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Gerontological Nursing 2 credit undergraduate course Page 19 of 20

Week 10:

Socioeconomic considerations and financing healthcare for older adults

Readings: Required:

Gerontologic Nursing, 2nd edition Chapter 3, pg 34-35 Chapter 7: Socioeconomic and Environmental Influences, pp 150-160

Feder, J., Komisar, H.L., & Niefeld, M. (2001). The financing and organization of health care. In Birstock R.H. & George L.K., (Eds). Handbook of Aging and the Social Sciences, San Diego: Academy Press, 387-405.

Learning Objectives: Identify major socioeconomic and environmental factors that influence the health of older adults Discuss fundamental principles associated with current public financing of care for older adults Distinguish between Medicare and Medicaid programs Identify roles and relationships between federal and state governments Discuss linkages between financing structures, care delivery practices, access to care Discuss current political, economic, and social issues relating to public/private financing of medical care and long term care for older adults

Lecture/discussion:

  • 1)

    Socioeconomic factors

    • a)

      Age cohorts

    • b)

      Income sources

    • c)

      Poverty, education, health status

  • 2)

    Financing entitlements and benefits

    • a)

      Overview: differentiation between Medicare and Medicaid

      • i)

        Medical care

      • ii)

        Long term care

    • b)

      Medicare program

      • i)

        Fundamental principles

      • ii)

        Payment structures

        • (1)

          Part A

        • (2)

          Part B

        • (3)

          Part C

        • (4)

          Part D

      • iii)

        Cost sharing

        • (1)

          Deductibles, co-pays

          • (a)

            Medi-gap coverage

          • (b)

            Employer sponsored

          • (c)

            Private pay

    • c)

      Medicaid program

      • i)

        Fundamental principles

      • ii)

        Payment structures

        • (1)

          State-set eligibility and benefits

        • (2)

          Long term care insurance

        • (3)

          Private Pay

    • d)

      Current policy issues re: Medicare financing Permission is hereby granted to reproduce, post, download, and/or distribute, this material for not-for-profit educational purposes only, provided that Northwest Coalition for Geriatric Nursing Education is cited as the source. This material may be downloaded and/or distributed in electronic format, including PDF format. Available on the internet at www.geronursinged.org E-mail notification of usage to: soncgne@ohsu.edu

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