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[quote=Anonymous][quote=Anonymous]

From what I can figure out, the reason Home Health Care agencies won't staff the home health aides for more hours has to do with how Medicare pays them.  If your dad's doctor prescribed him in home skilled nursing, O/T, or P/T due to his medical condition, then Medicare pays the home health agency a certain amount of money for that 6 or 8 week period, depending on how debilitated your dad's condition is.  They get more money the more he needs basically - but it's still just in the $2000-$3000 range, mostly.

They then provide the services, so obviously there's a huge incentive NOT to provide all 28 hours of home health care. It comes out of their profit.

We need a new system where the home health companies get paid if they provide the services but apparently that led to a lot of fraud.

[/quote]

PP again responding to myself.

If the home health companies say they cannot staff the full 28 hours of home health care for a patient who otherwise qualifies, I think that they should be required to pay the family caregiver the amount they would have paid their employee instead. [/quote]

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