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The early nineteenth century witnessed the initial stages of the home health care industry that offered qualified nurses to take care of the indegent and sick in their homes. In 1909 when Metropolitan LIFE INSURANCE COVERAGE Company started to write policies that made up of home healthcare, this industry became extremely popular. This company is credited for paying the initial compensation for home health care industry. This gave rise to the birth of organized home health care. 
THE FANTASTIC Depression in 1929 caused several businesses along with home care industry many hindrances and struggle. This continued till the follow-up visits created by nurses after hospital discharge became reimbursable by the Medicare Act of 1966. The house care industry became most feasible and practical when Medicare so that they can reduce hospitalization costs set up DRG's program (Diagnostic Related Group). This laid down that some disease or hospital practice needed a certain stay period. Therefore the discharged patients were more sick compared to their DRG counterparts. 
The story does not finish with DRGs. This actually was the commencement of patient care vs. medical ethics debate. This subject will be soon addressed in the present health care reform segment. The cost of health care is the issue. Questions like how much does a human life cost and just how long one should purchase keeping alive a person after he ceases to be a contributor to the society must be addressed. 
Home health care industry must answer these questions. The main intention of the DRG programs was to decrease the hospital stay static in order to lessen hospitalization costs. Thus this becomes a challenge to the agencies. But gradually home care started becoming expensive. The Balanced Budge Act of 1997 hand one major side-effect. It limited the benefit days to the patients under home healthcare thereby lowering the compensations to the many home health care agencies. This led to several agencies going out of business. 
The price to deal with a patient will always stay a concern. There was a growth of nosocomial diseases in hospitals that result in heavy healthcare costs. Patients started getting discharged in a much sicker condition than before. This put additional burden on the household of the patient to offer good care once the family member is home. Also majority of the people were working. Home healthcare agencies that provide services were unable to discharge patients if they exceed their Medicare days if they are in a negative condition or its not safe to depart from their website without the nursing services. 
In case the home care agency declines admission of an individual who seems sicker compared to the number of reimbursement days allowed by the federal government, the patients' family doesn't have too many choices. In case of the individual being discharged without any adequate follow-up care, the patients' family can seek services of a professional agency which could strain on er visits and re-hospitalization resulting in more compensation issues. Such questions are difficult to answer way more where cost is to be taken care of. But, after Additional hints , such questions will continue steadily to haunt till there are satisfactory answers to them. 


Pasted: May 21, 2023, 6:22:23 pm
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