There’s no place like home — for health care fraud
The article discusses the issues surrounding state-subsidized home health care in California, particularly the In-Home Supportive Services (IHSS) program. It highlights the prevalence of fraud within the program, which allows family members to be paid for caregiving. The author argues that the lack of oversight and lenient requirements contribute to the problem, suggesting that the program may need to be reevaluated or ended.
- ▪California's In-Home Supportive Services program has about 500,000 enrolled caregivers, with 370,000 being family members.
- ▪The program has been criticized for its lenient requirements and lack of oversight, leading to widespread fraud.
- ▪A 2022 audit revealed that over 150 hospice and home health agencies were licensed at a single location in Los Angeles.
Opening excerpt (first ~120 words) tap to expand
Opinion There’s no place like home — for health care fraud By Bruce Bialosky Published May 28, 2026, 11:35 p.m. ET See more of our coverage in your search results. Add The California Post on Google Some ideas are better on paper than in reality. That’s the case with state-subsidized home health care performed by relatives. In principle, it saves money to pay relatives for providing basic care that would be more expensive for the government in a hospital or nursing home. In practice, the policy has become riddled with fraud, almost everywhere it has been tried. The only solution may be to end it. Ever since the pandemic, when California suffered upward of $30 billion of fraud in the unemployment benefits program, it was obvious the real story of fraud in the state was much bigger.
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Excerpt limited to ~120 words for fair-use compliance. The full article is at California Post.
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