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View Diary: Urgent: Obamacare Imperils Home Health Care Agencies w/poll (25 comments)

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  •  The owner's can deduct the mileage and (0+ / 0-)

    they bill for the travel time.  If it wasn't to their advantage they would let the employees deduct their own mileage.  Absdoggy is right -- these have been cashcows for their owners.  Many millions  have been made from Medicare/Medicaid reimbursements for all kinds of services.  .

    •  Immaterial (0+ / 0-)

      that they can deduct the mileage for the travel time. It still costs them hard doll dollars. They cannot bill for travel time. With reimbursement rate cuts and draconian record keeping requirements, the so called "cash-cows" for owners haven't existed for more than a decade. Legitimately run small agencies of 100 or fewer care providers barely make ends meet as it is.

      •  let's agree to disagree (0+ / 0-)

        i'm sure there are some home health care agencies that do not exploit their employees but many do and it the employees who have my sympathy.  reading this more carefully it seems to me diarist was just trying a new angle on the no public option Obamacare sux meme.

        •  I don't really know (2+ / 0-)
          Recommended by:
          puzzled, AZSheri

          the intentions of the diarist. What I do know is that the near crisis conditions of the availability of home health care has not been fixed, either with the expansion of medicaid, nor the ACA itself. It's a broken system. Care providers, whether lay or licensed, work long and burdensome hours at less than market rates, while many agencies struggle to survive with cut after cut to reimbursement rates. As it is, nobody is getting rich in this industry. Survival is as good as it gets.

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