Plans for Healthcare Overhaul in Delaware

In his State of the State Address last week, Delaware Governor Carney said, “Here’s the bottom line.  We’re spending too much money on healthcare, and we’re not getting the best results.  We need to come to the table – state government and hospitals most of all – and be part of the solution… Now it’s time to make the hard decisions and change the way we deliver healthcare.”

We’ve heard Department of Health and Social Services’ (DHSS) Secretary Odom-Walker discuss similar issues over the last several months. In public hearings across the state, she has discussed health care reform in other states across the country and the need for fundamental changes to the way health care is delivered, how chronic health issues are prevented and treated and how funding can be used to encourage better coordination and more focused care to obtain good health outcomes.

Secretary Odom-Walker and Governor Carney have great faith that Delaware’s small size will enable quick transition to a new, more efficient delivery model. We are closely monitoring these developments and have reminded both the Secretary and the Governor of the importance of home health care in reducing costs and obtaining better outcomes for Delawareans.

If you have any questions about what’s going on in Delaware’s state capitol, let’s chat! Email me at sgahs@bayada.com.

It’s In DE Governor John Carney’s Hands

Submitted by Shannon Gahs, Director, DE Government Affairs (GAO)

The rate floor bill we’ve worked so hard on, now sits on Governor John Carney’s desk.  Many bills passed in the last days of session, at the end of June, each requiring his consideration before he signs them into law or vetoes them.  HB200, which sets a “rate floor” or minimum reimbursement rate for Registered Nurse (RN) and Licensed Practical Nurse (LPN) level nursing care equal to the Delaware Health and Social Services (DHSS) fee for service rates, would help ensure home health care clients across the state have access to care.  We have sent him information about why this bill is so important to our clients and employees and we await his decision.  The bill becomes law and is effective upon his signature.

 

Delaware Rate Floor Bill Passes

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

The General Assembly, in the wee hours of the morning on the last day of session, passed the rate floor bill! This measure will ensure that Managed Care Organizations (MCOs) hourly home health care rates for registered nursing (RN) and licensed practical nursing (LPN) care will never fall below Delaware Health and Social Services (DHSS) hourly rates. This will help to ensure access to home health care for Delawareans with disabilities, and giving providers the ability to make informed business decisions. Dedicated effort by our BAYADA team of clients and employees, in partnership with the Delaware Association for Home and Community-Based Care and other home health care providers, made this possible. Thank you for your emails, phone calls, and attendance at Advocacy Day in Dover. This bill will go into effect when Governor John Carney signs it.

Delaware State Medicaid Budget Shielded From Cuts

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

Governor John Carney introduced his budget, addressing the $385 million budget shortfall the state faces this year.  He proposed to make up half of the amount through new tax revenue and the other half by cutting spending.  Many state programs are facing cuts, the state is freezing hiring, some (non-health) facilities will be shut down.  In light of all of that, it is remarkable to be able to say that the governor included $11.8 million additional dollars to Medicaid to ensure that the program continues to be fully-funded.

Delaware: Moving Forward In 2017

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

Governor John Carney took office in January, inheriting a budget deficit of $350 million.  As a result, the General Assembly is reviewing all planned expenditures for 2017.  I attended public hearings on all parts of the budget affecting the Department of Health and Social Services and testified on the need for a rate floor in Medicaid-contracted services.