Home Health Services

Part of LeadingAge's 2020 Policy Priorities

LeadingAge Advocacy Goals

  • Ensure adequate reimbursement rates for home care and home health services across payers.
  • Advocate for reasonable home health and home care regulations to allow quality, community-based care without unnecessary burdens.
  • Work for meaningful inclusion of home care services in Medicare Advantage supplemental benefits with efficient processes and fair payment.
  • Promote a vision for the future of home health services and their role in the continuum of post-acute, long-term, and end-of-life care.

The Issue

In 2017, 3.4 million Medicare beneficiaries received home health services with over 6 million episodes; nearly 2/3 were not preceded by hospitalization or post-acute care stay. Home health agencies must be recognized and reimbursed for their capabilities to coordinate and collaborate with other care providers, ensuring that the patient receives appropriate, high-quality care regardless of the setting or location in the evolving health care delivery system.

Advocacy Action 2020

116th Congress

  • Home Health Reimbursement: We support the Home Health Payment Innovation Act (S.433/ H.R.2573) to eliminate behavior assumption adjustments in the Patient-Driven Groupings Model.
  • Medicare Home Health Prescribers: We support the Home Health Care Planning and Improvement Act (S.296/ H.R.2150) to expand those who can order Medicare home health services to include nurse practitioners, clinical nurse specialists, certified nurse-midwives, and physician assistants.
  • Home Care as Eligible HSA Expense: We support the Homecare for Seniors Act (S.3261/ H.R.2878) which allows tax-exempt distributions from health savings accounts (HSAs) to be used for qualified home care. This includes assistance with common activities of daily living, such as eating, toileting, and dressing as examples, as well as medication adherence. 

Executive Branch

  • PDGM Implementation: We will monitor the roll out of the Patient-Driven Groupings Model and share the experience of LeadingAge members with CMS.
  • Home Health PPS: We will review and provide comments during the CY 2021 Medicare Home Health Prospective Payment System rulemaking process.
  • IMPACT Act: We will participate in the Medicare unified post-acute prospective payment system technical expert panel to provide the voice of LeadingAge members regarding possible future payment system design.

Actions You Can Take Now

  • Visit the Advocacy Action Center to let your representative and senators know you support the Home Health Payment Innovation Act and the Home Health Care Planning and Improvement Act.
  • Host a Coffee Chat with Congress in your community to help your members of Congress understand how policies impact home health services.
  • Mobilize with the Advocacy Champions toolkit and let your representatives and senators know you support more opportunities to provide home health services.

Additional Resources