Medicaid and Home-Based Care
Current reimbursement rates for home-based care are apparently too low to adequately compensate nurse's aides, the primary practicioners of this type of home-based care, according to Dr. James. Increasing the rates might actually reduce expenses as fewer patients are consigned to more expensive institutional care.
I'm far from an expert on Medicaid, but the concept makes sense. I know, from my vantage point, that lots of individuals are interested in starting a home-health care business. Unfortunately, few have any business background. If the state ever tried to increse home care options, I'd like to see business assistance agencies involved in providing training and mentoring to fledgling home care providers. Too often the failures of home healthcare providers are business failures, not care failures.