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Continued Medicaid Payment Shortfalls Are Very Scary

December 21, 2012 by Honey Leave a Comment

ShortfallsHere’s a link to the December 2012 Report on Shortfalls in Medicaid funding. This is an annual report commissioned by the American Health Care Association (AHCA) and performed by Eljay, LLC.

Not surprisingly, the report (page 6) states that:

  • “Between 2010 and 2012, the… projected (Medicaid) shortfall climbed to $22.34 from $18.54 in 2010, a 20.5 percent increase in the shortfall amount.”
  • “We estimate that in 2012, state Medicaid programs, on average, reimbursed nursing center providers only 88.9 percent of their projected allowable costs incurred on behalf of Medicaid patients. This means that for every dollar of allowable cost incurred for a Medicaid patient in 2012, Medicaid programs reimbursed, on average, approximately 89 cents. This represents the lowest percentage since the inception of this study in 1999.

This is very scary stuff!

Obviously, the government is less and less capable of providing long-term care.

I hope that those of you who do not already own reasonably priced long-term care insurance (LTCi) will take heed and plan responsibly for your long-term care. LTCi is the reasonable – and sure – way to ensure you will have all the options you’ll prefer if long-term care is needed.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: ACHA, American Health Care Association, Eljay LLC, Honey Leveen, Long Term Care insurance, LTCi, Medicaid, www.honeyleveen.com

Medicaid outlook bleak for providers in 2012

January 2, 2012 by Honey Leave a Comment

A new report by Eljay LLC (A Report on Shortfalls in Medicaid Funding for Nursing Home Care, © 2011 Eljay, LLC. All rights reserved), on behalf of the American Health Care Association, states that the unprecedented state of budget deficits will result in historically low Medicaid nursing home reimbursements. Because of this, the report projects nursing homes will average a $19.55 shortfall, per patient, per day in 2011, up from $16.54/day in 2009.

Many nursing facilities have counted on profitability from Medicare patients to offset the profit they lose on Medicaid patients. In 2012, Medicare payments to nursing homes will be scaled back, effectively eliminating this “profitability patch.”

Recent LTCQueen blogs have predicted that the quality of government financed long-term care would diminish; here’s evidence that it will, sooner than many are willing to admit. These tragic circumstances make long-term care insurance ownership more compelling than ever.

Filed Under: Denial, Helpful Information About LTC, I'll Just Self-Insure, Medicaid Planning Tagged With: American Health Care Association, Eljay LLC, Long Term Care insurance, long-term care, LTC Insurance, Medicaid, Medicare, Nursing Homes

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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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