About Bring the Vote Home


Bring the Vote Home was launched to help senior citizens, disabled Americans, their family members, and their home healthcare clinicians participate in elections this past November and into the future. Home healthcare beneficiaries make up a rapidly growing portion of the population, but the homebound status of many of them makes it difficult for them to participate in the electoral process. Bring the Vote Home is dedicated to helping all members of the home healthcare community participate fully in our nation's democratic process.

What Your Leaders Are Saying

Elected leaders across the country are taking a stand on issues that are important to our community of care. Concerned by proposals that impose a copayment for seniors or contain misguided cuts to the Medicare program, Congressional leaders are expressing support for the value home healthcare services provide the nation's seniors who prefer to receive medical treatments at home.

Recent Stories


Medicare’s Vulnerable Home Health Population

February 4, 2014


On November 22, 2013, The Centers for Medicare and Medicaid Services (CMS) issued its Final Home Health Prospective Payment System (HHPPS) Rule for 2014. The rule calls for an unprecedented cut to Medicare home health funding of -14% between 2014 and 2017. The impact of CMS’ Final Rule will have devastating consequences on the nation’s […]

On November 22, 2013, The Centers for Medicare and Medicaid Services (CMS) issued its Final Home Health Prospective Payment System (HHPPS) Rule for 2014. The rule calls for an unprecedented cut to Medicare home health funding of -14% between 2014 and 2017.

The impact of CMS’ Final Rule will have devastating consequences on the nation’s 3.5 million Medicare home health beneficiaries who are statistically proven to be older, sicker, poorer and more likely to represent a minority population than other Medicare patients.

Click here to see how this rule affects this vulnerable population.

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Home Health Sector Blames ACA Pay Cuts for Big Job Losses in December

February 3, 2014


In Inside Health Policy The home health sector lost more jobs in December than in any previous month over the past decade, according to the Partnership for Quality Home Healthcare, which blames the health law’s 14 percent pay cut that phases in over the next four years. Due to the ACA-driven pay cuts, which include […]

In Inside Health Policy

The home health sector lost more jobs in December than in any previous month over the past decade, according to the Partnership for Quality Home Healthcare, which blames the health law’s 14 percent pay cut that phases in over the next four years.

Due to the ACA-driven pay cuts, which include adjustments to the national, standardized 60-day episode pay rate for home health services, Medicare home health funding will be reduced by 3.5 percent each year over the coming four years. CMS described the cuts as a 2.81 percent adjustment rather than a 3.5 percent cut. Industry argues that the law allowed CMS to cut pay by less.

The health care sector lost 3,700 jobs in December, the Partnership for Quality Home Healthcare states, basing its findings on the December jobs report by the Bureau of Labor Statistics. Before December, the home health firms hired more than were laid off in 125 of 131 preceding months.

“There is widespread concern that this loss in jobs is just the beginning,” Partnership for Quality Home Healthcare CEO Eric Berger said.

Avalere Health projects that half a million jobs eventually could be lost if the pay cuts are not reversed.

Likewise, the National Association for Home Care & Hospice estimates that the pay cut will amount to $22 billion by the end of 2017. When CMS issued the final pay rule in early December, NAHC President Val Halamandaris said up to three-quarters of home health companies would have no profit margins by 2017.

Halamandaris said in December that NAHC might work with seniors’ advocates to take the agency to court in a bid to reverse the cuts. It is unclear whether the group still plans to spearhead a lawsuit.

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Obamacare Cuts to Medicare Home Health Lead to Largest Sector Job Loss in More than a Decade

February 2, 2014


The December jobs report from the Bureau of Labor Statistics (BLS) reflects the largest recorded loss of jobs experienced by the nation’s home health community in more than a decade. In total, 3,700 jobs were lost in December 2013, in apparent anticipation of the unprecedented 14 percent cut to the Medicare home health benefit, which […]

The December jobs report from the Bureau of Labor Statistics (BLS) reflects the largest recorded loss of jobs experienced by the nation’s home health community in more than a decade. In total, 3,700 jobs were lost in December 2013, in apparent anticipation of the unprecedented 14 percent cut to the Medicare home health benefit, which went into effect on January 1.

Prior to the December 2013 decline in home heath jobs, this healthcare sector contributed a net increase in new jobs in 125 of 131 preceding months and experienced negative job growth only five other times since 2003. According to the BLS seasonally adjusted employment records ranging from January 2003 through December 2013, the December 2013 job loss was the largest single month job loss recorded in the past ten years.

“There is widespread concern that this loss in jobs is just the beginning,” stated Eric Berger, CEO of the Partnership for Quality Home Healthcare. “With home health facing an unprecedented 14 percent cut in Medicare funding over the next four years, significant additional job losses are expected. Indeed, if the Medicare home health rebasing cuts are not corrected, Avalere Health projects that a total of 500,000 home healthcare jobs could be lost. As a result, nearly 1.5 million seniors could lose access to the high-quality, cost-effective home health services they need, and taxpayer costs will therefore rise as medical services are instead delivered in more costly institutional settings.”

As part of its implementation of the Affordable Care Act (ACA), the Obama Administration finalized the Home Health Prospective Payment System (HHPPS) rule, which cuts Medicare home health funding by 3.5 percent annually over the next four years, amounting to an unprecedented total cut of 14 percent. In its final regulation, the Administration projected that this cut will drive “approximately 40 percent” of all home health agencies to net losses by 2017, resulting in job loss, agency consolidation and potential bankruptcy by thousands of providers.

The Partnership for Quality Home Healthcare is urging the Obama Administration to fully examine the impact of the rebasing cut on patient access and jobs over all four years in which it is to be implemented. Home health leaders are also asking the Secretary of Health and Human Services to use her authority to reduce the severity of the cut.

Approximately 10,000 Americans turn 65 each day, many of who will require complex medical care in their homes to manage chronic conditions, rehabilitative needs and post-acute care. To meet this growing need and ensure senior access to clinically advanced, cost-effective and patient preferred care, an adequate employee base of skilled professionals is critical.

“As Americans live longer and seek to age in the dignity and safety of their homes, the home health sector could serve as an engine of new job creation. Judging from the jobs that have already been lost since the imposition of Obamacare’s unprecedented cuts, however, such job growth may no longer be possible,” added Berger.

Click here to see the full press release.

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Home Health Losing Jobs

February 1, 2014


In Politico Pulse HOME HEALTH LOSING JOBS — December marked the sharpest loss of jobs from the home health sector in 10 years, and its lobbyists say that’s likely because of major cuts in Medicare payments that are hitting the industry. Before December, when the sector shed 3,700 jobs, it had grown in 125 out […]

In Politico Pulse

HOME HEALTH LOSING JOBS — December marked the sharpest loss of jobs from the home health sector in 10 years, and its lobbyists say that’s likely because of major cuts in Medicare payments that are hitting the industry. Before December, when the sector shed 3,700 jobs, it had grown in 125 out of the 131 previous months. “There is widespread concern that this loss in jobs is just the beginning,” Eric Berger, CEO of the Partnership for Quality Home Healthcare, said in a statement. “With home health facing an unprecedented 14 percent cut in Medicare funding over the next four years, significant additional job losses are expected.” The Medicare Payment Advisory Commission has targeted home health payments as “consistently and substantially” exceeding costs, and the ACA put cuts in place as part of provisions to curb Medicare spending.

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