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	<title>Comments on: Pennsylvania Has Unfinished Business on Health Care</title>
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	<description>To ensure quality care for ourselves, our caregivers must have coverage.</description>
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		<title>By: Tracy</title>
		<link>http://hchcw.org/archives/251/comment-page-1#comment-234</link>
		<dc:creator>Tracy</dc:creator>
		<pubDate>Thu, 17 Jul 2008 15:01:35 +0000</pubDate>
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		<description>I&#039;m not sure I understand how the direct care workers will have to pay fees as part of the QHCC.  Can someone explain this?  I am not aware that was part of the QHCC initiative. I agree with the comment that increased reimbursement rates will help providers to offer health care and travel pay, but I think it is naive to think that all providers will automatically put such an increase toward the helath care benefits if given a general increase in reimbursement rates.  We need to work with the providers to advocate for increased reimbursement rates toward a specific initiative like health care coverage for this workforce, training, travel pay, etc.</description>
		<content:encoded><![CDATA[<p>I&#8217;m not sure I understand how the direct care workers will have to pay fees as part of the QHCC.  Can someone explain this?  I am not aware that was part of the QHCC initiative. I agree with the comment that increased reimbursement rates will help providers to offer health care and travel pay, but I think it is naive to think that all providers will automatically put such an increase toward the helath care benefits if given a general increase in reimbursement rates.  We need to work with the providers to advocate for increased reimbursement rates toward a specific initiative like health care coverage for this workforce, training, travel pay, etc.</p>
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		<title>By: Paulette Houghton</title>
		<link>http://hchcw.org/archives/251/comment-page-1#comment-214</link>
		<dc:creator>Paulette Houghton</dc:creator>
		<pubDate>Wed, 16 Jul 2008 18:54:58 +0000</pubDate>
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		<description>The issues of health care for in-home workers is conceptually controlled by the Commonwealth of Pennsylvania through the established reimbursement rates for services provided. Given adequate reimbursement rates, health care can be provided to agency attendants, and to consumer employed attendants. It is not only health care that is at issue, but the rising gasoline prices that attendants must abasorb also. With the stagnating rates there is little a provider can do to support the attendants in these important issues. A Quality Home Care Commission will only add to the burden of the attendant by making them pay fees for the same work. Increase reimbursement rates and many of the issues surrounding retention and recruitment will go away. There will be adequate health care and travel pay.
Thank you.</description>
		<content:encoded><![CDATA[<p>The issues of health care for in-home workers is conceptually controlled by the Commonwealth of Pennsylvania through the established reimbursement rates for services provided. Given adequate reimbursement rates, health care can be provided to agency attendants, and to consumer employed attendants. It is not only health care that is at issue, but the rising gasoline prices that attendants must abasorb also. With the stagnating rates there is little a provider can do to support the attendants in these important issues. A Quality Home Care Commission will only add to the burden of the attendant by making them pay fees for the same work. Increase reimbursement rates and many of the issues surrounding retention and recruitment will go away. There will be adequate health care and travel pay.<br />
Thank you.</p>
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