- Apr 2019
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One of the particular features affecting the financial sustainability of a publicly funded system is the extent of public subsidisation of informal care.
The subsidisation of informal care has brought with it ongoing debate on both the efficacy and impact for individuals with varying needs of ADL support. In a study conducted by Kim and Lim (2012) findings suggest that institutional care is most cost-effective for individuals partially-dependent on support for several ADL's in that it led to reduction of informal care and medical expenditures whereas cost benefits for home care were higher among individuals that were completely dependent on ADL support through reduced spending on institutional support. Overall a shift from formal care to informal home care seems to be placated here as a financial target for sustainability.
Link: http://www.columbia.edu/~hk2405/ltc_for_publication_v04.pdf
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- Mar 2019
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www.fightcancer.org www.fightcancer.org
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will have the net effect of shifting health insurance costs to low and middle-income patients, significantly reduce the standards of what constitutes quality insurance, curtail the Medicaid expansion and over time substantially reduce over-all Medicaid funding.
The erosion of medicaid program coverage is what we can see in the horizon under these shifts. Reductions in standards of care, quality assurance and government accountability for public health will inevitable lead to the negligence of service availability for low income and high risk populations. The benefit of these changes will be seen mainly among private interest sectors that have customarily re allocated funds from safety net programs into state budget spending.
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