Home Health & Hospice

What is the new bipartisan bill introduced by Senators Grassley and Cardin intended to accomplish for low-income elders who use the Medicare benefit?

Homecare Insider, March 23, 2015

The senators believe the new bill would set the stage for a new Community-Based Institutional Special Needs Plan demonstration project to facilitate the provision of home- and community-based care to low-income, Medicare-only beneficiaries who need help with two or more activities of daily living—characteristics that would often land them in a nursing home today.

At first, the demonstration would operate in up to five states, building on Medicare Advantage plans that have experience caring for this frail population. These plans would tailor services to beneficiaries, depending on individual needs (e.g., bathing assistance, housekeeping or transportation, or respite care for a primary caregiver). 
 
Grassley and Cardin also hope the demo project would generate evidence to support an alternative payment methodology that could produce savings for both states and the federal government.