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Medicaid Falls Short for Nursing Homes

First,  what  is  Medicaid?..........
"We are completely at the mercy of Medicaid
Well, Medicaid is a Federal medical billsfor our stability," she said. Flannery said
assistance program that pays medical billsthat for the current rate year, which ends
for eligible, needy persons. It isSept. 30, nursing homes in North Carolina are
administered by each state. All payments areprojected to incur a $117-million loss for
made directly to the providers of medical andMedicaid  patients..
other health care services. The
Medicaid-eligible person does not pay the"You can only bleed your private-pay patients
health care provider for services. The onlyso  much,"  Flannery  said.
exception is a patient in a Medicaid-approved
nursing facility who may be required toIf changes aren't made, wage-earners in
contribute part of his/her income toward thefuture decades could be paying larger sums of
cost  of  care.their earnings just to help pay for the
upkeep of the elderly and other health
Medicaid is welfare for the poor, the truebenefits,  he  said.
and honest poor. Medicaid is NOT for people
of means trying to fake impoverishment inAt the current pace, 40 percent of all wages
order to get on the dole. That door has beenwould be needed to pay for Social Security,
slammed  shut.Medicare, Medicaid and Veterans
Administration  benefits by 2050, Moses said.
Reflecting a national problem, leaders of
North Carolina's nursing home and long-term"The trends can't continue and won't," he
care facilities say that the money whichadded.
Medicaid provides for patient care simply
isn't  enough  to  cover  costs.Flannery would like to see a tax credit
reinstated that would give individuals a
North Carolina's problems reflect a grrowingbreak if they purchase their own long term
national concern. It's a trend that likelycare  insurance,  and  we  agree.
could send the industry spiralling into a
financial crash, said the head of a reformIn any case, long term care insurance is wise
group.for all to consider, as you cannot count on
the citizenry and its elected officials to
As the public funding infrastructure implodesloosen their purse strings at this late date.
over the next decade or two, we're going toIt won't happen any time soon, believe me.
hurt a lot of poor people who won't have anyThat's fantasy-based wishful thinking.
access  to  a  decent  safety  net.Period.
Stacy Flannery, with the N.C. Health CareLong term care insurance activist, Clay
Facilities Association, said that nursingCotton, writes for - The Online Baby Boomers
homes in North Carolina are approaching aDecision Assistance Center, where you get
$14-per-patient per-day loss when caring forFree Long Term Care Insurance advice,
Medicaid patients. And she said that the carecomparative rate quotes and personal
of about 75 percent of the patients in Northguidance, all while safely at home in your
Carolina nursing homes is paid for byfavorite pajamas and bunny slippers.
Medicaid.



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