Posts Tagged ‘Simpson-Bowles Commission’

Obama Budget Calls for Home Health Copayments

April 11, 2013

act-nowPresident Obama yesterday released his proposed budget for the 2014 fiscal year, which calls for a copayment for home health services of $100 per home health episode. The copay would apply to episodes with 5 or more visits not preceded by a hospital or post-acute care stay for new beneficiaries in 2017 and thereafter. Obama’s budget proposal comes after Congress announced proposed budgets last month which do not call for a copay.

If enacted, the President’s copay would reduce Medicare payments for home health services by $60 million over 5 years and $730 million over 10 years. Click here to review a side-by-side comparison of budget proposals from the President, Congress and the Simpson-Bowles Commission (which called for a 20% uniform copay). (more…)

Senior Groups Submit Testimony Opposing Home Health Copays

April 11, 2013

The Leadership Council of Aging Organizations, a coalition of national organizations representing over 60 million older Americans, recently submitted written testimony to the House Ways and Means Subcommittee on Health opposing the imposition of Medicare home health and hospice copayments. The National Association for Home Care & Hospice is a member of the LCAO. (more…)

Congress Avoids the “Fiscal Cliff,” Preserves Home Care Benefit (For Now?)

January 2, 2013

In the eleventh hour before Congress would have taken the country off the so-called “fiscal cliff,” the U.S. House of Representatives passed a bill late last night to avoid the consequences, which included immediate and automatic reimbursement cuts, increased debt and a possible downgrading of the U.S. credit rating. The vote in the House was 257-167, while the Senate passed the bill 89-8 earlier this week. The bill now goes to President Obama for his signature. (more…)

POLITICO: Simpson-Bowles Make Their Comeback

October 5, 2012

Commission called for 20 percent copay for Medicare-funded home health services, which amounts to $600 per episode

By Jake Sherman, POLITICO

Simpson and Bowles are having another national moment.

Fifty-eight million Americans saw President Barack Obama and Mitt Romney tangle over former Sen. Alan Simpson (R-Wyo.) and former White House Chief of Staff Erskine Bowles’s deficit reduction plan. “Simpson-Bowles” was the most popular Google search during the 90-minute debate.

But behind the scenes, the two deficit hawks are enjoying more than just a search engine moment. The pair is heading to Virginia’s Mount Vernon next week to meet with the new bipartisan Senate “Gang of Eight” in an effort to hash out a major deficit and tax package. (more…)

Senate Budget Committee Considers 20 Percent Home Health Copay

April 25, 2012

The U.S. Senate Budget Committee Chair, Sen. Kent Conrad (D-ND), recently submitted a budget proposal for consideration by his committee patterned after the December 2010 Simpson-Bowles Deficit Commission recommendations, which includes establishing a uniform 20 percent Medicare copay for all services, including home health and hospice. The committee met to make opening statements about the proposal; Conrad plans to reconvene the committee at a later date to discuss the plan in more detail.

The 20 percent copay for home health would mean $600 per 60 day episode of care. The average cost for hospice patients is over $10,000. This would mean a hospice copay of over $2,000. Studies have shown that copays would threaten access to care and cause a big increase in more costly hospital and nursing home care. (more…)