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Outlook

Current State of Home Care

In GAO’s mid-2010 estimate, about 5.1 million Medicare beneficiaries received some home health-care services. In addition, 3.1 million other Medicare and Medicaid beneficiaries received some home health-care services, including non-Medicare-covered services.

HHCAs are private agencies that provide services to Medicare and non-Medicare patients. According to GAO, a total of 72,000 HHCAs served 6 million beneficiaries in 2006. The majority (80 percent) of beneficiaries had 20 or fewer paid home health-care visits, a small percentage received 30 or more visits, and 16 percent had between 51 and 100 visits. Overall, the largest amount of home health care was provided to beneficiaries who were dually eligible for Medicare and Medicaid.

Reimbursement of Home Health-Care Agencies

Agency bills may be submitted for any service performed, but certain payments are restricted, based on the level of agency services provided. GAO says that the home health-care statute requires the Centers for

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