Tuesday, April 7, 2015

Regulating Activities of Daily Living

 Care planning is a primary means employed to lower annual long term care costs for seniors.  Advanced care planning bolsters safety while extending the seniors stay outside of medically managed settings. 

The Medicaid program has a long history of using the same compensation consultant to flatten reimbursement rates for the provision of similar services.  State wide contracts would increase volume while calculation of per task rates would maintain consistent reimbursement.   A bath delivered any where in Wisconsin would allow 20 minutes and reimburse about five dollars and twenty five cents.  Regardless of the pull your corporate development officer carries the CMO or Insurance plan would reimburse personal care tasks in a defined calculation. 

The independent personal care assessment is an element of the advanced care planning procedure.  The frequency of the independent personal care assessment is a regulatory mechanism implemented to manage the personal care delivery profit margins.  Personal care is support from another to help the senior participate in the (ADL's) activities of daily living.   The activities of daily living involve eating, drinking, walking, toileting, dressing, bathing, medication reminders, and hygiene.

Activities of daily living are what we all do to maintain health and wellness.  When we need support doing this we call it personal care.  There are several predictable variables that can indicate an increased need for help.  Couple of obvious examples would be a bone fracture or a stroke.  The personal care need should be elevated at time of the event and hopefully lessen as treatment occurs.

Standard practice would expect a personal care assessment with each change in the authorization of hours.    One can see how advanced age can carry a risk for lead indicators suggesting a personal care assessment is appropriate.  Frequency is the regulatory mechanism assuring adequate levels of support while limiting margin. 

The State wide expansion creates an immediate growth in sales - called program utilization cost.  Insurance plans will expect above average production in all aspects of personal care delivery.  The insurance plan demonstrates leverage boosting production across a greater market share.  The lean operating expectations will create a greater dependence upon technology and flexibility within a network of numerous local service providers.

Home Care Path celebrates 5 years of successfully serving seniors in  Central Wisconsin

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 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life

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