Coalition of
Caregivers warns Congress of danger to
oldest U.S. Seniors if Medicare slashed...U.S.
Reps. Shelley Moore Capito and Tom Allen
express bipartisan concern about threat to
care quality
WASHINGTON, Nov. 1
/PRNewswire-USNewswire/ -- Warning that cuts
to seniors' Medicare Part A nursing home
benefit would endanger the quality of care
and quality of life of America's frail,
elderly and disabled citizens dependent upon
skilled nursing care, a broad array of
clinician and caregiver groups today urged
Congress to end consideration of Medicare
funding reductions.
Front-line
caregivers are mobilizing to alert and
educate seniors, caregivers and elected
officials nationwide about the stakes
involved to both patients and the continued
viability of intra-facility quality
improvement programs.
In announcing the
Coalition to Protect Senior Care, and in
thanking several members of Congress who
attended today's event, Lisa Cantrell, a
co-founder of the National Association of
Health Care Assistants (NAHCA), stated,
"Based upon our collective clinical
experience, we have a deep, growing concern
that the implementation of Medicare cuts
will endanger the quality of care and
quality of life of America's most vulnerable
Medicare beneficiaries. Consequently, there
is no legitimate way to justify implementing
cuts that would severely undermine the
essential efforts of direct care staff
responsible for the vast majority of the
nation's three million Medicare
beneficiaries."
The Coalition to
Protect Senior Care consists of the American
Association for Long Term Care Nursing (AALTCN);
the American College of Health Care
Administrators (ACHCA); the American Health
Care Association (AHCA); the American Health
Quality Association (AHQA); the American
Physical Therapy Association (APTA); the
American Society of Health Care
Administration Executives (ASHCAE); ASHCAE
state affiliate members representing
Arizona, Arkansas, Colorado, Idaho, Iowa,
Kansas, Maine, New Hampshire, New Mexico,
New York, North Dakota, Oregon, Texas and
Utah; the National Association for the
Support of Long Term Care (NASL); the
National Association of Health Care
Assistants (NAHCA); the Alliance for Quality
Nursing Home Care; the Coalition of Women in
Long Term Care (COWL); the National Rural
Health Association (NRHA); and the Senior
Clinician Group.
"From our standpoint as
front line caregivers who see first-hand the
challenges associated with caring for frail,
needy seniors, Medicare cuts like those now
being considered would have a disastrous
impact on patient care, and jeopardize the
quality improvement efforts we have underway
-- and that are working well," warned Lori
Porter, also a co-founder of NAHCA.
"Medicare cuts
also threaten the jobs of those responsible
for the most intimate care needs of
patients. To our astonishment and
disappointment, the funding reductions under
consideration would return Medicare funding
levels to those seen almost a decade ago.
This is untenable and unwarranted."
"These proposed
Medicare cuts could destabilize long term
care for seniors in West Virginia and across
the nation," said Congresswoman Shelley
Moore Capito (R-WV), co-founder of the
bipartisan House Long Term Care Caucus,
which is working to ensure seniors have
access to affordable, quality care.
"I am pleased to join
the Coalition to Protect Senior Care in
their advocacy to ensure that America's
nursing homes and long term care providers
are able to continue to care for our most
vulnerable seniors and disabled citizens."
Congressman Tom Allen
(D-ME), a Co-Chair of the House Long Term
Care Caucus, said, "I will also soon
introduce a bill with Representative Earl
Pomeroy (D-ND) to deal comprehensively with
long term care and help sustain quality
improvements that are being made in long
term care settings across the country. Among
other things, our measure will promote
investment in capital improvements for aging
skilled nursing facilities, encourage
collaboration between providers and
inspectors, assist in the creation of a
stable and well-trained workforce and
modernize the long term care payment
system."
Maggie Elehwany, Vice
President of Government Affairs and Advocacy
for the National Rural Health Association (NRHA)
added that Medicare funding cuts will have a
disproportionate, negative impact on
America's rural seniors and the facilities
and staff responsible for their care.
"Facility care in rural
America is already negatively impacted by
the fact Medicaid reimbursements do not
cover the actual cost of care. Rural
facilities, especially, are already
struggling with Medicaid shortfalls and the
sparse availability of staff -- and Medicare
cuts will further undermine facilities'
ability to hire, train and retain key direct
care staff. These are the very workers who
make the key difference in care quality and
patient outcomes, and we will ensure our
membership alerts the key rural lawmakers
who can help make the difference in this
effort."
The coalition
participants noted that in order to ensure
continued progress on the quality
improvement front, the Centers for Medicare
and Medicaid Services (CMS) earlier
recommended a 3.3 percent funding increase
for FY2008 to help sustain recognized gains
in key clinical areas such as pain
treatment, pressure ulcers, dehydration and
weight loss management.
Those supporting the
Medicare cuts, the coalition members said,
fail to address and appreciate the fact that
Medicare, increasingly, is being forced to
subsidize Medicaid. Recent studies estimate
that Medicaid pays some $4.4 billion less
than the actual cost of nursing home care
for the nation's seniors. This translates
into $13.15 per patient per day less than
the cost of care, an amount which has
increased 45% since 1999. (Source: BDO
Seidman/Eljay, LLC; September 2007).
"One of this new
coalition's most important missions is to
ensure consumers, lawmakers and the public
at large is aware the General Accountability
Office (GAO), Department of Health and Human
Services (HHS) and other key entities have
specifically noted that with stable Medicare
funding, facilities have made notable care
quality improvements," continued Charlotte
Eliopoulus, executive director of the
American Association for Long Term Care
Nursing (AALTCN).
"The linkage between
payment stability and quality improvements
is unmistakable, and our goal is to make
certain that numbers and balance sheets must
never take precedence over the well being of
real people with growing complex care
needs."
Source:
Coalition to Protect Senior Care
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