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In Unfolding Budget Debate, Alliance To Spotlight Flawed MedPAC Policy Guidance
Commenting on the January
31 New York Times news article reporting the Bush Administration's FY 2009
budget will include no Medicare funding update to help care for the growing
number of seniors who need high acuity nursing home care, the Alliance for
Quality Nursing Home Care said it will work in 2008 to demonstrate to
Congress that Medicare funding decisions for skilled nursing facilities can
be accurately determined only by taking a more expansive, complete view of
the sector's operating environment.
Noting the Times article reports that "to justify prior budget
proposals, the White House has often cited the work of an independent
federal panel, the Medicare Payment Advisory Commission (MedPAC)," Alan G.
Rosenbloom, President of the Alliance, stated, "On behalf of nursing home
patients and the hundreds of thousands of caregivers who serve them, we are
disappointed that again, MedPAC's flawed funding policy guidance is being
adopted, and superseding the economic realities experienced by providers in
the long term care marketplace."
Continued the Alliance President, "By failing to consider the
substantial Medicaid payment shortfalls to nursing homes in formulating its
recommendations, MedPAC provides the Administration, Congress and the
public a flawed basis upon which to assess the funding landscape, and to
ultimately determine the best policy."
With as much as 70% of nursing home operating costs driven by labor
costs, inadequate overall funding may force nursing homes to make difficult
decisions that could affect the hundreds of thousands of direct care
workers in nursing homes -- 86% of whom are women, and 30% of whom are
minorities. "If the direct care work force becomes further destabilized
because nursing homes don't have the resources to make ends meet" he
continued, "it is the patient most negatively impacted." Rosenbloom also
noted that "such cutbacks would disproportionately affect low income
Americans, given the significant percentage of nursing home patients and
direct care workers who would be most severely impacted by the President's
proposal and MedPAC's recommendations."
Consistent Medicare funding is especially important at a time when
states are struggling to balance their budgets, and many states are taking
steps to cut Medicaid, a trend likely to accelerate if the President's
proposed cutbacks in Medicaid funding also are adopted. "Since Medicare
funds help ensure adequate resources are available to support Medicaid
patients in nursing homes," Rosenbloom expressed concern that "the combined
impact of Medicare and Medicaid cuts could be especially devastating to the
nation's poorest nursing home patients."
Rosenbloom said the Alliance will make a concerted educational effort
throughout to year to explain to policymakers on Capitol Hill and executive
agencies why excluding Medicaid margins in formulating Medicare funding
policy skews the perception of economic reality in a manner harmful to
seniors and their growing complex care needs, as well as to the direct care
workers who serve them.
The Alliance for Quality Nursing Home Care
http://aqnhc.org/index.html
În desfãºurare dezbatere buget, Alianþa a atenþiei defectuoasã MedPAC politica de Orientare - In Unfolding Budget Debate, Alliance To Spotlight Flawed MedPAC Policy Guidance - articole medicale engleza - startsanatate