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When a program funded through state-only dollars is targeted for reduction or elimination, there is a possibility that it can be funded through Medicaid instead, notes Patricia MacTaggart, a lead research scientist and lecturer in the Health Policy Department at George Washington University in Washington, DC.
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For decades, a California long-term care program provided case management for about 12,000 elderly Medicaid clients who qualify for placement in a nursing facility but want to remain in the community, but it is now faced with total elimination.
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After the Multipurpose Senior Service Program (MSSP) was targeted for elimination in January 2011, the program's staff put together their own analysis to prove the cost savings achieved by the program, reports Eileen M. Koons, MSW, ACSW, director of Huntington Senior Care Network.
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Medicaid programs underfunded nursing facility care by $5.6 billion in 2010, paying $7.17 per hour per patient, less than the nation's current minimum wage of $7.25 an hour, according to an analysis from the American Health Care Association in Washington, DC.
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This observational study found a large reduction in central line-associated bloodstream infections compared to historical controls for surgical ICU patients bathed daily with chlorhexidine gluconate-impregnated cloths.
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Early plasmapheresis and high-dose intravenous corticosteroids may be as effective as conventional oral corticosteroid therapy in the treatment of myasthenia gravis.
