AMAC Action In The Media

Home Health Care in Jeopardy?

by Glenn Gilbert –

Cuts in Medicare spending for home health care jeopardize senior citizens, according to advocacy groups.

The February jobs report released by the Bureau of Labor Statistics last week represents the single highest level of monthly job loss in the home health sector in more than a decade, reports the Partnership for Quality Home Healthcare.

According to the BLS report, 3,800 home health jobs were lost in February. Advocacy groups say this decline is a direct result of the 14 percent Medicare cut the Obama Administration began implementing Jan. 1 as part of the Affordable Care Act.

The cuts will do “irreparable damage to recipients of Medicare’s home health care services, those who are aged, homebound and sicker than the average Medicare population. Indeed, nearly two-thirds of Medicare home health care users live at or below the federal poverty level, meaning they are the most economically compromised of America’s precious senior citizens,” wrote Dan Weber, president of the Association of Mature American Citizens, in an opinion piece in The Washington Times.

Weber said the cuts are counterproductive since studies show the economic benefits of home health care.

“Using 2009 as a reference year, Medicare’s average Part A and Part B payment for a home health care visit was $145, compared to $373 per day in a skilled nursing facility or a whopping $1,805 per day in a hospital,” Weber wrote. “In addition, according to one leading expert, skilled home health care services saved the Medicare program $2.8 billion during the most recent three-year period. Approximately $670 million of that savings is attributable to 20,000 fewer hospital readmissions.”

“Despite claims that the Affordable Care Act will not result in job loss for American workers, this month’s jobs report suggests that the Medicare cut to home health is doing just that,” stated Eric Berger, chief executive officer of the Partnership for Quality Home Healthcare. “Obamacare’s deep Medicare home health cut is having a direct impact on the Medicare program’s most vulnerable patient population and the healthcare professionals – most of whom are women – on whom seniors depend.”

“More than 90 percent of those providing home health care are small businesses,” Weber wrote. “According to the U.S. Center for Medicare and Medicaid Services, 40 percent of these companies will be operating ‘at a loss’ – that is, they will likely fold or end up in bankruptcy — by 2017 as a result of the cut.”

However, the Obama administration said the home health care industry will survive, according to a report in Bloomberg Business Week.

From 2004 to 2012 the number of home health agencies in the U.S. increased by 57 percent, to 12,215, according to data from the Medicare Payment Advisory Commission, which advises Congress. Most are for-profit companies that “have been paid well in excess of their costs,”the Medicare panel said in a report last year.

AARP has urged Medicare to reconsider the cuts and make sure seniors “have the access to home health care that they need,” Rhonda Richards, a lobbyist for the group, told Bloomberg.

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7 years ago

“AARP has urged Medicare to reconsider the cuts….”. Where was AARP when Obamacare was being designed and did not fight against the cuts to Medicare they knew were being incorporated into it? They were right there lapping at Obama’s heels looking out for their OWN interests & supporting Obama’s socialist ideals. If any of you are still members of AARP because of their so-called discounts or whatever reason, I urge you to reconsider and cancel your subscription. They are not on your side, they just throw you a bone on occasion!!!!

7 years ago

While the Obama administration said the home health industry will survive, there is a difference between a robust, healthy industry able to meet the escalating needs of an aging population and an industry that is destined to be hollowed out by government indifference. All to partially finance the single worst piece of legislation to come out of Washington in the last 50 years: Obamacare.

I don’t expect the Obama administration to relent in this area, any more than I would expect them to rescind the rest of the $715 billion dollars in cuts to Medicare to partially finance Obamacare. To do so would spell the end of the biggest progressive gain of the last 50 years and the end of Obamacare. The Democrats have drooled for over a 100 years at the prospect of gaining so much control over the economy and the people. They know if they relent, they will likely never get another chance like this again. So they would rather increase the number of unemployed in the health care sector and sacrifice hundreds, if not thousands, of seniors in the name of advancing the progressive agenda in this country.

If we want anything to change, the only recourse is to vote every Democrat out in 2014, 2016 and beyond. Also every progressive appointee or hire has be identified and replaced as well, in order to clean out the progressives from the federal government. Not the quick fix you’re hoping for, but then this problem has been building for a 100 years now.

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