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Future Developments
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Future Developments
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Future Developments Two important things are
happening. First, existent large retirement/assisted living centers in our area
are building additional apartments to attract future occupants. These
organizations employ management to fill these rooms and can afford to mount
extensive advertising campaigns to do just that. Despite this, the AFC
Family Home – if it can raise awareness of itself – should continue to
retain its niche as the small, personal, affordable and classy licensed assisted
living alternative. There is a simple reason for this, most human beings
dislike crowds. Most people, above all the frail elderly and their families,
seek a deeper contact and clarity from their surroundings than expansive
communities can provide. Secondly, with Medicare
and Medicaid in deep financial trouble, politics increasingly needs to
address these popular programs’ funding shortcomings. For example, already
there is talk of making the so-called Medicaid Waiver – applicable
institutionally only to nursing homes and the most obvious source for potential
savings – more difficult to obtain. A nursing home is easily the most cost
intensive form of assisted living. Up until now, a whole industry has
specialized in helping certain seniors “spend down” their assets (on paper) so
that they might take advantage of the Medicaid Waiver covering their high
nursing home costs. (In Michigan, this results in 70% of all available
Medicaid Waiver monies going to nursing homes). Its sole use towards
nursing homes also forces some elderly – for true lack of funds –into an
expensive care environment that they do not require and that does not provide
them with the stimulus they deserve. Politics is beginning to ask itself two
obvious questions: Why is it so easy for seniors with financial means to obtain
the Medicaid Waiver? And, why does the Medicaid Waiver force
truly financially needy, but relatively healthy, elderly into occupying
expensive nursing homes? An AFC Family Home is merely one-third
or one-fourth as costly and does so much more justice to these people and the
taxpayers. The political debate is seeking to include the option of the less
expensive, more individualized AFC Family Home in the restructuring
process. |
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