Federal Program - Independence at Home Demonstration - Right at Home Senior Home Care: A new federal program called the Independence at Home Demonstration, created by the Affordable Care Act, will test the effectiveness of providing healthcare to thousands of chronically ill Medicare patients in their own homes, allowing them to remain there instead of potentially entering long-term care facilities. The three-year pilot program, launched January 1, 2012, was developed with the intent to keep medical costs down by helping high-risk patients with multiple illnesses avoid being hospitalized.
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