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HRC Health Care Correspondence 93 - I, J
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HRC Health Care Correspondence 93 - I, J
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Pam Cicetti's Subject Files
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HRC
HC CORR 93-I,J
PERSONAL
&
-CONFIDENTIAL
DETERMINED TO BE AN
ADMINISTRATIVE MARKING
INITIALS: SOB DATE: - 12- 12-4-13
PHOTOCOPY
PRESERVATION
THE WHITE HOUSE
July 2, 1993
The Johnson Family
834 Fifth Avenue
11-12 A
New York, New York 10021
Dear Sale, Casey and Woody:
Thank you for sending me a copy of
your book, Managing Your Child's Diabetes.
By sharing your experience and knowledge,
you have made an important contribution to
many other families coping with this
disease.
I appreciate your kind words of
support and hope I will have an
opportunity to meet you all someday.
Sincerely yours,
Hillary Hillary Rodham Clinton
Sale Johnson
Dear Mrs. Clinton
child's Diabetes - at the request of is Aun
I am Jorwarding om - Broh - thanging your
Jordan - Our has daughter diabites Casey and who has been!
a Chelsea's person age for Diabetes Foundation Research -(JDF). and
The spohes Juvenile Diabites Cure-
involved in The Search fr a
my we are Word Johnson)
on The International Boaul of JDF headed
is on The Advisory 2 The N.I.H. + I am
possibility 5 our meeting deas on you major -we
by Mary Tyler moore. If There with is any
from consider medical a few - moments families. Plunt for much Lweh +
Health issues + related Research. we Phase
have some very exciting i both come
good all investment of wishes us.Qt of is in your truly all thost time your appreciated Sincerely - efforts on Y Sale behalf we of
PHOTOCOPY
PRESERVATION
New York, New York 10021
DS-1-11 smearys ppp 788
Mr. Clinton
Homedco
Corporate Office
17650 Newhope St.
Fountain Valley, CA 92708
(714) 755-5600
August 3, 1993
Mrs. Hillary Rodham Clinton, Chairperson
CLINTON TASK FORCE ON NATIONAL HEALTHCARE REFORM
Office of the First Lady
1600 Pennsylvania Avenue, NW
Washington, DC 20500
Dear Mrs. Clinton:
I very much appreciated the recent opportunity, at the Century Plaza Hotel in Los
Angeles, to express my concerns regarding state fragmentation which would result with
implementation of the plan recommended by the Healthcare Reform Task Force. As a
homecare provider serving patients in 46 states, Homedco had hoped for a plan achieving
greater consistency between the states and a reduction in the administrative burden borne
by all healthcare providers.
Enclosed is a brief bullet-point summary of the homecare issues and concepts which we
hope will be included in the Administration's final recommendations. Per your suggestion,
I will continue to keep you advised of Homedco's concerns through Task Force member
Lois Quam and Homedco's organizational mentor, Sandy Robertson.
Your assignment is difficult. If I could be helpful, or if any resource available within
Homedco's 215 service locations could assist you or your associates with your task, we
would be pleased to do so.
Sincerely,
Secomy M. Jour
Jeremy M. Jones
Chairman and CEO
JMJ:mjb
c:
Lois Quam
Accredited by the Joint Commission on Accreditation of Healthcare Organizations
HOME CARE
Homedco, as the nation's largest provider of home medical equipment and services,
is vitally interested in the future of home care in any comprehensive healthcare
reform proposals.
Representatives of Homedco or Lincare, with whom Homedco works closely on
legislative issues, have met with the staff of the Health Care Reform Task Force and
with numerous members of Congress on the health policy committees to make the
following points:
The home care system provides an array of health services and supplies to a
population with diverse needs. Home care is designed to:
-
Aid people with acute and chronic illnesses,
-
Render assistance to those with short-term incapacity facilitating recovery and
return to healthy, active lifestyles,
-
Support those with long-term disabilities who are otherwise fit, and
-
Enable the elderly to maintain mobility and independence.
Although home care often is perceived as primarily a service for the elderly,
according to a survey conducted by Washington-based National Research, 59
percent of those who had received home care were younger than 65 years of age.
A recent study by Aetna Life & Casualty Company looked at patients who had
experienced catastrophic illnesses -- including infants with breathing and feeding
problems and people with HIV/AIDS. This study found that home care resulted
in a savings of about $20,000 per patient per month for AIDS patients, and
around $40,000 per patient per month for infants with breathing problems.
A study conducted in 1991 by Lewin/ICF compared the costs of home care versus
hospital care for three medical conditions, including hip fractures, ALS (Lou
Gehrig's disease with pneumonia), and chronic obstructive pulmonary disease
(COPD). The study found that a combination of inpatient and home therapy with
home medical equipment was preferred by patients and offered a potential
savings of between $300 and $2,300 per patient episode.
We understand a major budget reducing initiative of the Administration will be
to propose cutbacks in Medicare. While some cuts may be merited, we urge the
Administration not to discriminate against patient recipients of home care. Do
not cut home medical equipment and services disproportionately to cuts that are
made in the rest of Medicare. Moreover, do not single out one type of benefit,
such as oxygen, where there is a specific blood-gas test that patients must meet
that insures against abuse or overuse.
Providers of home care services, such as Homedco, can be partners with the
Administration in working to improve efficiency in the delivery of health care
services. Our Company has led our associations' efforts to establish strict
eligibility and certification standards for Medicare providers, to consolidate the
number of Medicare insurance carriers, and to eliminate practices that have
invited some aggressive businesses to take advantage of Medicare patients.
August 3, 1993