Long-term care mainly associated with which of the following?

Rationale:

A. Chronic disease prevention and management: While chronic diseases can contribute to healthcare costs, they are not directly related to waste and abuse within the healthcare system.

B. Fraud: Fraudulent activities, such as billing for services not provided or submitting false

claims, contribute to waste and abuse in the healthcare system, leading to higher costs for payers and consumers.

C. Unequal access to health care: Unequal access to healthcare may lead to disparities in health outcomes and healthcare utilization but is not necessarily a direct cause of waste and abuse.

D. Competitive approaches: Competitive approaches may influence healthcare delivery models and pricing strategies but are not directly related to waste and abuse contributing to rising

healthcare costs.

Rationale:

A. Private long-term care insurance: While private long-term care insurance can help cover the costs of nursing home care for individuals who have purchased policies, it is not the largest source of financing for nursing home care.

B. Medicaid: Medicaid is the largest source of financing for nursing home care in the United States. It provides coverage for low-income individuals who meet eligibility criteria, including coverage for long-term care services such as nursing home care.

C. Medicare: While Medicare provides limited coverage for skilled nursing facility care following a hospital stay, it is not the largest source of financing for nursing home care overall.

D. Private out-of-pocket payments: Private out-of-pocket payments, including payments made by individuals or their families, contribute to financing nursing home care but are typically not as significant as Medicaid.