SHADES OF "SICKO"
Thousands of Chronically ill medically needy legal Floridians, many with
Medicare are being denied benefits, care and meds due to the new
Medicare program rolled out in 2006.
Essentially these patients are caught in a Medicare/Medicaid delemma
and as the situation grows worse, state and federal elected officials and
agencey administrators are passing the buck and doing little to rescue
citizens in serious trouble.
Aids patients, Kidney Dialysis patients, and those with severe breathing
problems (among others) can expect things to get evern worse!
.....bd
Florida may take hit on Medicare payments
Orlando Business Journal - 11:01 AM EDT Tuesday, July 10, 2007
Impending cuts to Medicare's home oxygen benefit will hit Florida harder than
any other state, according to an analysis by _Avalere Health LLC._
(
http://www.bizjournals.com/orlando/gen/Avalere_Health_LLC_1FCAB5D3F5D241DC98E8B0CE69B2519D.html)
The analysis found about 19,700 Florida residents would be affected by the
change. Texas is the next hardest-hit state, with 17,400 residents affected,
the study found.
The Deficit Reduction Act of 2005 and the Medicare Modernization Act of 2003
are responsible for the pending reductions in the reimbursement rate for the
home oxygen benefit, according to a release from the Council for Quality
Respiratory Care, a Washington, D.C.-based group of the nation's leading home
oxygen therapy providers and manufacturers.
The cuts would total $710 million in 2009 and $855 million in 2010, and the
reductions in funding amount to an 18.8 percent reduction in the reimbursement
rate, the release said.
The Medicare Modernization Act requires Medicare to put in place competitive
bidding for some types of durable medical equipment, including oxygen
equipment. The Deficit Reduction Act imposes a 36-month cap on the monthly payments
Medicare makes to home oxygen providers for equipment rental services. About
one in five Medicare beneficiaries use home oxygen for more than 36 months
and it's not clear how those beneficiaries' services will be funded after the
cap period, the release said.
The changes will affect a significant portion of the more than one million
Medicare beneficiaries with chronic lung disease who rely on home oxygen for
health and independence, the release said. Patients who use home oxygen therapy
are less likely to go to the hospital.
Home oxygen therapy currently costs the Medicare program $7.62 a day, versus
as much as $4,600 a day in the hospital, the release said. After full
implementation of the competitive bidding process and the 36-month cap, daily
reimbursement for home oxygen therapy is expected to fall to between $4.50 and
$5.50, the release said.
Avalere's data analysis is on the company's Web site at
_www.avalerehealth.net/wmdocs/3309_AH_Longterm_V8.pdf_
(
http://www.avalerehealth.net/wmdocs/3309_AH_Longterm_V8.pdf) .