LTC leaders sound off on gloomy 2003. (NH News Notes).
Another panelist, Joseph Lubarsky-- long-term care analyst for BDO Seidman, LLP, and author of recent AHCA-sponsored studies of Medicare and Medicaid shortfalls--said the situation in the field was the worst he had seen in 29 years. Following fiscal year (FY) 2003, in which most states had built in "reasonable" increases of 3% or more for nursing homes' Medicaid rates, Lubarsky said FY 2004 looked "grave," with most states proposing Medicaid cuts or freezes to cope with their red ink. He noted, too, that more than half the states are contemplating, or have in effect, provider taxes used to hike the federal Medicaid match, but these take as much as 6% of nursing homes' revenues in the process, including from private-pay. Nursing home margins are already razor-thin, he said, with half the profession teetering on the brink.
Larry Minnix, Jr., president and CEO of AAHSA, took a proactive stance, urging his nurse audience to "tell your story. Nurses are 'driving the bus,' but politicians don't know it, because no one is telling them your story. Most people in government want to do well, but they don't know the specifics--and the devil is in the details," he said. Minnix also recommended, among other things, that nurses maintain their organizations' integrity: "Don't allow compromise, because there are charlatans out there who have created a lack of trust for everyone."
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|Title Annotation:||Long term care|
|Author:||Peck, Richard L.|
|Date:||May 1, 2003|
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