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Co-payment proposals are short-sighted and will result in cost shifting to patients or increased institutional care. Compared to alternative care such as skilled nursing or a hospital stay, home health is a third of the cost. Without necessary home healthcare, patients will require healthcare in costly institutional settings - at much greater expense to government and families.

Medicare home health co-payments and reimbursement cuts are being seriously considered by both Republicans and Democrats on the Joint Select Committee on Deficit Reduction (also known as the "Super Committee"). The week of Sept. 26, 2011, President Obama included a Medicare home health co-payment in his plan for economic growth and deficit reduction. Because the National Commission on Fiscal Responsibility and Reform (also known as the Simpson-Bowles Commission), the Medicare Payment Advisory Commission, the Congressional Budget Office and President Obama have all proposed home health and hospice cuts and Medicare home health co-payments, we know that these proposals will be high on the list of items for consideration by the Super Committee.

We need to reach out to every Member of Congress, especially Members of key Committees, and tell them not to include a home health co-payment on their list of recommendations to the Super Committee, and not to make any further cuts to home health or hospice.

Tell Your Members of Congress to Reject a Co-payment for Home Health or Cuts to Home Health or Hospice - Take Action - Sept. 26, 2011

VNAA Opposes Co-Pay for Home Health - Press Release - Sept. 20, 2011

VNAA Protect Home Health and Hospice Recommendations - Sept. 2011

Debt ceiling negotiations are heating up, and Republicans and Democrats are seriously considering proposals to generate savings from the Medicare program, including $40 billion in savings that could come from the Medicare home health benefit by establishing a co-payment for services. The Medicare Payment Advisory Commission has also recommended a co-payment for the home health benefit, and it is important the VNAA members advocate on behalf of their agency to Congress on this topic.

For talking points about why Congress should oppose a co-payment for home health, including supportive data and common myths that VNAA members should download the documents below.

Download the VNAA's Recommended Papers:
Why Congress Should Oppose Home Health Co-Payments - April 2011 (Members Only)


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