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Home Health Care Management & Practice
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Article

Psychosocial Care in Home Health Policy: Missed Opportunities and Possible Solutions

Ji Seon Lee, PhD* and Barry D. Rock, DSW

* To whom correspondence should be addressed. E-mail: jilee{at}fordham.edu.


   Abstract
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.

First published on January 23, 2009, doi:10.1177/1084822308329248

Home Health Care Management & Practice 2009;21:259.

A more recent version of this article appeared on June 1, 2009


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