I just need the questions at the end of the document answered and explained, thank you.
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I just need the questions at the end of the document answered and explained, thank you.
I just need the questions at the end of the document answered and explained, thank you.
Home health care is one of the fastest growing sectors in the health care industry, with 66 percent growth projected over the next 10 years. The sector is large, employing over 1.3 million workers in a variety of occupations, including roughly 1.2 million aides and personal assistants. Most growth occurred after the enactment of Medicare in 1965, although home health agencies were first established in the late nineteenth century. Even more dramatic growth occurred after the 1987 revisions to Medicare, which led to facilitated reimbursement to home care agencies. By 2005, over 20 thousand home care agencies were providing care to an estimated 8 million individuals. This likely represents only a fraction of the true number of home care patients, since many receive informal care through non-Medicare-certified agencies or individuals, including family members and other non-reimbursed caregivers. Most formal home care is provided by freestanding proprietary agencies (55 percent), followed by hospital-based agencies (24 percent), with nonprofit public health agencies and nonprofit private agencies providing a smaller portion of home care. Another large and growing type of home care is home hospice care. Since 1983, when Medicare added hospice benefits to the plan, the number of certified hospices grew from 31 to 2,444. The actual size of the informal, uncertified, and unlicensed home care network is not known, but it is believed to be nearly as large as the formal network. Beyond that, some estimate the value of the services family caregivers provide for “free,” when caring for older adults to be $375 billion a year, almost twice as much as is actually spent on homecare and nursing home services combined ($158 billion), and that more than 65 million people, 29% of the U.S. population, provide care for a chronically ill, disabled or aged family member or friend during any given year and spend an average of 20 hours per week providing care for their loved one. The scope of home care is broad and covers a wide range of services, from assistance with daily living activities to providing the more complex care required by postsurgical or chronically ill patients. Even with the increasing acuity of care that is provided in the home setting, the cost per day of home care is significantly lower than that of a nursing home or an inpatient hospital stay ($109 vs. $3,838, respectively) and is increasingly more desirable by both patients and their families. With that said, most home health aides and caregivers struggle with managing basic tasks such as scheduling, medication management, and other administrative activities required to coordinate with other caregivers that may be caring for the same patient, as well as communication with family members and loved ones to engage them as part of the overall care team. You are considering starting the development of a product offering to address the challenges related to management of these basic tasks that home care aides and caregivers need to perform. Please reflect on the questions below assuming you have been given authority to make the decision: Should You pursue this opportunity? How will the different stakeholder needs be met, and how will value be delivered by the offering? What business models should be considered and how should the service be priced? Who are the customers that will pay for this offering (current and future – e.g. extension of population health care plans to support value based care)? What needs to be done to get this from a conceptualized idea to a product in the market? What are the risks and how can they be mitigated?

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