Financing of pediatric home health care

SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Pediatric home health care is an effective and holistic venue of treatment abstract of children with medical complexity or developmental disabilities who otherwise may experience frequent and/or prolonged hospitalizations or who may enter chronic institutional care. Demand for pediatric home health care is increasing while the provider base is eroding, primarily because of inadequate payment or restrictions on benefits. As a result, home care responsibilities assumed by family caregivers have increased and imposed financial, physical, and psychological burdens on the family. The Patient Protection and Affordable Care Act set forth 10 mandated essential health benefits. Home care should be considered as an integral component of the habilitative and rehabilitative services and devices benefit, even though it is not explicitly recognized as a specific category of service. Pediatric-specific home health care services should be defined clearly as components of pediatric services, the 10th essential benefit, and recognized by all payers. Payments for home health care services should be sufficient to maintain an adequate provider work force with the pediatric-specific expertise and skills to care for children with medical complexity or developmental disability. Furthermore, coordination of care among various providers and the necessary direct patient care from which these care coordination plans are developed should be required and enabled by adequate payment. The American Academy of Pediatrics advocates for high-quality care by calling for development of pediatric-specific home health regulations and the licensure and certification of pediatric home health providers.

Original languageEnglish (US)
Article numbere20164202
JournalPediatrics
Volume139
Issue number3
DOIs
StatePublished - Mar 1 2017

Fingerprint

Home Care Services
Pediatrics
Delivery of Health Care
Developmental Disabilities
Health Services
Patient Protection and Affordable Care Act
Quality of Health Care
Certification
Health
Insurance Benefits
Licensure
Child Care
Caregivers
Patient Care
Hospitalization
Psychology
Equipment and Supplies

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING (2017). Financing of pediatric home health care. Pediatrics, 139(3), [e20164202]. https://doi.org/10.1542/peds.2016-4202

Financing of pediatric home health care. / SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING.

In: Pediatrics, Vol. 139, No. 3, e20164202, 01.03.2017.

Research output: Contribution to journalArticle

SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING 2017, 'Financing of pediatric home health care', Pediatrics, vol. 139, no. 3, e20164202. https://doi.org/10.1542/peds.2016-4202
SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING. Financing of pediatric home health care. Pediatrics. 2017 Mar 1;139(3). e20164202. https://doi.org/10.1542/peds.2016-4202
SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING. / Financing of pediatric home health care. In: Pediatrics. 2017 ; Vol. 139, No. 3.
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