Integrated Payment And Delivery Models Offer Opportunities And Challenges For Residential Care Facilities

Grabowski, David C.; Caudry, Daryl J.; Dean, Katie; Stevenson, David G.

doi:10.1377/hlthaff.2015.0330

Cited by 17 publications

(12 citation statements)

References 12 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Particularly in light of China's continued efforts to expand health insurance among the population, commissioners can, for example, create incentives that foster integrated services and prevention within residential homes. An example from the United States shows that such services are often underdeveloped in a free market but can lead to better health for the elderly and lower costs for the health sector (Grabowski et al, 2015).…”

Section: Procurementmentioning

confidence: 99%

Options for Aged Care in China: Building an Efficient and Sustainable Aged Care System

Bauer

Feller²,

Glinskaya³

2018

View full text Add to dashboard Cite

This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.

show abstract

Section: Procurementmentioning

confidence: 99%

Options for Aged Care in China: Building an Efficient and Sustainable Aged Care System

Bauer

Feller²,

Glinskaya³

2018

View full text Add to dashboard Cite

show abstract

“…2,3 Increasingly, people living in these communities have high rates of chronic illness, functional dependence, and medical complexity. 2,4 In the context of this higher acuity, seniors generally have a desire to live and receive care in the least institutional and most homelike setting possible. 5 The emergence of seniors housing has been influenced by consumer preference for the high level of socialization and autonomy found in these communi-ties, coupled with access to personal care assistance services.…”

mentioning

confidence: 99%

The Forgotten Middle: Many Middle-Income Seniors Will Have Insufficient Resources For Housing And Health Care

et al. 2019

Self Cite

View full text Add to dashboard Cite

As people age and require more assistance with daily living and health needs, a range of housing and care options is available. Over the past four decades the market for seniors housing and care-including assisted living and independent living communities-has greatly expanded to accommodate people with more complex needs. These settings provide housing in a community environment that often includes personal care assistance services. Unfortunately, these settings are often out of the financial reach of many of this country's eight million middleincome seniors (those ages seventy-five and older). The private seniors housing industry has generally focused on higher-income people instead. We project that by 2029 there will be 14.4 million middle-income seniors, 60 percent of whom will have mobility limitations and 20 percent of whom will have high health care and functional needs. While many of these seniors will likely need the level of care provided in seniors housing, we project that 54 percent of seniors will not have sufficient financial resources to pay for it. This gap suggests a role for public policy and the private sector in meeting future long-term care and housing needs for middle-income seniors.

show abstract

“…Payers like Medicare Advantage or accountable care organizations that are at risk for transfers to the ED appear willing to invest in these programs. There have already been clinical investments in nursing homes [14] and assisted living facilities [3,15] by Medicare Advantage plans. The Centers for Medicare and Medicaid Services recently released a new payment model reimbursing emergency ambulance service providers for telemedicine interventions provided to Medicare beneficiaries [16].…”

Section: Principal Findingsmentioning

confidence: 99%

Use of Telemedicine for Emergency Triage in an Independent Senior Living Community: Mixed Methods Study

Carolan¹,

Grabowski²,

Mehrotra³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background Older, chronically ill individuals in independent living communities are frequently transferred to the emergency department (ED) for acute issues that could be managed in lower-acuity settings. Triage via telemedicine could deter unnecessary ED transfers. Objective We examined the effectiveness of a telemedicine intervention for emergency triage in an independent living community. Methods In the intervention community, a 950-resident independent senior living community, when a resident called for help, emergency medical technician–trained staff could engage an emergency medicine physician via telemedicine to assist with management and triage. We compared trends in the proportion of calls resulting in transport to the ED (ie, primary outcome) in the intervention community to two control communities. Secondary outcomes were telemedicine use and posttransport disposition. Semistructured focus groups of residents and staff were conducted to examine attitudes toward the intervention. Qualitative data analysis used thematic analysis. Results Although the service was offered at no cost to residents, use was low and we found no evidence of fewer ED transfers. The key barrier to program use was resistance from frontline staff members, who did not view telemedicine triage as a valuable tool for emergency response, instead perceiving it as time-consuming and as undermining their independent judgment. Conclusions Engagement of, and acceptance by, frontline providers is a key consideration in using telemedicine triage to reduce unnecessary ED transfers.

show abstract

Integrated Payment And Delivery Models Offer Opportunities And Challenges For Residential Care Facilities

Cited by 17 publications

References 12 publications

Options for Aged Care in China: Building an Efficient and Sustainable Aged Care System

Options for Aged Care in China: Building an Efficient and Sustainable Aged Care System

The Forgotten Middle: Many Middle-Income Seniors Will Have Insufficient Resources For Housing And Health Care

Use of Telemedicine for Emergency Triage in an Independent Senior Living Community: Mixed Methods Study

Contact Info

Product

Resources

About