As the unified voice of providers caring for Americans in the home, we recognize there are core goals that drive the development of policy and advocacy priorities. These goals transcend the specific service lines of the Alliance membership.

Better Access to Care at Home

Independence and Dignity for the People We Serve, Value Creation for Families and the American Taxpayer — Expanding access to care in the home is essential to improving health outcomes, enhancing patient independence, and reducing healthcare costs. 

Recent policy trends have been at odds with these objectives. Patients and families continue to seek options to receive care in the home while recent government actions have reduced availability and project to limit options. We support policies that address barriers to health care at home including those related to workforce shortages, inadequate payment rates, administrative roadblocks, and out-of-date benefit design.

Improved Quality and Safety in Care at Home

Rigorous quality and safety protocols are foundational to ensuring positive outcomes and high patient and caregiver satisfaction. Recent reports and government investigations have highlighted problematic practices in care in the home.The Alliance stands for patient-centered, high-quality care that achieves optimal patient outcomes combined with essential patient and caregiver safety.

An End to Fraud and Exploitation in the Care at Home Community

Eliminating fraud, waste, and abuse in the care at home community is essential to protecting vulnerable individuals and ensuring trust in home-based services. Precise targeting of problematic areas and increased oversight of home care providers by oversight bodies can safeguard patients and caregivers alike along with the programs that support health care at home services.

Growing and Supporting the Care at Home Workforce

A robust care at home workforce is essential to meeting the increasing demand for in-home care services as the population ages. Policymakers must prioritize programs providing for education,

grants, pilot programs, and other workforce initiatives to strengthen caregiving. Likewise, stable and predictable reimbursement

rates allow home care agencies to offer competitive wages, provide necessary training, and invest in caregiver well-being.