Home Health & Hospice Week

Industry Note:

Debt Deal Puts Threat Of Cuts On The Horizon

You could get an unwelcome Christmas present under newly enacted compromise.

Home care providers have avoided Medicare payment rate cuts now, but they may see them very soon.

Cutting home care payment rates and imposing copayments were ideas floated in the debt ceiling talks that have consumed Washington, D.C. in recent weeks. But now President Obama has signed a debt deal bill that avoids any Medicare provider cuts -- for the moment.

Under the agreement enacted Aug. 2, the debt ceiling was raised in exchange for promised cuts to the U.S. budget -- including entitlement programs like Medicare -- later this year. If a 12- person bipartisan congressional committee can't come up with $1.2 trillion in cuts that Congress approves, a 2 percent across-the-board reduction would take effect.

The 2 percent cut, on top of the 3 percent reduction already slated for 2012, would be painful. But larger cuts or copayments implemented by the congressional panel could be downright devastating, industry observers worry.

The committee must file its recommendations by Thanksgiving, and Congress is required to vote on them by Dec. 23 with no amendments. If the committee's suggestions don't pass, then the acrossthe- board spending cuts would be triggered in 2013.

News of the potential Medicare cuts hit health care provider stock prices, including those of home care companies. CRT Capital analyst Sheryl Skolnick said investors overreacted to the news, noting the cuts would be limited to 2 percent and "could have been much worse," according to the Wall Street Journal.

 

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