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Psychosocial Care in Home Health Policy

Missed Opportunities and Possible Solutions

Fordham University

Barry D. Rock, DSW

Fordham University

As of summer 2008, health care reform has become an important part of the 2008 presidential election. However, long-term care has been absent in the discussion of health care reform by presidential candidates. This article examines policies that govern the payers of long-term care, specifically home health care (HHC). HHC is the fastest growing industry within long-term care, as there is a growing number of older adults in need of both skilled and unskilled home care. Medicare and Medicaid are the two major payers of HHC; yet these payers do not address the psychological and social needs of the patients. Furthermore, there is a long-term care disconnect between Medicare and Medicaid that creates even larger problems for older adults in need of long-term care.

Key Words: home health care • elderly • Medicare • Medicaid

This version was published on June 1, 2009

Home Health Care Management & Practice, Vol. 21, No. 4, 259-265 (2009)
DOI: 10.1177/1084822308329248


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