Medicare home health patients suffer a disproportionate $77 billion in cuts from 2009-2019.

Congress included „ $39.7 billion in home health payment cuts under the Patient Protection and Affordable Care Act (PPACA) through 2019. It reduced the home health inflation update one percentage point for 2011, 2012, and 2013, mandated rebasing of home health payment rates beginning in 2014 with a 4-year phase-in, and imposed a productivity adjustment in the inflation update beginning in 2015 that will reduce the inflation update by an estimated 1 percentage point each year. While Home health represents less than 4 percent of Medicare spending it took a disproportionate 10 percent in Medicare payment cuts used to pay for the Patient Protection and Affordable Care Act.