Energy Assistance and Home Health Care for the Elderly: Hearings Before the Subcommittee on Housing and Consumer Interests of the Select Committee on Aging, House of Representatives, Ninety-eighth Congress, Second Session, June 8, 1984, Niles and Holland, MI.

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Page 21 - Its basic purpose is to stimulate a better focusing of all available local, State, private, and Federal resources upon the goal of enabling low-income families, and low-income individuals of all ages, in rural and urban areas, to attain the skills, knowledge, and motivations and secure the opportunities needed for them to become fully self-sufficient.
Page 54 - ... enable older persons to live in their own homes or other places of residence as long as possible.
Page 22 - And I will be happy to try to answer any questions that you may have.
Page 24 - Mr. Chairman, members of the committee, ladies and gentlemen.
Page 56 - Ironically two of the main thrusts for deinstitutionalization — concerns about fraud and abuse and concerns about costs — may be even more difficult to control under community placement alternatives. The greater degree of decentralization of service provision, the more difficult it will be to regulate practices. Similarly, the more numerous the units of service, the more costly the service may become. Original assumptions that community services would be cheaper were sometimes based on applesto-oranges...
Page 55 - ... complete housing function to the nursing and housekeeping aspects of home care without including the costs of shelter. A policy that favors increasing activity in the area of alternatives may encourage providers of those services to reach out to those in less need in order to show a greater effect. To the extent that outcomes are compared to costs, the tendency to serve the most accessible and least needy will predominate.
Page 54 - We must bear in mind that as we keep people alive longer, we will be performing many more procedures for diseases associated with increasing age - more prostate operations, more cataract operations, more hip replacements, etc. We will be obliged to devote a greater proportion of our resources to restorative procedures for the elderly
Page 56 - Corporation have shown that decentralized home care in a competitive market can work only if there is in place a client advocacy system targeted at the truly at-risk elderly, assuring appropriate access to care at appropriate levels. This system should include "the active pursuit of case finding and monitoring.
Page 42 - Perhaps the greatest growth in home care came with the enactment of title XVIII, Medicare, and title XIX, Medicaid, amendments to the Social Security Act, which paved the way for improving funding for home care for the elderly and the indigent.

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