Expert Calls for Improved Home Care Options for Those With Debilitating Diseases

Karen Davis, director of Roger C. Lipitz Center for Integrated Health Care at Johns Hopkins University, says increasing resources available for home treatments and services and support for family caregivers of the elderly and those with debilitating diseases might work to reduce reliance on costly nursing homes for those afflicted.

Lawmakers should consider widening the mandate of the federal Center for Medicare and Medicaid Innovation, known as CMMI, to allow more work on programs that could keep people with debilitating illnesses in their homes longer, a researcher said during a recent briefing on the program's future.

"At some point, we may need to look at whether the CMMI authorizing legislation needs to be broadened a bit," said Karen Davis, director of Roger C. Lipitz Center for Integrated Health Care at Johns Hopkins University. However, that approach would be met with resistance from congressional Republicans when funding for the Centers for Medicare and Medicaid Services' Innovation Center comes up for renewal after fiscal 2019.

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