Modern Healthcare

STAFF CUTS

Industry claims that feds’ debt-reduction plans will lead to massive layoffs

- Jessica Zigmond

Twould avoid sequestrat­ion altogether.

“It’s the American people who will pay the price for Republican intransige­nce,” Rep. Chris Van Hollen (D-Md.), ranking member on the House Budget Committee, said in a statement.

“The report makes clear that sequestrat­ion would cause great disruption­s across many vital services, from cancer research at NIH, to food-safety efforts at the Department of Agricultur­e and public safety at the FBI, to lowered military readiness. It’s time to stop the political games and start working together to prevent the sequester, protect the economic recovery, and get our fiscal house in order,” he said. Van Hollen introduced an alternativ­e proposal last week that calls for spending cuts and additional revenues, but the legislatio­n did not make it to the House floor for a vote. If implemente­d, the sequester also would make several reductions to other healthcare programs. For instance, the National Institutes of Health would see payment cuts totaling $2.5 billion over 10 years. “The National Institutes of Health would have to halt or curtail scientific research, including needed research into cancer and childhood diseases,” according to the report. Meanwhile, about $464 million would be cut from the Centers for Disease Control and Prevention, $66 million from grants set aside for the health insurance exchanges, and about $27 million from community health centers.

Other healthcare programs would be exempt from the sequester, such as the PreExistin­g Condition Insurance Plan and Consumer Oriented and Operated Plan in the healthcare reform law, as well as Medicare health informatio­n technology incentive grants in the American Recovery and Reinvestme­nt Act, grants to states for Medicaid, quality improvemen­t organizati­ons and the Children’s Health Insurance Fund.

“As Congress looks for ways to cut the deficit, we must not lose sight of the economic contributi­ons of the healthcare sector, including hospitals,” Richard Umbdenstoc­k, president and CEO of the American Hospital Associatio­n, said last week at a news conference in Washington. “Hospitals are the largest component of the healthcare sector and employ 5 million people. In fact, hospitals rank second only to restaurant­s as the top source of private-sector jobs across the U.S.”

The brief report from Tripp Umbach tallies job losses projected in healthcare, as well as jobs that would be lost in industries that sell goods and services to healthcare organizati­ons he White House finally put a number on how much needs to be cut from the Medicare program as part of the debtceilin­g law, and groups representi­ng hospitals, doctors and nurses put a number on how much it would cost them—in jobs.

Days before the Obama administra­tion provided details on how it will obtain $1.2 trillion in 10-year federal spending cuts—including a maximum 2% annual cut to Medicare—the American Hospital Associatio­n, American Medical Associatio­n and American Nurses Associatio­n released a study from research firm Tripp Umbach that kicked lawmakers where it would hurt the most: employment.

The associatio­ns said the cuts would lead to more than 766,000 lost healthcare and related jobs during that period. In 2013 alone, the study found, the cuts will result in 496,431 fewer jobs, with hospitals accounting for the most.

Last year, President Barack Obama signed the Budget Control Act, which imposed more than $900 billion in discretion­ary spending caps over 10 years to help reduce the nation’s deficit. The law also establishe­d a Joint Select Committee on Deficit Reduction to identify another $1.2 trillion in cuts. If the committee failed to do this, the law set up a sequestrat­ion procedure that would trigger automatic spending cuts split evenly between defense and non-defense programs—including the maximum 2% annual cut to Medicare—from 2013 to 2021.

The supercommi­ttee failed to find the savings before its November deadline, which means those cuts are scheduled to take effect in a little more than three months, unless lawmakers agree

“We must not lose sight of the economic contributi­ons of the healthcare sector, including hospitals,” the AHA’s Richard Umbdenstoc­k, left, said at a news conference in Washington with Dr. Jeremy Lazarus, of the AMA, and Cindy Balkstra, of the American Nurses Associatio­n.

on an alternativ­e plan (Nov. 28, 2011, p. 6).

On Sept. 14, the White House provided detailed estimates on the sources for those reductions. The sequestrat­ion must reduce nondefense spending by $54.6 billion each year, of which about $11.1 billion would come next year from the portion of Medicare that is subject to the 2% limit. From that amount, about $5.8 billion would come from the Medicare Federal Hospital Insurance Trust Fund.

In a conference call with reporters, senior Obama administra­tion officials said the administra­tion does not “support the indiscrimi­nate cuts in this report,” and added that the cuts should never be implemente­d. They were also quick to criticize congressio­nal Republican­s for failing to take a balanced approach to deficit reduction—one that would include spending cuts and tax increases—that

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