Home Health & Hospice

Collaboration and Integration: Blending Provider Services

Homecare Insider, September 10, 2012

Today, patients have multiple services in place or could benefit from ­additional­ services. Medicare and other insurers reimburse on a temporary basis, and at the time of discharge from certified services, patients often need ongoing care to keep them safe at home and reduce the risk of rehospitalization.

It is important for home and community providers to be familiar with other service offerings, how they work, and what they cost. While many of these services are private pay, many of them may be covered under long-term care insurance or Aid & Attendance Pension benefit; alternatively, patients can access equity in their home through a reverse mortgage.

At times, homecare providers encounter various family dynamics stemming from financial demands on families to provide care for elders. These financial demands can lead to family disagreements regarding the use of privately funded homecare services among other needs. An older patient may feel guilty using money for personal care services, especially if he or she intended those funds to be passed onto children as an­ i­nheritance.

It is not uncommon for family members to become less enthusiastic about homecare services as costs mount and money they counted on as inheritance is spent on an elder’s care needs. However, it is important to work within the family unit to review the cost, the benefits, and how these services may be covered and blended when dealing with complex-care patients at risk for rehospitalization.

This week’s issue of Homecare Insider is an excerpt from the book Ending Hospital Readmissions: A Blueprint for Homecare Providers. Learn more about this excellent resource today!