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Long-Term Care in Florida - Home & Community-Based Services (Hardcover, Illustrated Ed)
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Long-Term Care in Florida - Home & Community-Based Services (Hardcover, Illustrated Ed)
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Florida has the largest proportion of elderly in the nation- 2.8
million persons are over age 65, representing 17.6% of its total
population. The dramatic rise in the number of persons age 65 and
over in Florida over the next 20 years-estimated to total 26.3% of
total population-will further stretch the already limited resources
of the state. Aware of the pressing demand for long-term care
services well into the 21 * century, policymakers in Florida have
begun seriously to review options for improving financing and
delivery of long-term care for the frail elderly and persons with
disabilities. Federal and state Medicaid spending in Florida was
$2.6 billion in FY2001, and 30.5% of Medicaid spending was for
long-term care. In FY2001, 75.3% of total Medicaid spending was for
institutional care. Slightly less than 25% of Medicaid spending was
channeled towards home and community-based services. Although
institutional care dominated Medicaid spending, there has been slow
but steady expansion of home and community-based services funding,
both through the use of Medicaid's waiver programs as well as
significant support through state sources. Among the major issues
facing long-term care in Florida are: the fragmentation of
long-term care services among state and local agencies, an
imbalance in financing that favors institutional care rather than
home and community based care, shortage of health care workers and
well-trained staff throughout the long-term care , and disparities
in availability of services across the state.
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