November 28, 2022

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Approaches Improving Medicare Home Health Benefit Medicaid Lessons

Medicare’s dwelling health and fitness profit is essential to the welfare of beneficiaries, but its application in delivering personal care leaves a great deal space for improvement in terms of company availability and equity.

Drawing on insights from Medicaid programs’ ordeals in giving own treatment providers, we identified that: 1) a systematic strategy to the referral and provision of private treatment providers is essential to aid equitable obtain 2) separating the assessment and care strategy development from the service provider assists to reduce conflict in payment incentives and 3) a reasonably compensated direct-treatment workforce is necessary. Whilst Medicaid applications enable to fill gaps in Medicare’s coverage, restrictive and varying eligibility prerequisites limit its job.


The Medicare dwelling overall health advantage is created to empower beneficiaries to receive care in their residences after hospitalizations or other acute occasions or for ongoing wants. It covers qualified products and services these types of as nursing and actual physical treatment, as perfectly as household wellness aide companies, like enable with private care activities like bathing, dressing, grooming, feeding, and receiving about.

In observe, even so, the household wellness gain is slipping brief of its potential. Numerous beneficiaries are not conscious of the advantage at all, many companies do not purchase these expert services for their sufferers, and dwelling health agencies often do not provide the comprehensive assortment of companies. Medicare home overall health visits have declined steeply around the earlier 20 years, and payment incentives have an impact on who is served and how (Exhibit 1). What’s more, racial and ethnic disparities in accessibility to these companies have been documented for clients with postacute desires. When Medicare does not go over household overall health solutions, the burden of locating and having to pay for them is borne by people today and their loved ones associates — generally to the detriment of their health and fitness and funds.

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