Older Ohioans in nursing homes or receiving home-based care could see a big boost in state funding under an Ohio House framework that significantly changes the governor’s proposed budget.
to flow to roughly six nursing homes that aren’t enrolled in Medicaid. Those more upscale facilities cater to people with private insurance.
The amendment came at the behest of GOP Reps. Bill Seitz and Jim Thomas, both of whom have such facilities in their districts. Both defended the amendment, arguing the pandemic ravaged every facility, not just the more modest homes.Van Runkle said he’s pleased with the budget so far. He said considering occupancy as a quality metric may sound out of place, but it relies on the market-based premise that superior facilities will tend to attract more demand.
Jackie DeGenova serves as the State Long-Term Care Ombudsman. She said her office fully supports DeWine’s budget and said there is “much work ahead in discussions on rebasing” and said she agrees that this must come with a serious discussion about quality of care. For 30 years, there has always been lofty rhetoric about improving quality of Ohio’s nursing homes, said Greg Moody, who served as a point man on health policy for Gov. John Kasich as the former governor unsuccessfully tussled with the industry. But Ohio never seems to improve, and Moody attributed this in part to quality metrics that reward underperformers.
“This is about workforce, about workforce contributing to quality, and who should have a say in that,” he said. Joe Russell, executive director of the Ohio Council for Home Care and Hospice, said he’s thankful House lawmakers and DeWine’s administration recognize the need to boost home care workers’ wages before the industry “collapses.”
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