More for less in long-term home care services: titrating payment to risk, value and effectiveness.

Abstract

This brief describes a new budgeting approach for allocating home care services for frail elderly people developed by William Weissert, a grantee of the Home Care Research Initiative (HCRI). The services discussed are personal care, nursing and other services delivered in the home to chronically ill, frail, elderly individuals who are likely to receive many more unskilled than skilled services and are not typically in need of rehabilitative, restorative or other post-acute care.