Long-Term Care - Illinois General Assembly

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Budget Deficit: An Opening for Reform 1993: Nursing home spending up; extensive waiting list for home care; no residential alternatives to institutional care. 1994: Legislature tightens Medicaid nursing home admission criteria; use savings for home care and state budget deficit. Adopts budget neutrality for any nursing home certificate of need projects. 1995: Legislature adopts mandatory pre-admission screening for all nursing home admissions. 1996: Redesign administration of public home care programs to reduce overhead costs and address disparities in service allocation. 1998: Implement MECARE on-line, electronic system for LTC eligibility determination. 1995 — 2003: Revise regulations for all public LTC programs to promote choice, equity, and cost-effectiveness. 2002 — : Budget crisis redux. 3
What’s Working • 39% of LTC budget goes to home & community care — up from 16% in 1995. • Doubled number of persons using home care and assisted living. • Medicaid nursing home census down by 17%; discharges to home tripled; length of stay reduced. • More than 2000 nursing home beds (20% of total) “banked” or de-licensed; others converted to assisted living. • Slowed growth in LTC spending. • Per person LTC spending declined 12%. 4
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Speaker’s Summit on Senior Servic
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PANELISTS AT STATE SUMMIT MEETING G
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Interoffice Memorandum January 2004
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This 2nd stage of the summit focuse
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PRIMARY RECOMMENDATION ILLINOIS DEP
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ENCOURAGE NURSING HOMES TO CONVERT
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financial participation, as well as
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as the “baby boomers” reach the
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• Expand the range of services av
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materials should emphasize 3 key ar
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• Develop a state medication tech
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The changes in occupancy seem to be
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eligibility determinations. Most of
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didn't matter if he or she had a lo
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folks are looking at other kinds of
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Trying to get just workers and acco
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There is also an automated pre-admi
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Personal care was provided as an op
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State and Medicaid Spending Total E
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Most of all, we want to make sure t
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Rick Dees Illinois Department of Pu
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dialog with the federal government
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enables the person to more easily a
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• Take care of the caregiver. For
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• Services available in Illinois
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Julie Sampson Citizen Action The Lo
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The United States healthcare system
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• Make doing home care, and worki
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documented the assaults, but nobody
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The SEIU report, “Facing a Crisis
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offered to facilities to convert mu
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providers, and the state by streaml
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Steve Nussbaum Life Services Networ
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We have a program that many of our
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Putnam County has 1,264 seniors, wi
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our director. We went back into the
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8/26 Palatine State Representative
Page 75 and 76: ≡ Eliminate asset tests for home
Page 77 and 78: The escalating demand for long-term
Page 79 and 80: changes that can improve health; he
Page 81 and 82: • In 2002 Medicaid rates were cut
Page 83 and 84: Additionally, it is far more cost e
Page 85 and 86: modern, quality living space for re
Page 87 and 88: • Make doing home care, and worki
Page 89 and 90: ILLINOIS HEALTH CARE ASSOCIATION Th
Page 91 and 92: • The Supportive Living Program n
Page 93 and 94: homes is important. In-home care se
Page 95 and 96: STATE FARM INSURANCE 100% of LTC co
Page 97 and 98: • Seek expansion of the Medicaid
Page 99 and 100: Develop a mental health system whic
Page 101 and 102: Minnesota’s Long-Term Care Reform
Page 103 and 104: Who Provides Long-Term Care? 5% 95%
Page 105 and 106: Long-Term Care in Minnesota State o
Page 107 and 108: Long-Term Care Issues Minnesota Lo
Page 109 and 110: Long-Term Care Policy Directions
Page 111 and 112: Reshaping Long-Term Care Highlights
Page 113 and 114: Reshaping Long-Term Care How long-t
Page 115 and 116: Long-Term Care Benchmarks Benchmar
Page 117 and 118: Percent of Public LTC Spending on E
Page 119 and 120: Percent of older persons in nursing
Page 121 and 122: Other Measures of Success Paradi
Page 123 and 124: Conclusions Promoting non-governme
Page 125: Principles of Reform Choice Offer m
Page 129 and 130: Other Essential Ingredients • Goo
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Long-Term Care - Illinois General Assembly

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