Home and community-based care: recent accomplishments and new challenges

Article Abstract:

The emergence of home and community-based care (HCBC) is marked by the convergence of functionally oriented and targeted services for the disabled. This development has acquired greater legitimacy and capacity as a system and as a policy option in long-term health and social care. However, the expansion of HCBC services into federal policy is hampered by its nascent institutional character and the general indifference to long-term care in social insurance policy. Conversely, the broad potential efficacy of HCBC can significantly counter the current opposition to federal social programs.

Elderly, Community health services, Growth, Home care services industry, Community health services for the aged

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Designing home care benefits: the range of options and experience

Article Abstract:

Home care benefit design decisions need to resolve fundamental issues, such as basic benefit type, coverage of services and providers, and choice of service mix and providers. Basic benefit designs, such as service entitlements, managed-service benefits and cash disability allowances have been adopted as common practice in public and private insurance programs. The varied home care benefit designs offer many feasible options. A randomized experimental program is needed to evaluate the costs and benefits of alternative benefit designs in relation to social policy goals.

Health insurance, Medical care utilization

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Time not yet money: the politics and promise of the Family Medical Leave Act

Article Abstract:

This article examines the construction and implementation of the Family Medical Leave Act (FMLA). The author analyzes the FMLA and the social and political aspects of paid leave involving private employers, and maintains that the Act will remain a very contentious issue in the political arena.

United States, Laws, regulations and rules, Social policy, Political aspects, Sick leave

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