Fortune December 19, 2023
Richard Eisenberg

One of the biggest areas of confusion about Medicare is whether, and when, it covers home care.

Partly, that depends on the distinction between “home care” and “home health care.”

But it’s also about the difference between what Medicare is allowed to cover and the ways home health care agencies and medical practices actually work.

“There’s a growing disconnect between what is coverable under the law versus what’s available for practical purposes,” says David Lipschutz, associate director of the Center for Medicare Advocacy.

If you’re scratching your head, you’re in good company.

“There is a lot of confusion” regarding Medicare’s coverage of home health care and home care, says Lisa Harootunian, a co-author of the Bipartisan Policy Center’s report, “Optimizing...

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