Nursing Home Care: A Case Study

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I believe aging is responsible for the growth of healthcare expenditures because the population will continue to grow so will the life expectancy continue to increase. The elderly population is living longer therefore they need advanced care such as nursing home. Hudson stated, “In 2011, total nursing home expenditures in the United States tOPPED $149 billion” (Hudson, 2014, p. 224). The largest payer of nursing home care in the United States is the Medicaid program and it’’s expenditures is more than $46 billion in 2011. As elderly population is living longer, elderly will eventually be at a nursing home which will only continue the growth of healthcare expenditures. Medicare is a growing source of funding for nursing homes, which in 2011 …show more content…

Medicaid provides home and community based services (HCBS) to approximately 800,000 individuals the waiver program for expenditures. The expenditures for waiver programs have expanded from $8.2 billion in 1997 to more than $35 billion in 2010 (Eiken et al., 2010). Two-thirds of Medicaid fund are assigned to nursing home care for older adults and individuals with physical disabilities, therefore the healthcare expenditures continue to grow. Allocating Medicaid expenditures to home and community based services (HCBS) has been more significantly for individuals with developmental disabilities, with the institutional/community ratio shifting to twenty five-percent and seventy-five percent is the home and community based service (HCBS) (Eiken et al., 2010). The disability population will not decrease but only increase therefore, there will be a growth on medicare expenditures due to disability expenses of treatment. According to the Centers for Disease Control and Prevention (CDC) in 2006, disability associated healthcare expenditures accounted for 26.7% of all healthcare expenditures for adults who permanently lived in United States and totaled $397.8 billion (CDC,

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