President Obama released his 2015 budget proposal earlier this week, laying out his agenda and legislative priorities for the coming year. Two of the provisions included in President Obama’s FY15 budget are similar to previous proposals that would be of great concern to the home health community.
Specifically, President Obama’s budget once again calls for the introduction of a home health copayment – as well as further cuts to post-acute care providers, including home health care.
President Obama’s budget also includes provisions for a bundled payment program for post-acute providers, as well as value-based purchasing for post-acute care providers. The specifics of these four proposals are included below:
Introduce Home Health Copayments for New Beneficiaries
This proposal would create a co-payment for new Medicare beneficiaries (those who become eligible for Medicare in 2018 and thereafter) of $100 per home health episode, starting in 2018. Consistent with MedPAC recommendations, this co-payment would apply for episodes with five or more visits not preceded by a hospital or inpatient post-acute stay. [$820 million in savings over 10 years].
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