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How are they managing their medications?
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Are they experiencing any memory loss?
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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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My mom just went onto hospice in June. She is in a NH and shattered her hip. So she is now bedfast, so between that and other items, now qualifies for hospice.
Just got the CMS (Centers for Medicaid & Medicare) statement for June: 30 hospice visits / 4 skilled nurse visits / 12 aide-home health visits = $ 4,366.50. Of this Medicare (federally funded) paid $ 4,280.00. I think the $ 86.00 difference is paid by Medicaid (a state & federal joint program).
Yes, over 4K for hospice in a single month. Mom's NH room & board are in addition to this. Thank goodness she is on Medicaid. Her state's Medicaid reinbursement rate is about $ 145.00, so that alone was $ 4,350.00 which was paid jointly by the state & fed's. So between them it's over 8K plus medications. My mom doesn't have heavy medication costs either, she is just super old (mid late 90's) with Lewy Body dementia. Easily over 100K a year on her.
Pretty astounding. Really I don't see how the system can continue to pay for elders care & needs at this rate when the tsunami of boomers hit needing NH. it will not be pretty.....
Hospice care is funded by patients paying through Medicare, Medicaid, and Private insurance with a hospice benefit (not all have one) If there is no payment source then the patient is responsible on a sliding scale. No one is turned away if they have no means to pay. Many people ask for memorial donations be sent to hospice. Some leave money in their wills. Hospice will hold fundraisers, by selling flowers, plants and bazaars and anything else they can think of. local businesses will often donate their services and sometimes the United Way provides a grant. Medicare pays much less than it typically costs to provide adequate patient care. It is a set daily amount that must cover nursing services, home health aids, medications, equipment and supplies. medications can cost $100s a week, equipment is rented and covers such things as hospital beds, oxygen, commodes, walkers, egg crate mattress and other things. Anyone who has an incontinent loved one knows the cost of Depends etc so you can see a not for profit hospice in a poor area struggles to make ends meet and provide first class case. Nurses are paid less than the average in their area and the mileage allowance is typically less than the federally set amount. If a hospice receives Medicare they are required to provide a certain number of hours worked by volunteers. There are strict rules about what a volunteer may or may not do. For example a retired nurse can not provide nursing services or make any decisions regarding the patient. This means people with skills can not be used as free labor. There is a lot more to running a hospice than running a nurses agency.
What do you mean by "funding"? I know of some hospice groups that recieve government grants for supplies. I haven't heard of a hospice group that is primarily funded by the state or federal government. Most use insurance, donations and grants. I guess it would be dependent on which hospice group you are referring.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Just got the CMS (Centers for Medicaid & Medicare) statement for June:
30 hospice visits / 4 skilled nurse visits / 12 aide-home health visits = $ 4,366.50.
Of this Medicare (federally funded) paid $ 4,280.00.
I think the $ 86.00 difference is paid by Medicaid (a state & federal joint program).
Yes, over 4K for hospice in a single month. Mom's NH room & board are in addition to this. Thank goodness she is on Medicaid. Her state's Medicaid reinbursement rate is about $ 145.00, so that alone was $ 4,350.00 which was paid jointly by the state & fed's. So between them it's over 8K plus medications. My mom doesn't have heavy medication costs either, she is just super old (mid late 90's) with Lewy Body dementia. Easily over 100K a year on her.
Pretty astounding. Really I don't see how the system can continue to pay for elders care & needs at this rate when the tsunami of boomers hit needing NH.
it will not be pretty.....
medications can cost $100s a week, equipment is rented and covers such things as hospital beds, oxygen, commodes, walkers, egg crate mattress and other things. Anyone who has an incontinent loved one knows the cost of Depends etc so you can see a not for profit hospice in a poor area struggles to make ends meet and provide first class case. Nurses are paid less than the average in their area and the mileage allowance is typically less than the federally set amount. If a hospice receives Medicare they are required to provide a certain number of hours worked by volunteers. There are strict rules about what a volunteer may or may not do. For example a retired nurse can not provide nursing services or make any decisions regarding the patient. This means people with skills can not be used as free labor. There is a lot more to running a hospice than running a nurses agency.
I know of some hospice groups that recieve government grants for supplies. I haven't heard of a hospice group that is primarily funded by the state or federal government. Most use insurance, donations and grants. I guess it would be dependent on which hospice group you are referring.