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By CMS’s own calculation, 40 percent or nearly 5,000 home health companies — mainly small businesses — will experience a “net loss” in revenue due to the cuts and go into the red by 2017. That will put many of them out of business.
The National Association for Home Care and Hospice calculates the losses will be much more severe, affecting 75 percent of all home health care companies.
Nearly a half million skilled home care workers are also projected to lose their jobs over the next four years due to the cuts, according to the program’s supporters.
The cuts may also have a disproportionate impact on minorities and those living in underserved rural communities.
A November 2013 study by Avalere Health, a Washington, D.C., health care business analysis firm, found that two out of three home health care recipients fall at or below the federal poverty line.