News From Terre Haute, Indiana

Opinion

October 6, 2013

Flashpoint: Access to home health care hangs in the balance

TERRE HAUTE — Growing older is a fact of life that the baby boom generation is facing head on. As our population ages at a rapid rate and people are living longer lives, more attention is focused on long-term care. Home health care is an important part to that conversation. Quality, skilled home health care is widely recognized as clinically advanced, cost-effective and patient preferred.

Home health care helps patients to manage multiple chronic conditions and post-acute care needs — both on the rise due to seniors living longer lives.

Older or disabled patients should live in their homes and remain independent as long as possible. Therapies once only available in an institutional setting are now safely and effectively administered in the comfort of a patient’s own home. Physicians, nurses, therapists, aides and social workers all work with home health care patients to make sure they receive coordinated, comprehensive care.

However, seniors and disabled individuals’ access to home health care is threatened by looming cuts proposed by the Centers for Medicare and Medicaid Services last June. In its draft regulation, CMS proposes to “rebase” home health care at the highest possible rate, which amounts to a 14 percent cut over the next four years. These are drastic cuts to a community that has already absorbed $72.5 billion in cuts since 2009. Even worse, CMS failed to take into account the negative effect these cuts will have on providers and patient access.

Furthermore, a detailed analysis by Avalere Health and Dobson DaVanzo & Associates shows that the 3.5 percent payment adjustment proposed by CMS in June and the billions in cuts since 2009 will cause 47 states, including Indiana, and the District of Columbia to experience net Medicare home health losses by 2017. In Indiana, Medicare margins are projected to reach 13.6 percent by 2017.

These potential cuts come at the expense of a very vulnerable and frail population — especially for seniors and disabled individuals in southern Indiana. Nearly 70 percent of the patients I work with live in a rural area served by limited medical facilities. Even then, the medical facilities that do serve a patient’s area are located miles away from their home. For someone who is homebound, this can make receiving care in a doctor’s office or other facility extremely difficult.

If CMS’ draft regulation is implemented as is, many providers will be rendered inoperable, as Medicare will not reimburse therapies and services at the actual cost of care. Since Medicare is the largest payer for home health services, compensation from private insurers and Medicaid will not cover the losses from Medicare.

I urge CMS to reconsider its proposed rule. It is clear not all factors — especially that of patient access — were taken into account when the draft regulation was proposed in June. We must protect home health care for those who need it today and the millions more who will need it in the future.

— Cheryl Funk

Area director of sales


Southern Indiana

Gentiva Hospice

1
Text Only | Photo Reprints
Opinion
  • RONN MOTT: Troubled history in that place called Iraq

    People are dying, again, in Iraq. And, again, people other than Iraqis will ultimately make the decision about what happens to this ancient land.

    July 11, 2014

  • Editorial: The Bennett ‘settlement’

    It takes a special kind of arrogance to flout ethics laws in the manner which former state Superintendent of Public Instruction Tony Bennett has violated them. Even when he finally admitted his transgressions, he claimed he could have avoided the matter altogether had he just changed the department’s ethics policy before engaging in the troublesome conduct.
    In essence, this was the old “mistakes were made” acknowledgment of wrongdoing. And the real mistake to which Bennett admits was apparently not changing the rules before he violated them. This is a truly Nixonian moment.

    July 10, 2014

  • Readers’ Forum: July 11, 2014

    July 10, 2014

  • Ronn Mott.jpg RONN MOTT: That Old Man River

    I was surprised to learn the people in Cairo are now taking water taxis to avoid the traffic, the confusion and the dangers that are appearing on Cairo, Egypt’s, streets. I mean, I was surprised the people in Cairo, these native Egyptians, were surprised they could take a water taxi and get to where they wanted to go using the Nile River as a highway. So, for the Egyptians living in Cairo, everything old is brand new again.

    July 10, 2014 1 Photo

  • EDITORIAL: A green idea worth pursuing

    It sounds like a blue-ribbon idea.

    July 9, 2014

  • READERS' FORUM: July 10, 2014

    • Herb Faire a great success

    • Appreciation for a ‘lovely angel’

    • Thanks for stirring fireworks show

    July 9, 2014

  • tstribunestar EDITORIAL: Be safe, be responsible

    The Independence Day weekend brought a brief respite in construction work on area roadways. In particular, it provided needed relief to the congested segment of Interstate 70 in Clay County that is undergoing resurfacing this summer.

    July 8, 2014 1 Photo

  • Readers’ Forum: July 9, 2014

    • Don’t eliminate our six-day mail

    • Zamperini death stirs memories

    July 8, 2014

  • RONN MOTT: Black Dog

    We had some excitement around our house the other day and it was not the good kind.
    There was a small dog, black in color with a spiked collar on his neck, and he was the spitting image of a small Doberman. I don’t know if they have miniature Dobermans but this dog could have been a mixed breed that came out looking like a Doberman although smaller.

    July 8, 2014

  • Readers’ Forum: July 8, 2014

    • T-S ignores common decency

    • Lighten up on Donald Sterling

    • Time to reject Dems in Congress

    Fueling the EPA

    July 7, 2014

  • MS. TAKES: Great music is made during all generations

    Number Two son tells us that his 20-year-old son has been listening to “Big Band” music with apparent enjoyment. As if that wasn’t enough of a surprise, I was talking with a young girl, barely out of her teens and she told us that she really wasn’t into rap. She said, “It isn’t really music, it’s just talk.”

    July 7, 2014

  • Readers’ Forum: July 7, 2014

    • The moral issue is major issue

    July 6, 2014

  • tstribunestar Editorial: City financial health demands an open, honest discussion

    Obscured by the recent rift over use of departmental funds in the city of Terre Haute’s budget are serious issues related to our city government’s overall financial health. The answers may be mired in the complexity of municipal finance, but coming to grips with the situation is important to the city’s future.

    July 6, 2014 1 Photo

  • Readers’ Forum: July 6, 2014

    • Coats ignoring climate science

    • Do those mustache posters exist?

    • Utility rate freeze took determination

    • What perversion is next in line?

    • Opinions vary, but voters will decide

    • This preaching must stop — now

    • Golf fundraiser a huge success

    July 6, 2014

  • Flashpoint: State’s lawyer has duty to represent state in marriage lawsuit appeal

    Recent federal court actions that first struck down Indiana’s statute limiting marriage to the traditional definition, and then stayed that order pending appeal, have left many in our state in legal limbo. As the attorney who represents state government and defends its laws, I know this difficult case stirs many people’s deeply held beliefs that touch their lives in very personal ways. Not since my office had to represent the state in lawsuits arising from the State Fair disaster has a dispute been so seemingly impossible to address in a way that the public would accept as being fair to all concerned.

    July 6, 2014

  • Flashpoint: The Supreme Court decision and ‘closely held’ corporations

    The much awaited Supreme Court decision in Burwell vs. Hobby Lobby came down this week. The court ruled in a 5-4 decision that the 1993 Religious Freedom and Restoration Act (RFRA) does cover “closely held” corporations, even if those corporations are for profit.

    July 6, 2014

  • RONN MOTT: Learning more about Jefferson

    During this Fourth of July weekend, I’ll be reading John Meacham’s biography of Thomas Jefferson.

    July 4, 2014

  • EDITORIAL: Celebrate your independence

    “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.”
    As eloquent and declaratory as that statement is, implementing its principles has been a decades-long pursuit for these United States of America. Our nation, it seems, is the quintessential work in progress, even though what this country has created in terms of a stable, collective society is, let’s face it, pretty darn good.

    July 3, 2014

  • Readers’ Forum: July 4, 2014

    July 3, 2014

  • Ronn Mott.jpg RONN MOTT: The Men Who Made the Country

    The Fourth of July is the day we celebrate our independence from Great Britain. It reminds me of something David Ben-Gurion would say, at a much later date, about British rule: “If you have to have a master, the British are about as good at it as anybody.” Of course, we really don’t need a master.

    July 3, 2014 1 Photo

  • MET 033114 GREG ZOELLER MUG.jpg GREG ZOELLER: State’s lawyer has duty to represent state in marriage lawsuit appeal

    Recent federal court actions that first struck down Indiana’s statute limiting marriage to the traditional definition, and then stayed that order pending appeal, have left many in our state in legal limbo.

    July 3, 2014 1 Photo

  • Readers’ Forum: July 3, 2014

    • Over the top on immigration

    July 2, 2014

  • FLASHPOINT: HIP 2.0 gives consumers better choices

    On Wednesday, the State of Indiana submitted its proposal for the Healthy Indiana Plan 2.0 to the U.S. Department of Health and Human Services.

    July 2, 2014

  • Gov. Mike Pence (R, Ind.) MIKE PENCE: HIP 2.0 gives consumers better choices

    Today, the state of Indiana submitted its proposal for the Healthy Indiana Plan 2.0 to the U.S. Department of Health and Human Services.
    If approved, the Healthy Indiana Plan 2.0 would replace traditional Medicaid for low-income, able-bodied Hoosier adults. Unlike traditional Medicaid, which is government-driven, HIP 2.0 is consumer-driven.

    July 2, 2014 1 Photo

  • Editorial: Texting law serves safety

    July 1 each year marks the day in Indiana when new laws take effect. But rather than focus on new laws today, let’s observe the anniversary of a law that went on the books three years ago this month — the law that barred texting while driving.

    July 1, 2014

  • Readers’ Forum: July 2, 2014

    July 1, 2014

  • Ronn Mott.jpg RONN MOTT: Cats

    Looking at the situation as a whole, the adopted cats, plus one, seem to be doing OK. The boys, Magic and Mellow, like to roam occasionally, which causes some consternation when they are gone for a long time.

    July 1, 2014 1 Photo

  • LIZ CIANCONE: Oldtime fans will never give up on the Cubbies

    My Best Friend claims to be the world’s oldest living Cubs fan. I am willing to take him at his word, but surely there is some long-lived fan out there in the right field bleachers who would dispute his claim.

    June 30, 2014

  • Readers’ Forum: July 1, 2014

    • Defying the laws of God
    • Correcting the written record
    • Hands of $$ from Redevelopment
    • Celebrity visit for celebration

    June 30, 2014

  • Flashpoint: New Healthy Indiana Plan our best option

    Some state-run health care exchanges — the brainchild of the Affordable Care Act (ACA) — have gotten off to a rocky start, to the point that they are turning to the federal government to pick up the pieces. Indiana’s decision to try to expand the already-existing Healthy Indiana Plan (HIP) in lieu of an exchange seems a more prudent choice every day.

    June 30, 2014

Latest News
TribStar.com Poll
AP Video
Police: Prostitute Linked to 2nd Death Chimp-attack Victim Lobbies Congress Obama Responds to Hecklers on Immigration More Immigrants Detained Along Rio Grande Texas Shooting Suspect Collapses in Court LeBron James Says He's Returning to Cavaliers Raw: Israel, Gaza Exchange Rocket Fire FIFA Rejects Suarez Appeal Against Biting Ban Soft Robot Fish Lead New Wave of Robotics Art of Haitian Machete Fighting Revived World Cup Final Pits Argentina Against Germany Thousands Attend NYC Firefighter's Funeral Raw: Rebel Leader Weds in Eastern Ukraine Downside of Low Mortgage Rates? Less Selling Man Flees Police in World Cup Scalping Scheme Raw: Australia Hosts Annual Beer Can Regatta Israeli-Palestinian Tensions, Attacks Escalate Death Toll Tops 100 As Israel Offense Continues Robot Writes Jewish Torah Scroll Robots Gearing Up for Their Own 'World Cup'
NDN Video
Cleveland welcomes home LeBron Houston Killer Collapses in Court When Read Capital Murder Charges for Allegedly Killing Family of Six Worst Valet Ever Wrecks $500K Lamborghini Glee Star Becca Tobin's Boyfriend Matt Bendik Found Dead in Hotel Aerial fish restocking in Utah ScarJo Channels Marilyn Monroe Obama Responds to Hecklers on Immigration Tiny Hamsters Who Ate Burritos are Back for a Tiny Hedgehog's Party Watch Kelly Ripa Get Soaked! 'Referee' Hands Out Yellow Cards for Social Faux Pas in NYC 2014 Emmy Nominees: 8 Snub Shockers Emma Watson Is Va-Va-Voom in Valentino 7 Infamous Sports Blowouts Argentina tops Holland in World Cup semifinals News flush: Japanese toilet exhibition making a splash Emmy Nominations: What to Watch For 'Game of Thrones' Leads 66th Emmy Awards Nominations Photographic 'Proof' That LeBron Is Leaving Miami - @TheBuzzeronFOX Elephant Pool Party at The Oregon Zoo Must-See! Berry and Fallon Form Human Hamster Wheel
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.
  • -

     

    March 12, 2010

activity