Home Care Agencies Often Wrongly Deny Medicare Help To The Chronically Ill

Because of his disability, he has Medicare coverage, but he can't use it for home care — as the former computer systems manager has been told by 14 home health care providers.

News Story (NATIONAL)

Susan Jaffe
National Public Radio (NPR)
January 17, 2018

Tags: Disability Rights, Health Care, Medicare

Organizations mentioned/involved: Center for Medicare Advocacy, Vermont Legal Aid (VLA)


That’s an incorrect but common belief. Medicare does cover home care services for patients who qualify but, according to advocates for seniors and the homecare industry, incentives intended to combat fraud and reward high quality care are driving some home health agencies to avoid taking on long-term patients, such as Campbell, who have debilitating conditions that won’t get better. Rule changes that took effect this month could make the problem worse.

“We feel Medicare coverage laws are not being enforced and people are not getting the care that they need in order to stay in their homes,” says Kathleen Holt, an attorney and associate director of the Center for Medicare Advocacy, a nonprofit, nonpartisan law firm. The group is considering legal action against the government.