Pennsylvania budget omits home health nurse funding increase
Low Medicaid reimbursement is one barrier to finding skilled home care, Pennsylvania's home-care industry says.
PolicyWorkforceDisabilityGeneral
·Pulse issue · August 16, 2026
A Pennsylvania budget omission and a national nursing-home study show that long-term care staffing depends on both payment and clinical mix.
The question
What shapes whether long-term care staffing is available at home and in nursing homes?
Background
Home-based skilled nursing and nursing-home care both depend on a workforce, but the sources describe different constraints.
The read
Pennsylvania’s home-care industry says reimbursement affects recruitment, while a nursing-home study associates RN intensity with acute-care use. The sources identify distinct staffing constraints and do not show that a change in one setting would resolve the other.
2 developments · 2 cited sources
What happens next
Will Pennsylvania lawmakers change home health reimbursement, and will nursing-home policymakers account for RN intensity in staffing measures?
What could change this read
A Pennsylvania reimbursement change or a causal study that changes the observed relationship between RN staffing mix and acute-care use would materially change this read.
Developments in this issue
Low Medicaid reimbursement is one barrier to finding skilled home care, Pennsylvania's home-care industry says.
PolicyWorkforceDisabilityGeneral
A national panel study found lower hospitalization and outpatient emergency-department visit rates where RN share was higher, holding total nursing hours constant.
ResearchWorkforceElder Care
Reference paths