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Doty, Pamela; Cohen, Marc A.; Miller, Jessica; Shi, Xiaomei – Gerontologist, 2010
Purpose: The purpose of this study was to obtain a profile of individuals with private long-term care (LTC) insurance as they begin using paid LTC services and track their patterns of service use, satisfaction with services and insurance, claims denial rates, and transitions over a 28-month period. Design and Methods: Ten LTC insurance companies…
Descriptors: Insurance, Older Adults, Nursing Homes, Health Facilities
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Diamond, Larry M.; And Others – Gerontologist, 1983
Discusses the feasibility of delivering combined health and social services to an elderly population. The social/health maintenance organization (S/HMO), incorporating features of health maintenance organizations with community social services, will be financed on a prepaid, capitated basis through premium contributions from Medicare, Medicaid,…
Descriptors: Delivery Systems, Financial Support, Health Insurance, Health Services
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Rubenstein, Laurence Z.; And Others – Gerontologist, 1994
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…
Descriptors: Aging (Individuals), Federal Programs, Financial Support, Geriatrics
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Bellows, Nicole M.; Halpin, Helen A. – Gerontologist, 2008
Purpose: We examined the relationship between the quality indicator for decline in activities of daily living (ADL) and the use of the Minimum Data Set (MDS) for determining Medicaid skilled nursing facility reimbursement. Design and Methods: We conducted a cross-sectional analysis using the 2004 National MDS Facility Quality Indicator reports as…
Descriptors: Multiple Regression Analysis, Multidimensional Scaling, Comparative Analysis, Health Insurance
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Hernandez, Mauro – Gerontologist, 2007
Purpose: The study describes Oregon state policy and supply developments for licensed long-term-care settings, particularly apartment-style assisted living facilities and more traditional residential care facilities. Design and Methods: Data came from a variety of sources, including state agency administrative records, other secondary data…
Descriptors: Residential Care, State Agencies, Financial Support, Public Policy