Budget :
Home Care Gears Up To Fight Further Cuts
Published on Tue May 26, 2009
Latest proposals take biggest bite yet out of home care funding. As public concern about the cost of health care reform rises, lawmakers are turning to funding sources to fuel their reform ideas -- and home care looks likely to suffer the consequences. President Obama recently called for $313 billion in additional Medicare and Medicaid cuts, including so-called "productivity adjustments" that would decrease home health agency payments, notes the National Association for Home Care & Hospice. And House Democrats released a draft of their health care reform bill that's even more punishing. "The House committees have included every possible recommendation by the Medicare Payment Advisory Commission in an effort to generate the maximum possible funding for health care reform," NAHC laments. "This includes a freeze in the 2010 market basket update, rebasing home health payment rates in 2011, and accelerating case-mix 'creep' adjustments in the Medicare home health prospective payment system." [...]