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VNAs of Vermont seek $1.2M to raise Medicaid home‑health rates to 90% of Medicare
Summary
The executive director of the VNAs of Vermont told the House committee that agencies face Medicare payment cuts, staffing and travel costs, and a looming federal clawback risk; the VNAs requested roughly $1.2 million to raise Medicaid skilled home‑health rates from about 67% to 90% of Medicare.
Jill Olsen, executive director of the VNAs of Vermont, told the House Health Care Committee that Vermont’s home health agencies play a critical role taking complex patients home after hospitalization and that the sector remains financially stressed by lower Medicaid reimbursement, rising staffing and travel costs, and recent federal Medicare payment changes.
"What I always say about home health, particularly in a place like Vermont, is really everyone that we're taking care of is someone who would otherwise be in a more expensive setting," Olsen said, explaining that home health averts hospital or nursing‑home care for many patients and that agencies currently receive about 14 percent of hospital discharges.
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