Families across Pennsylvania are struggling to find home health care for their medically fragile family members, as the industry faces a severe nursing shortage, inadequate training procedures, low Medicaid reimbursement rates, high turnover rates and a lack of funding for overtime and differential pay. An estimated 400,000 children and adults receive in-home care services and more than 112,500 home health care shifts go unfilled every month due to staffing shortages, according to the Pennsylvania Homecare Association, a trade organization that represents more than 700 home care, home ...