Medicaid Falls Short for Nursing Homes

First, what is Medicaid?..........by Medicaid.
Well, Medicaid is a Federal medical bills assistance"We are completely at the mercy of Medicaid for
program that pays medical bills for eligible, needyour stability," she said. Flannery said that for the
persons. It is administered by each state. Allcurrent rate year, which ends Sept. 30, nursing
payments are made directly to the providers ofhomes in North Carolina are projected to incur a
medical and other health care services. The$117-million loss for Medicaid patients..
Medicaid-eligible person does not pay the health"You can only bleed your private-pay patients so
care provider for services. The only exception is amuch," Flannery said.
patient in a Medicaid-approved nursing facility whoIf changes aren't made, wage-earners in future
may be required to contribute part of his/herdecades could be paying larger sums of their
income toward the cost of care.earnings just to help pay for the upkeep of the
Medicaid is welfare for the poor, the true andelderly and other health benefits, he said.
honest poor. Medicaid is NOT for people of meansAt the current pace, 40 percent of all wages
trying to fake impoverishment in order to get onwould be needed to pay for Social Security,
the dole. That door has been slammed shut.Medicare, Medicaid and Veterans Administration
Reflecting a national problem, leaders of Northbenefits by 2050, Moses said.
Carolina's nursing home and long-term care"The trends can't continue and won't," he added.
facilities say that the money which MedicaidFlannery would like to see a tax credit reinstated
provides for patient care simply isn't enough tothat would give individuals a break if they
cover costs.purchase their own long term care insurance, and
North Carolina's problems reflect a grrowingwe agree.
national concern. It's a trend that likely could sendIn any case, long term care insurance is wise for
the industry spiralling into a financial crash, said theall to consider, as you cannot count on the
head of a reform group.citizenry and its elected officials to loosen their
As the public funding infrastructure implodes overpurse strings at this late date. It won't happen any
the next decade or two, we're going to hurt a lottime soon, believe me. That's fantasy-based
of poor people who won't have any access to awishful thinking. Period.
decent safety net.Long term care insurance activist, Clay Cotton,
Stacy Flannery, with the N.C. Health Care Facilitieswrites for - The Online Baby Boomers Decision
Association, said that nursing homes in NorthAssistance Center, where you get Free Long
Carolina are approaching a $14-per-patient per-dayTerm Care Insurance advice, comparative rate
loss when caring for Medicaid patients. And shequotes and personal guidance, all while safely at
said that the care of about 75 percent of thehome in your favorite pajamas and bunny slippers.
patients in North Carolina nursing homes is paid for