Lay offs in Homehealth care

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The initial mandates of the "healthcare plan" are having results. My patients cant afford medications, the number of visits are cut, supplies are rationed, and staffing is reduced.

The office I work for is teetering on closing completely. When I hired 7 yrs ago census was 300 patients, today it is 57. The Medicare cuts on homehealth is taking a toll on everyone.

So, I am curious... in other part of the country how are the agencies faring? Are nurses having the patient visits cut, being warned of lay offs, complete closings?

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Haven't heard of closings or actual layoffs, but have noticed that the abundance of extended care work is just not there any longer.

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The company I recently quit from is going under, slowly. There was not enough work for me, so I left. They reduced the pay per visit rate, the documentation has increased exponentially, requiring the nurses to do LOTS more work for a lower rate of pay. Visit frequencies and supplies were rationed. The census was low. Gas reimbursement was a joke. And all the while the company blamed it on CMS conducting audits and finding loop-holes in documentation and redacting the 40% of the payments already given to the company last year. The regulation and $&() is out of control for the whole healthcare industry. I guess that's what we have to look forward to with Obamacare and other upcoming changes. I only see it getting worse.

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I was quite vocal concerning the changes, requirements as I envisioned exactly what is present. NOT a healthcare program but a death care. Ninety percent of my day is paperwork and BS that is mandated. Hello Socialized medicine.

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ditto

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