The state’s Medicaid cuts and increased home costs have greatly affected home care providers with 79 percent having negative operating margins in 2011, Gannett’s Haley Viccaro reports.
The state Home Care Association released its 2013 report today on the fiscal health of home care in New York, which showed median operating losses has steadily worsened since 2009.
Home care losses in 2011 were even worse compared to two years prior due to $1 billion in Medicaid cuts as well as long term policy changes that could compromise the financial situation of providers.
“The math is simple. Providers have seen a damaging combination of chronic reimbursement cuts and rising administrative costs due in large part to state policies that accelerated to unprecedented levels in 2011,” HCA said in a statement.
Certified Home Health Agencies median operating margins declined from -1.7 percent in 2009 to -1.8 percent in 2010. The median for 2011 dropped steeply to -13.9 percent, HCA reports.
The Long Term Home Health Care Programs had a median operating margin of -8.1 percent in 2009, which fell to -8.7 percent in 2010. HCA reported that the 2011 median margin declined further to -11.5 percent.
Home care agencies are seeking partnerships with Managed Long Term Care plans and Managed Care Organizations to provide services under contract with health plans to negotiate rates of payment.
“Without stronger continuity-of-care policies, transition assistance, and adequate levels of payment for providers and health plans alike, the home care system faces an unnecessary, though avoidable, threat to its overall stability and viability,” HCA said in a statement.
Following the governor’s state budget proposal tomorrow, HCA will issue details of policy priorities for the legislative session to help the home care system.