In the News

MedPAC Again Pushes for Home Health Payment Cuts, Highlights Higher Employment Levels

Home Health Care News | By Robert Holly

Staffing shortages remain a challenge in home health care. While that’s true, the overall employment pool in home health care is actually larger now than it was before the COVID-19 pandemic.
 
That’s according to the Medicare Payment Advisory Commission (MedPAC), which issued its March 2024 report to Congress on Friday. In addition to including information on home health employment levels, MedPAC’s report once again urged Congress to slash fee-for-service (FFS) Medicare home health payments.
 
MedPAC has repeatedly argued that home health agency (HHA) margins are too high and that providers have generally been overpaid.
 
“The Commission’s review indicates that FFS Medicare’s payments for home health care are substantially in excess of costs,” the March report states. “Home health care can be a high-value benefit when it is appropriately and efficiently delivered, but these excess payments diminish that value.”
 
Employment outlook
 
Home health agencies across the U.S. have struggled with staffing shortages across multiple roles.
 
The growing demand for in-home care services has partly contributed to the problem. Many reports have also highlighted how home health workers have left their posts for other professions – or retired from the health care workforce altogether.
 
Yet according to Department of Commerce data on the broader medical home care sector, total employment numbers were about 5% higher in July 2023 than compared to before the pandemic. It’s important to note, however, that the medical home care sector also includes hospice, private-duty nursing, pediatric home care agencies and more.
 
“While these data measure employment for a broader category of home care services than Medicare HHAs, the latter comprise a significant share of this sector,” MedPAC wrote in its report.
 
MedPAC notes that reports on home health staffing shortages may only “reflect local labor market conditions” or “other factors not observed in national labor force measures.”
 
MedPAC’s payment recommendation
 
When it comes to cutting home health payment, MedPAC is urging Congress to slash 2025 Medicare base payment rates by 7%.
 
This recommendation comes despite MedPAC recognizing how the cost of delivering home health services has increased.
 
“In 2022, there was an increase of 4% in the cost per 30-day period for freestanding HHAs, a reversal of the trend for 2021, when we observed cost per period decline by 2.9%,” MedPAC wrote in its report.
 
Broadly, MedPAC believes home health agencies can withstand payment cuts because their margins remain high. Home health industry stakeholders have often disputed that claim, describing it as a faulty and flawed calculation…

Read Full Article

 

That’s A Wrap! CDC Reduces Recommended COVID-19 Isolation Period

Littler | By Devjani Mishara and Alka Ramchandani-Raj

On March 1, 2024, the Centers for Disease Control and Prevention announced that it is updating its COVID-19 guidance and is no longer recommending that individuals who test positive for COVID-19 isolate for five days.  The agency is recommending a new, “unified approach” to respiratory viruses, including not only COVID-19 but also flu and respiratory syncytial virus (RSV). 

Under the new guidance, individuals should monitor themselves for various respiratory virus symptoms, including fever, chills, fatigue, cough, runny nose and headache.  Those who develop such symptoms are recommended to “stay home and away from others,” but also advised that they can return to normal activities “when, for at least 24 hours,” their symptoms are improving and they have not had a fever without the use of fever-reducing medication.  The CDC’s recommendations are now independent of whether an individual actually has tested positive for COVID-19 or any other respiratory virus, and do not include any minimum isolation period.

What does this mean for employers?

Read Full Article

 

House Committee Hearing ‘Setting the Stage’ for Home Care Support, Policy Expert Says

McKnight’s Home Care | By Adam Healy
 
A House Ways and Means Committee hearing last week reinforced congressional support for home care, stakeholders said. Home-based kidney care and telehealth were two big topics of discussion.  
 
“Seemingly, the hearing was setting the stage for consideration of a number of pieces of legislation on these topics,” Mollie Gurian, vice president of home based and HCBS policy at LeadingAge, said during a policy update call on Wednesday. “A lot of the committee members on both sides of the aisle showed up and almost all of them were touting a bill that they were working on in one of these spaces.”
 
Such bills ranged from narrow regulatory fixes to broader policy change, she said, including legislation that could make permanent some waiver flexibilities implemented during the COVID-19 pandemic. Notably, telehealth and hospital-at-home programs received waiver extensions as a result of the pandemic. 
 
“It was a very interesting hearing and there was a lot of support for expanded care at home, generally, which we found to be very positive,” she said. 
 
Experts supporting home dialysis, hospital-at-home, telehealth and more testified last Tuesday. Among those testifying was Ateev Mehrotra, MD, a professor of health policy and medicine at Harvard Medical School, who recommended policy changes that could make virtual care services more accessible to Medicare beneficiaries.
 
“I believe it is critical to give Medicare as much flexibility as possible in adapting telehealth policy,” Mehrotra said in his testimony. “Telehealth use is rapidly changing, and policy must adapt accordingly.”
 
And Nathan Starr, medical director of home services and tele-hospitalist programs at Intermountain Health, advocated for the expansion of home-based services such as hospital-at-home during the Tuesday hearing.
 
“I have personally seen patient, family, community, and caregiver benefits of care at home,” Starr said. “Our positive experience has reinforced our commitment to increasing access to care at home. That is also why we are so pleased to be here today to advocate for the federal health policy changes needed to enable and support current and future hospital-at-home and patient needs.”

 

Breaking Down Biden's $7.3T Proposed Budget for 2025: Here are his Top Health Priorities

Fierce Healthcare | By Noah Tong

President Joe Biden unveiled a proposed $7.3 trillion budget for fiscal year 2025 on Monday, which continued upon and expanded key health items from previous years.

The administration said his budget (PDF) will lower healthcare costs and drug prices, expand access to prescription drugs, build upon the Affordable Care Act (ACA) and fortify Medicare through a tax on the wealthy. Many of these priorities were previewed during Biden's State of the Union address last week.

Biden argues his plan will reduce the deficit by $3 trillion, whereas Republican-backed plans do the opposite over 10 years. The national debt would rise to $45.1 trillion by 2034.

"The national debt is on a steady march upwards, and it would take nearly $8 trillion of savings just to stabilize the debt over the next decade," said Maya MacGuineas, president of the Committee for a Responsible Federal Budget, in a statement. "It’s dangerous that we’ve let things get this bad, and we need to treat it like the priority that it is. The President’s call for over 3 trillion of deficit reduction is a welcome start, and he deserves credit for presenting a budget that pays for new initiatives and improves our fiscal situation, but the budget doesn’t go nearly far enough."

Department of Health and Human Services (HHS) Secretary Xavier Becerra said the fiscal year budget proposes $130 billion in discretionary spending and $1.7 trillion in mandatory funding.

While not necessarily a focus of the budget itself, much of the news briefing was dedicated toward the administration's stance on defending abortion rights.

"The department is fighting tooth and nail to protect and expand reproductive health care including making contraception, IVF, and basic pre- and postnatal healthcare not only available, but more affordable," said HHS Deputy Secretary Andrea Palm during a press briefing.

Becerra said federal agencies are focused on how they can help protect reproductive rights. He cited the FDA working to protect patient access to mifepristone along with the Office of Civil Rights allowing patients to receive the right care for them.. He also referenced the Braidwood case, where the federal government is trying to protect the ACA's preventive services clause in court, and the Centers for Medicare & Medicaid Services (CMS) working to provide adequate maternal health care.

Click here for three of the top health policies to be aware of in the budget.

 

Video and Photos: APTA 2024 Combined Sections Meeting

Networking, learning, celebrating, and more: Reminisce or see what you missed — and get on-demand access to 100+ sessions starting March 15.

The APTA Combined Sections Meeting 2024 has come and gone, but if you were there, chances are you won't be forgetting the event any time soon.

More than 16,000 members of our community came together in Boston for learning and networking. This year's event featured more than 1,200 research posters, 400 sessions from APTA’s 18 specialty sections, 450 exhibitors, the 55th Mary McMillan Lecture, and a specialist recognition ceremony. There were also countless opportunities to connect, including the PT Fund Celebration of Diversity and PTPAC's annual party.

If you missed it, more than 100 sessions, along with digital posters, will be available for on-demand viewing from March 15 to April 15.

Read Full Article

 
<< first < Prev 1 2 3 4 5 6 7 8 9 10 Next > last >>

Page 5 of 108