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:: NAHC Report
NAHC Report: Issue# 2249, 8/6/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
House Ways and Means Committee Releases Draft Legislation that would Affect Post-Acute Care Services Under Medicare – Including a 1.1 Percentage Point Cut in Inflation Updates
Home Care, Hospice Community Urged to Ramp Up Grassroots Campaign over Congressional Recess
For Your Information: Friday Morning Collaborative Webinar Series – Long-Term Care Commission: Learn More about It and How You Can Engage
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House Ways and Means Committee Releases Draft Legislation that would Affect Post-Acute Care Services Under Medicare – Including a 1.1 Percentage Point Cut in Inflation Updates

Late last week the House Ways and Means Committee released draft legislation that would significantly alter post-acute care under the Medicare program. Proposals included in the draft legislation range from creating post-acute care bundled payments to establishing a skilled nursing facility (SNF) readmissions program. Of greatest concern to NAHC and its members, however, is a proposal that would reduce market basket updates for all post acute care providers, including home health agencies.

The market basket reductions included in the draft legislation were also included in the President’s FY14 budget, as well as one of the recommendations of the Simpson-Bowels Commission.  The proposal as it is currently written would impose a 1.1 percent market basket cut on home health agencies every year between 2014 and 2023.

The National Association for Home Care & Hospice (NAHC) remains committed in its opposition to the home health community having to shoulder a disproportionate share of cuts to the Medicare program, and has already been burdened by $77 billion in cuts over ten years.

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Friday Morning Collaborative Webinar Series – Long-Term Care Commission: Learn More about It and How You Can Engage
Tuesday, August 13, 2-3p.m. ET

The American Taxpayer Relief Act (the so-called "fiscal-cliff" law) repealed the CLASS Act and established a Long-Term Care Commission to advise Congress on how long-term care can be better provided and financed for the nation's older adults and people with disabilities.

The Commission is charged by statute to report with a "plan for the establishment, implementation, and financing of a comprehensive, coordinated, and high-quality system that ensures the availability of long-term services and supports for individuals in need."

The Commission is holding public hearings and meeting through the end of September to complete work on its report.

The Leadership Council of Aging Organizations (LCAO) and the Consortium for Citizens with Disabilities (CCD), collectively representing over 100 national aging and disability organizations, recently came together to develop joint principles that have been submitted to the Commission.   

Your knowledge and expertise about long-term services and supports is critical. Join this webinar to learn more about the Commission, the LCAO/CCD Principles, and how you can submit your ideas and recommendations to the Commission.

Speakers:

  • Larry Atkins, Staff Director for the Long-Term Care Commission
  • Howard Bedlin, National Council on Aging
  • Maureen Fitzgerald, The Arc of the US
  • Henry Claypool, American Association of People with Disabilities (Appointed Commissioner)

Space is limited, so please register early and share lines when possible. The webinar will be recorded and posted online.

Host:

The Friday Morning Collaborative is a coalition of national aging and disability organizations working together to protect and strengthen Medicaid home and community-based services. With support from The SCAN Foundation, the coalition is hosting ongoing webinars to provide information and resources to state advocates.
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Home Care, Hospice Community Urged to Ramp Up Grassroots Campaign over Congressional Recess
Participate in Action to Protect Home Care and Hospice

The summer recess for the House of Representatives and Senate runs through September 9. This provides many opportunities for home care and hospice grassroots action back in the state and districts over the recess. 

When Congress returns it will have to address a number of contentious issues, including further efforts to find alternatives to the sequester, fund the government for the next fiscal year beginning October 1, raise the debt limit, reduce the deficit and find offsets for the cost of fixing the flawed Medicare physician payment formula before the end of the year.  

The Medicare Payment Advisory Commission, the Congressional Budget Office, the Bowles-Simpson Deficit Reduction Commission, and the President’s proposed budget have suggested home health and hospice payment cuts and copays for deficit reduction and/or offsetting the cost of the physician payment fix.  The home care and hospice community will have to ramp up its efforts during the recess and beyond to protect the home health and hospice benefits from payment cuts and copays.

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