More Proposed Medicare Cuts Bring Increased
Need For Private Duty Home Care
Medicare certified home health agencies have been punched in the proverbial gut once again with a CMS proposal issued July 7th that cuts Medicare rates by $350 million while also rolling out a new value-based purchasing system called for under the Affordable Care Act.
The proposed rule in the 2016 Home Health Prospective Payment System includes the third year of a four-year phased “rebasing” of the standardized 60-day home-care episode rate under the 2010 healthcare reform law, intended to recover several years of “overpayments”.
Home health providers deny that they are overpaid and counter that they help hold down overall healthcare costs by keeping beneficiaries out of the hospital. The continuing cuts, including the proposed $350 million reduction announced on the 7th are significantly higher than the $60 million reduction providers faced in 2015, according to CMS estimates.
“These cuts may result in many Medicare home health providers closing up shop”, said Suzanne Johnson, co-owner of Bayshore Home Care. “These cuts will leave homebound patients with less access to therapies they desperately need. It is now our role as a private duty agency to fill the gap and provide the much needed services that will produce successful outcomes for these patients.”.
The proposed payment rule also outlines the 2016 launch of a value-based purchasing regime model designed to support greater quality of care among Medicare beneficiaries. While everyone agrees that quality care is priority one. The concern among healthcare consumers is that with increased cuts, patients will now have to pay out of pocket for services formerly covered by Medicare.
“We are ready and able to help stand in the home healthcare gap. It is a new era for Medicare patients and paying out of pocket for many home health services is becoming a reality”, said Johnson.
Babies of Bayshore
Our Bayshore family is growing! This month we’re celebrating the great 2014-2015 baby boom.
First up: Jenee Mendillo and sons Thomas and Jacob. Jenee is our Director of Business Development. Throughout her 9 years with Bayshore she has held various roles in Administrative support. In her current role, Jenee oversees our Marketing team, ensuring that the seniors of Tamapa Bay are aware of the support Bayshore can provide.
Thomas and Jacob were born on March, 23 2015 weighing 7lbs 4oz and 7lbs 2oz. When they aren’t eating or sleeping, the boys love to laugh with each other. If anyone can take on this twosome it’s Jenee!
Next: Carol Souto and son Timothy. Carol is currently on our Scheduling Coordinator team. She is based out of our St. Petersburg office and compassionately ensures all of our clients recieve quality care. Timothy was born on Febuary 4, 2015. Timothy loves soaking up rays in the pool, splashing around in the bath, being tickled, and belly laughs. In describing Timothy in one word his mom says he is “happy”.
Last but not least: Melanie Giddings and her daughter Kendall. Melanie is a part of our On-call team. She is available to our clients and caregiving staff after regular business hours and on holidays and weekends to make sure that Bayshore quality standards are met no matter the day or hour. Kendall was born on December 1, 2014. Kendall recently learned how to sit up all on her own! She loves to blow raspberries, talk, listen to music and most of all spend time with her Grammy (Bayshore Home Care Administrator and co-owner, Suzanne Johnson).
A very warm welcome to all of our new editions!
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Pin of the Month
Spice up your weeknight dinners with this delicious eggplant pizza.