20 % Pay Cut for Ohio Independent Providers

U.S.A. Ohio

Published

Any Ohio IP nurses out there? Just wondering what your thoughts are about our wages being cut by 20%. For homecare agencies their 1st hour is only being cut by 5%, while our 1st hour is being cut by 20% for doing the same work. Then for every hour after the 1st hour, agency will keep their full pay rate. Every hour after the 1st hour for independent providers will be cut by 20%, so agencies can continue to receive their full rate!

Anyone else feel the state is trying to get rid of us? 20%.....hmmn!

For Agency: (1) Effective October 1, 2011, reduce the medicaid program's first-hour-unit price for aide services to ninety-seven per cent of the price paid on June 30, 2011, and for nursing services to ninety-five percent of the price paid on June 30, 2011;

For Independent Providers: (2) Effective October 1, 2011, pay for a service that is an aide service or a nursing service provided by an independent provider eighty percent of the price it pays for the same service provided by a provider that is not an independent provider.

Oh, this was called "Victory for Home Care"

"The administration was able to reduce the cuts for agencies by reducing the rates paid to independent providers. Aside from receiving the 5% and 3% cuts on first hours for nurses and aides respectively, all Independent Providers will receive 20% less than the price paid to home care agencies, on the first hour and subsequent unit rates. The funds saved by this reduction will be used by the state to offset the cuts that were proposed for the first hour rates."

As independent provider nurses we do the same work, but yet we will no longer be receiving the same pay as agency. Anyone else out there think something is going on?

Speaking of Carestar...those people are the biggest waste of time and space ever!!! They should have their pay cut too. There are case managers there that i can never get in touch with and my patients needs are never met in a timely manner. I even had to wait over 4 months to get paid on a client because the case managers were too sorry to do their jobs. Well, i have been doing this 11 years and am in shock the lack of respect we all receive. I am not part of the union but speaking of them....where the hell are they??? I guess that's what unions do best is nothing esp when you need them. The big business wins and the little guy gets screwed!! My patient's are absolutely frantic losing me...i hope Kasich(the liar) and his crooks are happy with themselves. The big losers are the people who need help.

Specializes in LTC and Homecare.
Speaking of Carestar...those people are the biggest waste of time and space ever!!! They should have their pay cut too. There are case managers there that i can never get in touch with and my patients needs are never met in a timely manner. I even had to wait over 4 months to get paid on a client because the case managers were too sorry to do their jobs. Well, i have been doing this 11 years and am in shock the lack of respect we all receive. I am not part of the union but speaking of them....where the hell are they??? I guess that's what unions do best is nothing esp when you need them. The big business wins and the little guy gets screwed!! My patient's are absolutely frantic losing me...i hope Kasich(the liar) and his crooks are happy with themselves. The big losers are the people who need help.

How true!!! :uhoh3:

Specializes in LTC and Homecare.
We Need TO Let Everyone know that there is going to be a hearing on this on AUGUST 15th More info to follow. I bet many do not even know that the cuts are going to happen in October 2011

So, what is happening with this hearing? The 15th is fast approaching.....I have talked w/many independents, but nobody seems to know about this hearing!?

Well if you get any info on this supposed hearing please let us all know...I just can't believe people are so reluctant to fight this! It is an absolute crime what they are doing especially when people are barely holding their heads above water. The IPs are the only reason some of these folks are still alive. It certainly isn't thanks to an agency who won't send anyone out to see them and when they do the care is not good!!!

Specializes in Home Healthcare.
Well if you get any info on this supposed hearing please let us all know...I just can't believe people are so reluctant to fight this! It is an absolute crime what they are doing especially when people are barely holding their heads above water. The IPs are the only reason some of these folks are still alive. It certainly isn't thanks to an agency who won't send anyone out to see them and when they do the care is not good!!![/quote]

I have not heard from anyone who knows anything about a hearing on the 15th. I did have an IP tell me it was just a rumor that got started. So, who knows??!!

In regards to agencies, I have worked with both IPs and agency nurses on different cases. It does not matter whether a nurse is a independent or a agency nurse........it depends on the person. I have found it depends on whether or not they have a conscience, moral judgement and values, compassion, integrity and good work ethics. I have worked with just as many aweful IP nurses, as I have agency nurses.

The point is the home care consumer has the right to choose to have a IP nurse. But, if the paycut is going to force IPs to leave the program, then the consumers will lose their right to choose, because there will not be enough IP nurses or aides left.

Have been watching this post for awhile and *****. Not one of you belongs to or supports a professional organization, yet you ***** when there is nobidy to help you . You all deserve what you get from the free site that has nobody who has a clue about your situation. Can't wat to hear you tell me why I'm the idiot. Free is worth everything you pay, and advocates cost money. If you decided to be union, what you are paying a good buck for is worth even less that free advice. God bless you all.

Specializes in LTC and Homecare.
Have been watching this post for awhile and *****. Not one of you belongs to or supports a professional organization, yet you ***** when there is nobidy to help you . You all deserve what you get from the free site that has nobody who has a clue about your situation. Can't wat to hear you tell me why I'm the idiot. Free is worth everything you pay, and advocates cost money. If you decided to be union, what you are paying a good buck for is worth even less that free advice. God bless you all.

LOL :lol2: How do you know none of us belong to or support any professional organizations?? I happen too...may not be the ones you want me to support, but really is it any of your business? Just because myself and others won't support the organizations who wanted our money, but would not give us a voice, does not mean we do not belong to any nursing organizations.

Specializes in LTC and Homecare.
We Need TO Let Everyone know that there is going to be a hearing on this on AUGUST 15th More info to follow. I bet many do not even know that the cuts are going to happen in October 2011

So, what happened at the hearing? You never followed up with "more info to follow." You seemed to be the only IP in Ohio that knew about this hearing.

Any Ohio IP nurses out there? Just wondering what your thoughts are about our wages being cut by 20%. For homecare agencies their 1st hour is only being cut by 5%, while our 1st hour is being cut by 20% for doing the same work. Then for every hour after the 1st hour, agency will keep their full pay rate. Every hour after the 1st hour for independent providers will be cut by 20%, so agencies can continue to receive their full rate!

Anyone else feel the state is trying to get rid of us? 20%.....hmmn!

For Agency: (1) Effective October 1, 2011, reduce the medicaid program's first-hour-unit price for aide services to ninety-seven per cent of the price paid on June 30, 2011, and for nursing services to ninety-five percent of the price paid on June 30, 2011;

For Independent Providers: (2) Effective October 1, 2011, pay for a service that is an aide service or a nursing service provided by an independent provider eighty percent of the price it pays for the same service provided by a provider that is not an independent provider.

Oh, this was called "Victory for Home Care"

"The administration was able to reduce the cuts for agencies by reducing the rates paid to independent providers. Aside from receiving the 5% and 3% cuts on first hours for nurses and aides respectively, all Independent Providers will receive 20% less than the price paid to home care agencies, on the first hour and subsequent unit rates. The funds saved by this reduction will be used by the state to offset the cuts that were proposed for the first hour rates."

As independent provider nurses we do the same work, but yet we will no longer be receiving the same pay as agency. Anyone else out there think something is going on?

Hello,

Just became I.P. and this was the first issue that came up. I have read all the articles and, no, there is not much of an explanation. Sorry.

Can anyone tell me if there is an association of IPs for getting group insurance, advaocacy, etc.?

This is amazing! I am independent but still working for an agency...right now. I'm reluctant to leave the agency because if my client goes to a hospital then they will lose services as only an AGENCY can reopen the case again!!! SOME nurses know agencies they can join up with to reopen the case TEMPORARILY then resume independent status with the client/patient again. Anyone have any comments about this please? And who is NOT PAYING should a comment card not be filled out? Medicaid? carestar? thanks. just trying to learn before I jump... :)

Have you independent heard the latest , some of my independent friends and myself have not been paid in weeks and so far not an answer insight!!!! , but the agencies are getting their money hmmmm???

Hi! I am looking to getting started as a independent provider. I filled out an application and turned in all my materials but they told me I have to find my first client on my own. How do you manage to do that?

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