As the demand for all types of home health-care workers skyrockets, the supply cannot keep pace, creating a looming national problem, CNBC reported on Tuesday. "We are on the edge of a crisis," said National Association for Home Care & Hospice President William Dombi. Dombi, whose Washington-based trade association represents 33,000 home-care and hospice organizations, added that "We are not prepared for what's coming. Our concern is that the demand is going to outstrip the supply unless we see some dynamic changes occur." In addition to the need for better compensation, benefits, training and advancement opportunities for personal-care aides, Dombi insists that a large part of the problem is that the profession doesn't get the respect it deserves. "These are workers taking $10-an-hour jobs, often without benefits, to provide services to extremely vulnerable people, doing work that 99.9 percent of the population would like to avoid doing," he said. "There has to be a change … [Read more...] about Worker Shortage Signals Looming Crisis in Home Health-Care System
Medicare home health care
We keep hearing the foreboding statistics: 10,000 baby boomers in the United States turn 65 every day; our aging population is expected to double in the next 20 years and swell to 88 million by 2050; 75 percent of Americans over 65 live with multiple chronic health conditions, ranging from diabetes to dementia. It is no secret, either, that the nation's already-strained health-care system is trying to keep sick and longer-living seniors out of hospitals, assisted-living facilities and nursing homes and instead in their own homes, which is where they want to live out their golden years. But that has shifted the caregiving burden onto family members, who are increasingly stressed and often supplemented by personal-care aides (also referred to as certified nurse assistants, personal-care assistants or home health aides) employed by thousands of home-care agencies across the country. Nurses and other skilled practitioners manage in-home medical needs, such as administering medications and … [Read more...] about America’s $103 billion home health-care system is in crisis as worker shortages worsen
The debate over health care in America took an improbable twist in March, when a speech at the Rotary Club in Des Moines, Iowa, became a national news story. Laura Jackson, an executive vice president at Wellmark Blue Cross Blue Shield, was speaking about the future of the Affordable Care Act. The law could do a lot of good by putting health insurance within reach of millions, Jackson explained, but the newly reformed private insurance market simply wasn’t working in Iowa. Wellmark, the state’s largest carrier, was losing money on the plans it sold under the new law’s regulations. The reason, Jackson said, was a problem called “adverse selection”: too many people with high medical bills and not enough healthy people paying premiums to cover those costs. To illustrate Wellmark’s situation, Jackson pointed to one customer in particular ― somebody with a genetic disorder whose bills totaled as much as $1 million a month. She had … [Read more...] about An Iowa Teenager Didn’t Wreck His State’s Health Care Market. Here’s Who Did.
The notion that health care outside the U.S. could be good as well as cheap is a foreign one to many Americans. Kathleen Peddicord frequently hears from such skeptics as founder of Live and Invest Overseas, a site for people curious about living abroad. Actual expats like her, however, tell of good-quality care at a fraction of the U.S. price. Treatment for a motorbike accident in Panama cost her $20. Emergency dental surgery that might cost $10,000 or more in the U.S. was $4,500 in Paris. In many countries, medications that would require a prescription in the States are available directly from licensed pharmacies at low prices, thanks to government subsidies or regulation. “The health care in a lot of places around the world is very good, as good as in the United States,” says Peddicord, who currently divides her time between Paris and Panama. “Some places, it is better.” Low-cost, quality health care usually isn’t the main reason people move abroad, says … [Read more...] about Liz Weston: Should you move abroad for health care?
Story highlights Refusing home health care after hospitalization puts patients at risk of a difficult or slow recovery Without these services, older adults' odds of being readmitted within 30 or 60 days double, according to one study Many seniors and caregivers confuse home health care with "home care" delivered by aides The 84-year-old man who had suffered a mini-stroke was insistent as he spoke to a social worker about being discharged from the hospital: He didn't want anyone coming into his home, and he didn't think he needed any help. So the social worker canceled an order for home health care services. And the patient went back to his apartment without plans for follow-up care in place. When his daughter, Lisa Winstel, found out what had happened she was furious. She'd spent a lot of time trying to convince her father that a few weeks of help at home was a good idea. And she'd asked the social worker to be in touch if there were any problems. Similar scenarios occur … [Read more...] about Why confusion leads seniors to turn down home health care