Posts Tagged ‘Avalere Health’

Home Health Firms Met With OMB, But Failed To Avert Proposed Pay Cuts

July 11, 2013

By John Wilkerson, Inside Washington Publishers

Representatives of the home health industry met with Office of Management and Budget officials to make a case against pay cuts shortly before CMS proposed the 2014 pay rule for that sector, but the proposed rule that industry had been awaiting since the Affordable Care Act passed still made pay cuts that the Partnership for Quality Home Healthcare called “alarming.” Industry is arguing for more targeted pay cuts and is lobbying for an alternative fraud-fighting proposal that it estimates would save nearly $20 billion – industry’s earlier preliminary estimates put the savings at around $15 billion.

The Partnership for Quality Home Healthcare on July 10 issued results of a national poll of registered voters that finds that 93 percent of seniors surveyed think Congress should stop Medicare fraud instead of cutting Medicare payments or increasing fees on seniors’ Medicare services. (more…)

Federal Commission on Long-Term Care Holds First Meeting

July 3, 2013

On June 27, 2013, the Federal Commission on Long-Term Care held its first meeting in Washington, DC. The bi-partisan commission of 15 appointees, including Center for Medicare Advocacy Executive Director Judith Stein, was created by the American Taxpayer Relief Act of 2012 (the so-called “fiscal cliff” bill). The Commission is tasked with developing “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 of such services and supports…” Under the current timeline outlined by statute, the Commission must complete its work in September 2013. (more…)

Analysis: Florida Home Health Medicare Margins on Steep Decline

June 6, 2013

The Home Care Association of Florida in coordination with the Partnership for Quality Home Healthcare today released data demonstrating that the rebasing of Medicare home health payments within the proposed Home Health Prospective Payment System (HHPPS) rule for 2014 will negatively impact Florida’s home health sector and the 342,570 vulnerable Medicare beneficiaries receiving home health by driving Medicare margins to an all-time low. Leaders are urging regulators to carefully consider home health sector’s current-law economics when implementing this policy.

Under the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services (CMS) is directed to rebase home health payments between 2014 and 2017 by a percentage determined appropriate by the Secretary.  This percentage is to be implemented in equal increments during each year from 2014 through 2017. (more…)

Health Care Spending is Transferred Out of ICU

March 5, 2013

By Dennis Cauchon, USA Today

Health care spending last year rose at one of the lowest rates in a half-century, partly the result of cost-saving measures put in place by the 2009 health care law, a USA TODAY analysis finds.

Spending for medical care has increased modestly for five consecutive years, the longest period of slow growth since Medicare began in 1966. This respite comes just before a massive expansion of health insurance starts Jan. 1, 2014. Another 21 million people will get insurance, adding about $100 billion a year to total health care spending in 2014, according to the government’s actuary.

Health care spending hit a record $2.67 trillion last year, but its share of the overall economy shrank, from 17.12% of gross domestic product in 2011 to 17.04%, because other parts of the economy grew faster, an analysis of Bureau of Economic Analysis data found.

Cost-saving measures under the health care law appear to be helping keep medical prices flat, according to health care providers and analysts. Also, weak demand may linger from the recession, which ended in June 2009, especially for optional care such as cosmetic surgery. (more…)