Will We Ever Expand Medicare To Cover Home Care For Elders?

Will We Ever Expand Medicare To Cover Home Care For Elders?

Subsidizing home care for aging adults has been discussed in decades past.Now it is part of the political discussion once again.According to the BLS, almost four and a half million people in the U.S. are members of the “sandwich generation”, meaning they are between two generations that need care. These people are parenting children under the age of 18 and also providing care for their own parent. This cohort has become the focus of political discussion of late, but their need has been apparent for decades. No one is helping them from government resources unless their elders are very low income and live in a state where limited home care is covered by Medicaid, not Medicare. They are under tremendous stress most of the time!

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They collected data to find out how an older adult with long term care needs did after receiving home care assistance as compared with someone with similar needs did in a nursing home. The elders receiving these kinds of care at home did very well. They were much happier in their own homes. Health outcomes were better there. The cost of home care was considered as an expansion of Medicare benefits. Due to the expense of home care, and other factors, it was never implemented. Medicare does not cover long term elder care at home. It refers to it as “custodial care”. It is not for rehabilitation; rather it’s for maintenance.


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