What is the fine-grained topic of the following text: While retrospective billing practices may aid states in reducing Medicaid outlays and potentially help dual Medicare beneficiaries gain coverage for their home care claims, they increase Medicare expenditures for home care at a time of concern for the long-term financial viability of Medicare and illustrate the need for reforming our national long-term care financing policy. Only return the topic.
The impact of retrospective billing practices on Medicaid and Medicare expenditures