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Medi-Cal enrollees have an easier time getting into a nursing home if they are coming from the hospital rather than from their homes or from assisted living.
Medicaid covers about two-thirds of nursing home residents, but it pays less than other types of insurance.
Too often enforcement of rules for dealing with crisis is lax, advocates for nursing home residents say.
A class-action complaint filed in a federal court in Northern California alleges that insufficient staffing and poor worker training has had “devastating” consequences for residents in the assisted living homes of Tennessee-based Brookdale Senior Living.
Tighter Medicaid budgets could jeopardize states’ home-based services that help older adults and disabled people live in their homes instead of more expensive nursing homes.
Suit filed by advocates says California officials aren’t complying with federal Medicaid laws protecting spouses’ finances.
Of the 528 nursing homes that graduated from special focus status before 2014 and are still operating, more than half — 52 percent — have harmed patients or operated in a way that put patients in serious jeopardy within the past three years, a KHN analysis finds.
Medicaid pays for two-thirds of nursing home residents — 62 percent in California — but some recipients don’t even know they’re on it.
California is one of only nine states — in addition to the District of Columbia — that spent more than half of their long-term care Medicaid dollars on home- and community-based services rather than on nursing homes. The Golden State ranked 9th in the nation in the quality of its overall long-term care services, up from 15th six years ago.
Advocates for the elderly worry that GOP plans to end Medicaid’s open-ended spending and replace it with per-capita limits could pose a risk for low-income older people who rely on the federal-state program for nursing and other long-term care.