LeadingAge and AHCA join ranks opposed to Medicaid cost sharing proposal

Share this article:
Larry Minnix, LeadingAge president and CEO
Larry Minnix, LeadingAge president and CEO

LeadingAge and the American Health Care Association have joined a growing list of  organizations opposed to Medicaid cost-sharing provisions in the Affordable Care Act. More than 700 respondents submitted comments within the last month to the Jan. 22 proposed rule from the Centers for Medicare & Medicaid Services.

People eligible for Medicaid coverage under the ACA could be responsible for out-of-pocket healthcare costs of up to 5% of their total monthly income, the proposed rule states. This level of cost sharing could prevent seniors and other vulnerable groups from obtaining needed long-term services and supports — or could result in non-payment for services. The result would be poorer outcomes for patients and higher healthcare costs, said LeadingAge and AHCA in separate comments.

Increased cost sharing is not needed because Medicaid beneficiaries are being enrolled in managed care in greater numbers, and regulations make sure managed care entities carefully select care providers and “prevent unnecessary utilization” of Medicaid-eligible services, LeadingAge Director of Home and Community-Based Services Peter Notarstefano wrote in a Feb. 21 letter to CMS.

All comments to the proposed rule can be found here.

Share this article:

More in News

Double homicide at Houston nursing home; victims' roommate arrested

Double homicide at Houston nursing home; victims' roommate ...

A double murder occurred late Tuesday night in a Houston nursing home room shared by four men, according to local authorities. Police arrested Guillermo Correa on suspicion of beating two ...

$2 million HIPAA settlement highlights mobile device risks facing healthcare providers

Laptops and other mobile devices containing personal health information have been stolen from long-term care ombudsman programs and other healthcare organizations, including from Concentra Health Services and QCA Health Plan Inc. Now, Concentra and QCA have agreed to legal settlements totaling nearly $2 million, federal ...

Long-term care nurses often 'scramble' to get family members' blessing for palliative ...

Nursing home residents might not transition to full palliative care until they are very near death, at which point nurses and family members act in a state of crisis, suggests recently published research out of Canada.