Forbes October 10, 2024
Vice President Kamala Harris, the Democratic presidential nominee, announced her proposal for Medicare to cover long-term at-home healthcare for senior Americans on “The View,” an ABC talk show, 28 days before the 2024 presidential election. The fiscal challenge of implementing such a proposal is monumental.
While the Harris campaign has not disclosed the estimated impact on Medicare spending, the Brookings Institution recently estimated that a “very conservatively designed” program would cost $40 billion a year. Controlling demand in such a program is nearly impossible. For reference, Medicaid, which covers far fewer adults than Medicare, actually spent $207 billion on long-term services and supports in 2021.
“Home health is such a hotbed of fraud,” said Theo Merkel, a health policy expert...
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