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Long-Term Care in Pennsylvania - Home & Community-Based Services (Hardcover)
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Long-Term Care in Pennsylvania - Home & Community-Based Services (Hardcover)
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Long-term care issues have high prominence among state officials in
Pennsylvania as a result of its large elderly population and
concern about the impact of long-term care costs on the state's
budget. Its population aged 65 and older is 15.6% of its total
population, ranking second only to Florida. By 2025, 21% of its
population will be 65 and older. Pennsylvania is federal and state
Medicaid spending for long-term care in FY2001 was $5.1 billion --
almost half of all Medicaid spending. Spending for nursing homes
was more than one-third of Medicaid spending. While spending for
home and community-based services has increased dramatically in
recent years, these services represented less than one of every
five dollars spent on long-term care in FY2001. Over the last two
decades, Pennsylvania has documented issues it has confronted in
providing long-term services. Among these issues are: an imbalance
in financing favoring institutional care, rather than home and
community-based care (which most people prefer); fragmentation in
the management and delivery of services; difficult access to
services, especially for low and moderate income persons who do not
qualify for Medicaid; and disparities in service availability
across the state and populations in need of care. According to
state officials, Pennsylvania's guiding principles in long-term
care are to: control surplus growth of nursing home beds; support
consumer choice; encourage expansion of home and community-based
services; fund services rather than capital construction; and
assure quality of care.
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