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主页 / 相册 / New Orleans (The Virtual Action), fall 2002 6
上传日期 / 2020 / 十一月 / 22
ADAPT (1406)
[Headline] US News Blows Apart Nursing Home Industry's Sympathy Pitches, While GAO Report Questions Wether More Money Leads to Better Care. US News and World Report magazine is not a bastion of liberal propaganda, and yet, through good research and reporting, they have found the nursing home industry might be less than trust worthy. Their 9/30/02 issue Health & Medicine section, contains an amazing article by Christopher H. Schmitt entitled The New Math of Old Age: Why the nursing home industry's cries of poverty don't add up. This extensively researched and well written article, explains why many of the industry's claims are unreal. To quote a short summary of the findings from the article itself: US News conducted a home-by-home examination of the industry's finances. The magazine analyzed hundreds of thousands of pages of nursing home financial statements and shared the results with current and former regulators, patient advocates, congressional staffers, and others knowledgeable about the industry. The findings: ❑ The nursing home industry is profitable and growing, with operators spinning a far brighter tale for Wall Street than for Capitol Hill. Many nursing homes are earning exceptionally healthy profit margins, often 20 and 30 percent. ❑ There is no strong evidence, as the industry claims, that inadequate federal payments for care of the elderly poor are dragging down profits Likewise, there is no evidence that patients are markedly sicker today. ❑ Even as they report tough financial times in their official government filings, many nursing home operators steer big chunks of their revenues to themselves or related businesses before they calculate the bottom line. ❑ The government funding cuts the nursing home industry has described as catastrophic actually amount to about 1 percent of current revenue. More details and fascinating explanations of the tricks of the trade reveal [text cuts off] [boxed text] Incitement Incitement Incitement ADAPT/ Incitement 1339 Lamar SQ DR #101 Austin TX 78704 (512) 442-0252 V/ TTY (512) 442-0522 FAX Incitement is produced from the offices of Topeka Independent Living Resource Center (TILRC) Articles, letters, compositions, displays and photos are encouraged. Please contact Tessa Goupil for deadlines for submission of materials. The Editor reserves the right to edit or omit any material that is submitted. For more information, contact Tessa Goupil at TILRC or Stephanie Thomas at ADAPT. Topeka Independent Living Resource Center, Inc. 501 SW Jackson St., Suite 100 Topeka, KS 66603-3300 (785) 2334572 v/TTY (785) 233-1815 TTY (785) 233-1561 FAX [end boxed text]
ADAPT (1411)
Incitement Incitement Incitement Volume 18 No. 3 A Publication of ADAPT Fall 2002 [Headline] Ten Worst States Survey 2002/2003 [Subheading] Louisiana The Worst in the Nation Periodically ADAPT ranks how the states are doing in providing options for people with disabilities and older Americans to live and receive sup-port services in the community. Looking at the states provision of long term services and supports, our analysis for this ranking weighed various long term care factors based both on published data and on the evaluation of people with disabilities (old and young). ADAPT used three sources of information to rank the states: * The MEDSTAT Group Inc data on Medicaid long term care expenditure in Federal Fiscal Year 2001; (May,2002) * The State of the States in Develop-mental Disabilities: 2002 Study Summary; (June 2002) * Advocate's assessment of the states services.(September 2002) The rankings at right are ADAPT's analysis of the above information: [boxed text] TEN WORST RANKING • 1. Louisiana (worst nationally) • 2. Mississippi • 3. Washington, DC • 4. Illinois • 5. Indiana • 6. Tennessee • 7. Nevada • 8. New Jersey • 9. Ohio • 10. Georgia The next ten worst states: Alabama, Florida, Pennsylvania, Texas, Kentucky, Delaware, Virginia, Maryland, Arkansas and Missouri.
ADAPT (1410)
[Headline] Louisiana FY 2001 [Subheading] The Worst in the Country [Subheading] Background Information. Louisiana spends 90.3% of Medicaid Long Term Care (LTC) dollars on nursing homes and ICF-MR facilities; This funding bias exists: • 30 years after the passage of Section 504 • 12 years after the passage of the ADA • 2 years after the Supreme Court's Olmstead decision [Subheading] The Numbers: • Nursing Homes: 69% on facilities for people with disabilities, old and young • ICF-MR: 21.3% on facilities for people with developmental disabilities • Community spending: 9.7% (Medicaid waivers, Home Health) Total Louisiana Medicaid LTC spending: $1.68 billion Louisiana Medicaid spending on nursing homes: $1.16 billion Louisiana Medicaid spending on ICF-MR: $ 355.27 million Louisiana Medicaid total spending on Community: $ 163.43 million State's ratio of nursing home beds per capita exceeds national average by more than 50%. This means Louisiana has more beds than it needs (20 % are empty). States ratio of ICF-MR beds is three times the national average. Louisiana Medicaid per capita spending nursing homes: $259.43 (over 70% higher than national average) National Medicaid per capita spending nursing homes: $150.04 Louisiana Medicaid per capita spending on ICF-MR: 79.57 (over 115% higher than national average) National Medicaid per capita spending on ICF-MR: $36.35 Louisiana Medicaid per capita spending on Community: $36.60 (Less than 1/2 the national average) National Medicaid per capita spending on Community: $77.99 Access to Long Term Care is uncoordinated across programs. Louisiana's system is fragmented and difficult for people to access. Attendant wages average $5.56 - only 7% have health benefits.
ADAPT (1409)
[Headline] ADAPT'S Ten Worst States [Subheading] Summary Background Louisiana: outline of the state Mississippi: outline of the state Washington DC: outline of the state Illinois: outline of the state Indiana: outline of the state Tennessee: outline of the state Nevada: outline of the state 90.3% of long term care spending goes for nursing homes and other institutions. Spends less than 1/2 the national average per capita on community services. 5th highest spending per capita on nursing home services. 3rd highest spending per capita for ICF-MR facilities for people with developmental disabilities. 90.7% of long term care spending goes for nursing homes and other institutions. 47th in community fiscal effort for persons with developmental disabilities. 23rd in per capita spending on nursing homes. 94 % of long term care spending goes for nursing homes and other institutions 5th lowest spending per capita on community services. 4th highest spending per capita on nursing homes. The highest per capita spending on ICF-MR facilities. 85.6% of long term care spending goes for nursing homes and other institutions. 6th lowest spending per capita on community spending. 42nd in community fiscal effort for persons with developmental disabilities. 85.3 % of long term care spending goes for nursing homes and other institutions. 7th lowest spending per capita on community services. 34th in community fiscal effort for person with developmental disabilities. 84.6% of long term care spending goes for nursing homes and other institutions. 8th lowest spending per capita on community services. 39th in community fiscal effort for persons with developmental disabilities. 74.7% of long term care spending goes for nursing homes and other institutions. 2nd lowest spending per capita on community services. Lowest in the nation community fiscal effort for persons with developmental disabilities. New Jersey: outline of the state Ohio: outline of the state Georgia: outline of the state 81.9% of long term care spending goes for nursing homes and other institutions 6th highest spending per capita on nursing homes. 41st in community fiscal effort for persons with developmental disabilities. 85.1 % of long term care spending goes for nursing homes and other institutions. 6th highest spending per capita on ICF-MR facilities. 12th highest spending per capita on nursing homes. 79.4% of long term care spending goes for nursing homes and other institutions 4th lowest spending per capita on community services. 50th in community effort for persons with developmental disabilities. [boxed text] Dear Advocates for Home and Community Services: These are the "Ten Worst States." Use this information to reform the long term service and support system. Hold a press conference to highlight the poor job these states are doing, and issue a challenge to state officials to improve the community service system. COMMUNITY FIRST! Though being in the worst category is nothing to be proud of, it gives your state the opportunity to commit to using 2002/2003 as a year to improve community services. If you have any question please contact us at 512/442-0252. For an Institution Free America, The ADAPT Collective
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This page continues the article from Image 1409. Full text is available on 1409 for easier reading.
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[Headline] ADAPT to Confront Health Care Lobby in New Orleans [Subheading] "Our Homes Not Nursing Homes" New Orleans, LA---What do you do if you're the "little guy", a disabled or older American, getting trampled by corporate greed and possible fiscal mismanagement? If your name is ADAPT, you fight back! ADAPT, the national grassroots, disability rights group, will be in New Orleans, October 5-10, to confront the American Health Care Association (AHCA), the nursing home lobby, on its continued opposition to "Community First" for Americans with disabilities, young and old. "Community First" is the rallying cry of 50 million Americans, old and young, who don't want to be forced into nursing homes and other institutions when they could receive the same long term care services and supports in their own homes, in their own communities. Currently, the nursing home industry has a monopoly on long term care services. Federal Medicaid policy mandates that states provide long term care services in nursing homes and state institutions, but doesn't mandate that states also provide community based long term care services. As a result of this "institutional bias", older and disabled Americans are forced into institutional settings, and are thus deprived of the choice to remain in their own homes, receiving needed services there, services which are usually much less expensive in the community. According to information from the HHS Center for Medicare and Medicaid Services (CMS), between 1989 and 2001 payments to nursing homes increased by 625%, or $35.9 billion dollars, while the number of people in nursing homes increased only incrementally. During the same period CMS reports that community based services, which operate at roughly a quarter of the nursing home budget, have gone up by only $18.9 billion dollars while serving approximately 500,000 more people. AHCA is lobbying strenuously for Congress to once again vote for a payment increase to the nation's nursing homes before the end of the year. They hope to convince Congress with a massive marketing campaign carrying the message that more dollars mean improved quality. Yet, a recently released report by the Government Accounting Office (GAO-02-431R) states that there is no correlation between nursing home funding and improved quality of care. This has advocates wondering just what has happened to all the public dollars that have gone to nursing homes for the past 13 years, since there have been no significant improvements in care, and relatively small increases in the number of people served. "Once again, AHCA is asking Congress to throw money at a problem that begs a far different solution. Did the nursing home industry make a bunch of bad investments with our tax dollars?" asks Stephanie Thomas, a National Organizer for ADAPT. "Did owners pocket too much as profit? Are they now asking Congress for a corporate bailout? We'd sure like to know why Congress would even think about rewarding possible nursing home industry mismanagement by throwing good money after bad. This is corporate welfare at work." While in New Orleans, in addition to holding AHCA accountable for its opposition to "Community First", ADAPT will be promoting MiCASSA, bi-partisan legislation now in Congress (S.1298 and HR 3612), which reforms federal Medicaid policy to allow all Americans in need of long term care services to choose to receive those services in their own homes. ADAPT will challenge AHCA to support MiCASSA and give people with disabilities, older Americans and families a real choice in long term care services and supports. ###