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LeadingAge's advocacy for the coming year will be governed by our 6 Leadership Imperatives: strengthening not-for-profit leadership, engaging consumers, creating the new financing paradigm, leading innovation, cultivating talented people, and pioneering technology.
Below, our Issues Update and Outlook discusses the challenges we face, the opportunities we have, and the legislative and regulatory activity we anticipate on Medicare, Medicaid, senior housing, home- and community-based services, CCRCs and other aging services issues.
Moving forward, we expect to focus on the following issues in the coming year:
Current situation: A 2% across-the-board cut in Medicare payments to health care providers is scheduled to take effect on Jan. 1, 2013 under the terms of the 2011 Budget Control Act.
Realistically, Congress is unlikely to act on Medicare and Medicaid until after the elections this November.
LeadingAge position: Our advocacy will emphasize the importance of the Medicare and Medicaid programs, the value that not-for-profits provide to our residents and their communities, and the danger of across-the-board cuts to quality of care and servicesWe maintain that Congress should not impose additional Medicare and Medicaid cuts on long-term services and supports providers. While we understand the seriousness of the federal budget situation, we are urging Congress and the administration to take a balanced and thoughtful approach to budget issues.
The long-term services and supports field has had to absorb a number of Medicare and Medicaid cutbacks, and enough is enough.
We support and will work for passage of legislation to correct the problem of Medicare observation days and to improve Medicare coverage of adult day services.
This need was identified in 2006 by our financing Cabinet in its ground-breaking study detailing the 3 current methods of covering LTSS and their strengths and weaknesses. No alternatives have been identified that replace the CLASS Act.