Thursday, January 16, 2020

Nursing homes struggle to meet long-term care demand amid Medicaid funding cuts

By ANNA FORTUNE CHERUBIN SPECIAL TO THE SUN SENTINEL | JAN 08, 2020 | 1:55 PM
In Florida, two out of three nursing home residents — roughly 46,000 people — rely on Medicaid to cover their long-term health care expenses, and when funding fails to keep pace, it’s difficult to maintain the same level of quality care these individuals expect and deserve. In an op-ed, a Broward County nursing urges the Florida Legislature to boost funding.
From one end of Florida to the other, nursing centers like ours in Broward County are playing a crucial role in meeting the complex care needs of our residents. Our skilled nurses and other trained caregivers are always mindful that many of our residents, including members of America’s greatest generation, are now facing significant health care challenges — from living with Alzheimer’s and other dementias, to requiring dialysis for diabetes or kidney failure, to needing individualized rehab after heart attacks or strokes.
We’re working hard to ensure that our residents continue receiving the best possible services, but recent state funding reductions are making it extremely difficult to meet the demands of what it takes to deliver high-quality care. When the 2019 Legislature failed to renew a much-needed boost in funding for quality measures and direct care staffing, nursing homes saw our Medicaid reimbursement amounts cut, to the point where we’re losing over $27 per resident per day. That may not sound like a lot, but when you add it up it’s over $637,000 for my facility — and nursing homes across Florida are dealing with an average of $675,000 less per year. That has a real and direct impact on quality of care.
Florida legislators have a chance in this new year to greatly improve the lives of so many of our residents. Two out of three nursing home residents — roughly 46,000 people — rely on Medicaid to cover their long-term health care expenses, and when funding fails to keep pace, it’s difficult to maintain the same level of quality care these individuals expect and deserve.
It has been four years since nursing homes received an increase in reimbursement amounts to keep up with inflation. Including a funding increase in this year’s budget will go a long way in helping us meet the ongoing needs of our residents. We’ll have a greater ability to attract and hire qualified caregivers and to pay current staff a more competitive wage for the care they deliver — services that are essential to the residents but physically and emotionally challenging for the caregivers. An increase would allow access to the latest medical technologies and facility improvements that not only enhance care but also enrich the lives of our residents.
Florida is a national leader in high-quality care because of our qualified staff and ability to work with modern resources in the most up-to-date facilities. It’s a shame that our residents’ well-being is so closely tied to economics, but that is the reality we face.
Florida’s nursing home residents need the Legislature’s support in this year’s state budget. These individuals are not numbers in a ledger — they are very real human beings who have earned nothing short of the best we can offer to them.
Just ask the families of our residents, and they will tell you about the enormous relief they experienced when they found a place in their community that cared about their loved one as much as they do. We want to continue providing that excellent level of care, and Florida lawmakers can help that happen.
Anna Fortune Cherubin is the administrator of Deerfield Beach Health and Rehabilitation Center, a 194-bed skilled nursing care center serving Broward County for over 45 years.

https://www.sun-sentinel.com/opinion/commentary/fl-op-com-cherubin-boost-nursing-home-funding-20200108-qj64nx3vzfgnxclf6xom2ffjx4-story.html

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