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105121 1 (1978-02-22)

handle is hein.gao/gaobadxxy0001 and id is 1 raw text is: DOXXEn 23305 05121 - ( 90585477 1 Home Health: The Need for a National Policj TO better Provide for the Elderly. febrnary 22# 1976. 6 pp. * 2 enclosures (2 pp.). Testimony before thu Fouse Select Coamittee on Aging; bj Gregory J. Ahart Director# Human Resources Div. Contact: Hunan Resources Div. Congressional sLe vance: Rouse Select Committee on Agig. authority: .R. 10462 (95th Cong.) o Natiazal Health planning and Resoazces Development Act of 1974. Older Americans It of 1965. Social Security Act. The true cost of malntainlAg the elderly and sick at hose has been largely hiddem because the greatest portion of that cost ropr~sents the value of services provided by families and friends rather than those provided at public expense. the poxat 5n the iapairment scale whoa hose service costs . Jma institutional costs falls at the aid-point of the greatly impaired group when families and friends are zoviiJ4 about $237 per month fo every $120 spent by agencier. About 1*1 of noninstitutionalized older people fall in the aa above the break-evon point. On the average, it wcld still cost the public more to institutioaalize these people because agencies spend less per person for hose care services than for institutional care. The cost impact of possible changes to the Medicare program which would increase the avtilability of services and provide service* not currently coverod by the program would be: elimination of limits en number of visits under Darts A and B--S12.5 million; elimination of skilled care requirement under Parts A and 5--$1.25 billion; elimination of prior kospitalization equirement under Part A--$12.5 Million; elimination of homebound requirement under parts A and 9--$92.5 aillou; and adding homemakr/chore servioes--T5 miion. The agencies delivering home services have developed differing criteria for eligibility. duratiom, scope of covered services, and method of reimbcrsemen*, and because of these v*rying criteria, effective coordination seems almost Impossible. RS)

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