The usual tactics - a pricey television advertizing blitz, personal pressure on lawmakers and piles of campaign contributions - didn't work this time for Ohio's nursing homes.
The two-year state budget Gov. John Kasich sign[ed] into law [6/30/11] slashes Medicaid rates paid to nursing homes by nearly 6 percent starting [7/1/11], and it eliminates guaranteed increases that the powerful lobby persuaded legislators to put into state law years ago.
"In some ways you live by the sword, you die by the sword," said Robert Applebaum, director of the Ohio Long-Term Care Research Project at Miami University's Scripps Gerontology Center.
"There are only two states where the reimbursement formula is in state law, and Ohio is one of them. In the past, that has served nursing homes well because they have done better than other Medicaid providers. ... But when budgets are tight, it can have a very negative impact."
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Once Powerful Nursing Homes Take a 6% Hit in New Budget