Early in the managed care movement, it became clear that there was remarkable variation in the way similar patient populations were being cared for
from one state to the next, and even from one county to the next.
Fortunately the majority have children or friends who aid them, but the others must be cared for
by the community.
54% of California's Medi-Cal patients were cared for
at not-for-profit community hospitals vs.
Despite the growth in special care units, most people with dementia are still cared for
in the general nursing home population.
Most of the persons cared for
are not legally entitled to this health care based on service connected disability.
Recent medical advances have made it easier for people to be cared for
in their homes or in a community-based setting, and Trigon's tax-qualified long-term care plans can provide coverage for care is such settings.
This often forced elderly persons to enter nursing homes rather than being cared for
at home by a caregiver backed by a network of HCBC providers, who were often scarce to begin with, because of the lack of Medicaid funding.