Senate Finance Committee Finalizes Proposal

The Senate Finance Committee completed their debate on their own version of health care reform just past 2:00 am on Friday.
The proposal does not include the “public option” where the government would run an insurance program meant to compete with and control the cost of private insurance premiums. Once the Congressional Budget Office provides a cost estimate, the committee will vote on the final version next week, according to the New York Times.

See other stories on this from:

Boston Globe: “Senate Leaders Facing Crunch on Health Plans”

CNN: “Senate Committee Completes Health Care Debate”

Wall Street Journal: “Public Plan Goes Down in Senate Health Vote”

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Worcester Telegram-Gazette: Support Home Care Providers

An Opinion-Editorial titled “Support Home Care Providers” focusing on the role of home health care in the nation’s health care reform efforts, as well as the role it should play, was published in today’s (September 30) Worcester Telegram & Gazette. The Op-Ed is printed in a section of the paper called “As I See It” and was submitted by President and CEO of VNA Care Network & Hospice Karen Green.

Below is an excerpt from the article:

These are historic times in our nation and our state. With the attention of Congress and the president focused on health care reform, we as health care providers are poised between impatience and trepidation. We are impatient for action to help the struggling uninsured families we know only too well, but fear that paying for expanding access to insurance out of Medicare “savings” will be a death knell for the most efficient among us.

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Boston Globe: Public Option Rejected by Sen. Finance Committee

The Boston Globe’s website featured an article that brought another chapter in the ongoing story of whether or not a so-called public option should be included in the nation’s health care reform. As the story reports here, the Senate Finance Committee voted down a measure to include the public option in their version of a reform bill.

Senate Finance Committee Chairman Max Baucus, who did not include a public option in his markup of the proposal, had this this to say:

“My job is to put together a bill that gets to 60 votes” in the full Senate, the Montana Democrat said shortly before he joined a majority on the committee in opposing the provision. “No one shows me how to get to 60 votes with a public option,” the term used to describe a new government role in health care. It takes 60 votes in the 100-member Senate to overcome delaying actions that Republicans may attempt.

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Alliance Weighs in on Falls Prevention Legislation

The Joint Committee on Elder Affairs held a public hearing at the State House on Wednesday, September 23 and among the bills taken up were proposals relating to falls prevention among older adults.

Lisa O’Loughlin, an independent community nurse and falls prevention advocate, presented testimony supporting the falls prevention bill,  Senate Bill 318, on behalf of the Home Care Alliance. You can view that testimony by clicking here. Gail Mello, Rehabilitation Director for the Brockton Visiting Nurse Association, also presented testimony in which she stressed the urgency of passing the bill using a story of a patient who suffered a fall and is now in serious condition.

The Alliance, as a member of the state’s Falls Prevention Awareness Coalition, co-sponsored and helped host Falls Prevention Awareness Day at the State House on September 22. The Alliance’s Director of Clinical and Regulatory Affairs Helen Siegel spoke to a crowd of seniors and falls awareness advocates in the Great Hall along with Department of Public Health Commissioner John Auerbach, State Senator and co-chair of the Elder Affairs Committee Patricia Jehlen, and Assistant Secretary of the Executive Office of Elder Affairs Ruth Palombo.

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Caregiver Homes of MA Wins Pioneer Institute Award

Caregiver Homes of Massachusetts, Inc., a subsidiary of Seniorlink, Inc. and an allied member of the Home Care Alliance has won the Pioneer Institute’s 2009 Better Government Competition meant to showcase innovative ideas and programs to improve the efficiency of government.

Click here to view a press announcement of the award.

The competition’s theme this year was health care, and the nursing home diversion program administered by Caregiver Homes came out on top out of 150 applicants.

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NY Times: Sen. Baucus Releases Senate Health Care Proposal

US Senator Max Baucus, Chairman of the Senate Finance Committee, announced the release his committee’s version of a health care reform proposal, reported on here in the New York Times. The story also was reported here on Boston.com and here on CNN.

The articles include a link to the language of the proposal itself. Stay tuned for more.

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Lynn Item: Home Health Firm Bridges Cultures

The Lynn Item ran a front-page feature story (Sept. 15) on Glenn Bacheller who is the owner of MultiCultural Home Care, Inc. of Lynn.

The article highlights how Bacheller came into the home health industry in Massachusetts after being president of Baskin Robbins and Chief Marketing Officer at Dunkin’ Donuts, among other positions, and living across the country. Click here to read the online version of the Lynn Item article and below is a clip from the story.

With Baby Boomers well into their 60s but showing little sign of slowing down, Bacheller is strategically positioned to meet that generation’s eventual health care needs. “I’ve got a company that helps people by letting them stay in their homes longer, which is where most people want to be if they’re old or sick,” he said. “Assisted-living facilities and nursing homes are options only when when they become absolutely necessary.”

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Falls Prevention Awareness Day Event to be Held Sept. 22

The Home Care Alliance, as part of the Massachusetts Falls Prevention Coalition, is co-hosting the third annual Falls Prevention Awareness Day in the Great Hall of the Massachusetts State House from 10:00 am to 12:00 pm on September 22.

Several state elected officials and elders advocates will speak and many more will attend. Click here to see a flyer for the event. For more information on state efforts to prevent accidental falls among the elderly, click here.

The event also coincides with a public hearing in front of the Joint Committee on Elder Affairs, which will be held the next day (Sept. 23) at 10:00 am in hearing room B-1 of the State House. The Alliance is looking for members who are interested in testifying on behalf of Senate Bills 317 and 318, which deal with a number of initiatives from education to the intensifying of services that will help reduce falls.

If any are interested in submitting written or verbal testimony in support of Falls Prevention legislation, please contact James Fuccione at the Alliance.

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NECN: Congressman Barney Frank Holds Another Town Hall on Health Care Reform

Congressman Barney Frank hosted his second town hall forum on the nation’s health care reform efforts on Saturday, September 12 at Mass Bay Community College.

Click here to view the New England Cable News story on what was a much more tame meeting than Frank’s first town hall.

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Hampshire Daily Gazette: Home Health Care Saves Money, Serves People Well

The Daily Hampshire Gazette (Northampton, MA) published a letter to the editor written and submitted by Jeanne Ryan who is the Executive Director of the VNA & Hospice of Cooley Dickenson.

The letter, which was published on July 28, urges advocacy on behalf of home health given the proposed cuts to Medicare reimbursement. The Gazette website requires a subscription so a link is not available, but the letter is posted below.

To the Editor:

Home health has become an increasingly important part of our health care system. The kinds of highly skilled and often technically complex services that our nation’s home health agencies provide have enabled millions of our most frail and vulnerable seniors and disabled citizens to avoid hospitals and nursing homes. By preventing such institutional care, home health services save Medicare millions of dollars each year. More importantly, they enable individuals to stay just where they want to be – in the comfort and security of their own homes.

I am writing to urge our local citizens to oppose further cuts in Medicare home health payments. The Administration’s FY 2010 budget includes a proposal to cut Medicare home health payments by $13.16 billion over five years. This would come on top of additional administrative cuts in payment rates of$7.59 billion promulgated by the Centers for Medicare and Medicaid Services (CMS) over the period from 2008 through 2011.If these new cuts are implemented, nearly two-thirds of America’s home health agencies will have negative results and Medicare patients in large sections of the country will be at risk of losing home health services.

The Medicare home health benefit has already taken a larger hit in spending cuts over the past ten years than any other Medicare benefit. In fact, home health as a share of Medicare spending has dropped from 8.7 percent in 1997 to 3.6 percent today, and is projected to decline to 3 percent of Medicare spending by 2016.

Further deep cuts in home health spending will also place the home care delivery system at significant risk. This is particularly true at a time when the cost of providing highly skilled care in the home is increasing. I urge you to join the VNA & Hospice of Cooley Dickinson in opposing any further cuts to homecare Medicare reimbursement by call or writing Senators John Kerry and Edward Kennedy.

Sincerely,
Jeanne M. Ryan, MA, OTR, CHCE, COS-C
Executive Director
VNA & Hospice of Cooley Dickinson

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