of conditional subsidies is the impact of cash allowances for mitigating overall household costs in a households with lower socioeconomic statuses. However, varying configurations in the implementation of cash for care models have been shaped by timing, specific regulations and policy context of reforms in European countries currently utilizing these approaches (Roit & Bihan, 2010). This informs perspectives on the generalizability of subsidization outcomes.
- Mar 2019
Most notably, we are concernedabout proposedtechnical changes in federal rate-setting standards that would be inconsistent with statutory actuarial soundness requirementswhichensure that payments to Medicaid managed care plans are reasonable and appropriate
This statement seems to hint at the likelihood that proposals would undermine the efficacy of medicaid to secure services and maintain financial viability over time of implementation. As mentioned by AEH (Americas Essential Hospitals) most organization are operating on little to no profit margin: https://essentialhospitals.org/general/statement-on-house-reconciliation-legislation/ which means that cuts such as these could result in reductions to staff and hospital services overall.