TY - JOUR
T1 - Financing of pediatric home health care
AU - SECTION ON HOME CARE, COMMITTEE ON CHILD HEALTH FINANCING
AU - Simpser, Edwin
AU - Hudak, Mark L.
AU - Okun, Alexander L.
AU - Langley, John
AU - Lin, Elaine
AU - Maynard, Roy
AU - McNeal, Douglas
AU - Sajous, Christine
AU - Thornburg, James Brian
AU - Berman, Suzanne
AU - Brandt, Mary
AU - Carlson, Kenneth
AU - Giardino, Angelo
AU - Hammer, Lawrence
AU - Price, Jonathan
AU - Racine, Andrew
AU - Shenkin, Budd
N1 - Publisher Copyright:
Copyright © 2017 by the American Academy of Pediatrics.
PY - 2017/3
Y1 - 2017/3
N2 - 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.
AB - 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.
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U2 - 10.1542/peds.2016-4202
DO - 10.1542/peds.2016-4202
M3 - Article
C2 - 28242864
AN - SCOPUS:85016083907
SN - 0031-4005
VL - 139
JO - Pediatrics
JF - Pediatrics
IS - 3
M1 - e20164202
ER -