Home care firms like BAYADA Home Healthcare are rejecting up to 50% of requests for home care due to staffing shortages, David Baiada, CEO of BAYADA Home Healthcare, and Joanne Cunningham, CEO of the Partnership for Quality Home Healthcare, told McKnight’s Home Care in a podcast. The home health proposed rule, if it becomes finalized, would lead to an even more dire scenario, the leaders said.
The home health proposed rule contains several problematic features, Cunningham said. One is the permanent behavioral adjustment of -5.653%. Others are adjustments to the case mix and wage index, which would make the reductions even deeper. Lack of adequate reimbursement in recent years has hurt staffing at home care firms, Cunningham and Baiada said. This has resulted in the ability to accept requests for home care, which creates disruptions in the healthcare system at large. All firms — big and small, urban and rural — are feeling the effects of the staffing crisis, according to Cunningham.
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