Long Term Care and the Budget

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Long Term Care and the Budget
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Value from our Current Investment
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New Yorks National Ranking on 15 Quality
Measures
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Outperforming the Nation on Staff Turnover
Nursing Staff Turnover Rates New York and the US,
2007
Source Report of Findings 2007 AHCA Survey
Nursing Staff Turnover in Nursing Facilities,
2008.
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New York is Committed to Community-Based Care
Percent of Medicaid Home Health Participants
Represented by NY and Other US States (on
Average) 1999-2004
Source The Henry J. Kaiser Family Foundation,
Medicaid Home Health Particpants, 19999-2004 at
www.statehealthfacts.org.
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Financial Condition of the LTC Sector
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NY Nursing Homes Among the Most Vulnerable to
Medicaid Cuts
Nursing Home Payer Mix Five States with the
Greatest Medicaid Dependence
of Residents for Whom Medicaid is Primary Payer
Source
Data Source Henry J. Kaiser Family Foundation,
Distribution of Certified Nursing Facility
Residents by Primary Payer Source, 2007
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New Yorks High Medicaid Share Not Unexpected,
As NY Ranks 2 in of Elderly in Poverty
Percentage of Elderly 65 in Poverty
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Data Source www.stateheathfacts.org
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NY Nursing Homes Experience the Largest Total
Shortfall in Medicaid Payments in U.S.
Aggregate Statewide Gap Between Medicaid Nursing
Home Payments and Cost 2006
(in millions)
Data Source A Report on Shortfalls in Medicaid
Funding for Nursing Home Care, Eljay LLC, October
2008
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Percentage of Nursing Homes in New York State
that Lose Money on Operations
Data Source 2001 to 2006 Residential Health Care
Facility (RHCF - 4) Cost Reports
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Percentage of Not-for-Profit Nursing Homes in New
York State that Lose Money on Operations
Data Source 2001 to 2006 Residential Health Care
Facility (RHCF - 4) Cost Reports
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Percentage of Certified Home Health Agencies in
New York State that Lose Money on Operations
Data Source 2003 to 2005 Certified Home Health
Agency (CHHA) Cost Reports
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Percentage of Long Term Home Health Care Programs
(LTHHCPs) in NYS that Lose Money on Operations
Data Source 2003 to 2005 LTHHCP Cost Reports
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Voluntary Nursing Homes Beds Declining as a Share
of Total Beds in NYS
Change in Statewide Mix of Beds by Sponsorship
2000 - 2006
Voluntary/Public (- 3.3 Pts)
Proprietary ( 3.3 Pts)
Percentage of Statewide Beds
2000 2006
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Additional Early Warning Signs
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Actions Being Taken Today by NY Area Nursing
Homes and Home Health Providers to Eliminate Costs

• Layoffs union and non-union
• Reducing levels of corporate, management staff
• Hiring freezes
• Non-union salary freezes
• Non-union benefit changes/reductions
• Suspension of capital projects
• Downsizing/eliminating community-based programs
• Reducing RNs
• Deferring investments in clinical technology
  (EMRs)
• Reducing home care specialty support services
• Tele-health
• Palliative care
• Psychiatric consultations