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Home health care is usually less expensive than care given in a nursing facility or hospital. Home health providers are working to reduce avoidable hospital readmissions, both as individual agencies and as part of the Home Health Quality Improvement campaign led by quality improvement organizations . Home health providers are committed to quality improvement and are interested in working as partners with hospitals to prevent unnecessary hospital readmissions. Though the job of taking care of the frail elderly requires broad skills — and training in things like safe bathing — it is generally classified as "unskilled" labor. "Calling us homemakers sounds like we are coming in to bake brownies," she says. The states also are funding home care programs like Maine's for those same services for people who don't qualify for Medicaid in hopes of preventing seniors from needing Medicaid coverage later. Family members, including your husband or wife and adult child...