Top > ケアマネの裏話 > 居宅介護支援事業所っていくら儲ける?2
今日は、ケアマネージャーの主戦場「居宅介護支援事業所」の収支についてご説明します。
居宅介護支援事業所とは、介護支援専門員<ケアマネージャー>が在宅で生活されている利用者に対してケアプラン作成を行い様々なサービスを提供するために調整する事業所です。
居宅介護支援事業所は、利用者にとって介護サービス事業所の中では、唯一無料でサービスを受ける事が可能なサービスです。 裏を返せば国が料金を10割負担してくれているということです。この10割負担はいくらなのか・・・。これは、びっくりするかもしれませんが、利用者一人につき一ヶ月1万円程度の報酬です・・・・。ケアマネがいくら利用者さんのために働いても 月1万円・・・。安い!!まあこれでも介護バブルのころには、ケアマネジャーが利用者を100人担当して1ヶ月100万円というころもありました。しかし、バブルがはじけてケアマネ一人あたりにもてる利用者の数が35人(要介護者)までと設定され35人をこえると減算対象になってしまいました。これで、最大ケアマネがもてる利用者は35人 100万→35万 単純計算で、事業所が25万円給料をだそうとすると、社会保険料なども含めておよそ30万近くなり、事業所などの経費などをひいてしまうと一人あたりのケアマネの売り上げが赤字になってしまいます。・・・これでボーナスなども考えると大赤字になります。しかも、認定基準が厳しくなり、要介護者が要支援者になりどんどん利用者が減ってしまい。35人も利用者がいなくなってしまったのが現在の居宅介護支援事業所です。・・・・。次回は居宅介護支援事業所がどうやって生き残っているかご説明します。
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居宅介護支援事業所っていくら儲ける?2
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