Will Wisconsin’s Healthcare Sustain Without Medicare Extenders?

March 4, 2025

The impending expiration of Medicare telehealth coverage and other essential programs on March 31st has raised serious concerns about the sustainability of Wisconsin’s healthcare system. These “Medicare extenders” were incredibly beneficial during the COVID-19 pandemic, enabling millions of beneficiaries to receive care through telehealth services. Jeremy Levin, director of advocacy at the Rural Wisconsin Health Cooperative, highlights that these services were a positive development, especially for those in rural areas and the elderly who find it challenging to travel to hospitals or clinics. If Congress does not act to extend these benefits, individuals relying on telehealth will lose this crucial service.

Telehealth: A Lifeline for Rural and Elderly Populations

Jeremy Levin, a key advocate at the Rural Wisconsin Health Cooperative, emphasizes the significant impact of telehealth on rural and elderly residents. During the COVID-19 pandemic, the introduction of Medicare coverage for telehealth services provided a lifeline to millions who otherwise struggled to access necessary medical care. Living in remote areas or dealing with conditions that make travel difficult, these populations found an invaluable resource in telehealth. It allowed them to consult with healthcare professionals, receive diagnoses, and manage ongoing treatments without leaving their homes.

If Congress fails to extend Medicare telehealth coverage, the consequences could be dire for these vulnerable groups. The expiration would mean a loss of continuity in care for chronic conditions and a reduced ability to address medical issues promptly. Telehealth has proven to be more than a temporary solution during a global health crisis; it has shown its potential to be a permanent fixture in healthcare delivery, improving outcomes and quality of life for those who use it. Therefore, the urgency for legislative action cannot be overstated, as failing to do so would roll back significant advancements in healthcare accessibility.

Another critical aspect of this issue is the potential economic impact on smaller, rural hospitals. Eric Borgerding, President and CEO of the Wisconsin Hospital Association, has voiced concerns over the looming financial crisis that could follow the expiration of Medicare extenders. These hospitals depend heavily on federal funds provided by Medicare to support their operations. With reduced funding, staff layoffs, cutbacks in services, and even hospital closures could become a harsh reality, plunging rural communities into a deeper healthcare crisis.

Potential Disruption of the Hospital at Home Program

The Hospital at Home program, another vital Medicare extender, is also at risk of expiration. This innovative program allows patients to recuperate at home with the aid of electronic monitoring and video consultations instead of staying in traditional hospital settings. In Wisconsin, six systems have successfully adopted this program, offering a blend of comfort and high-quality care for patients. The program has been particularly beneficial for those with chronic illnesses and those recovering from surgeries, as it significantly reduces the risk of hospital-acquired infections and other complications.

The potential discontinuation of the Hospital at Home program raises profound concerns. Not only would patients lose the comfort of recovering in their own homes with regular check-ins from healthcare professionals, but the healthcare system would also face increased burden. Hospitals would likely experience overcrowding and resource strain, exacerbating existing challenges. The program’s success in easing the load on hospitals while offering superior patient outcomes makes a compelling case for its extension.

Moreover, the program’s discontinuation would set back progress in modernizing healthcare delivery methods. The move towards incorporating digital health solutions like the Hospital at Home program has been praised for its innovation and cost-effectiveness. Thus, Congress must consider this program’s substantial contributions and work towards securing its continuity to foster a more sustainable and patient-centered healthcare system.

Financial Support for Rural Hospitals in Jeopardy

Another crucial extender facing expiration is the financial support for smaller, rural hospitals through Medicare dependent hospital extenders and low volume adjustments. These programs provide financial aid to smaller hospitals, ensuring they can continue to operate and deliver essential healthcare services. Sixteen hospitals in Wisconsin currently benefit from these federal funds, which amount to over $200 million annually. The potential loss of this funding poses a severe threat to these hospitals’ viability and, by extension, the healthcare system in rural areas.

If the extender programs are not renewed, the financial strain on rural hospitals could lead to immediate and potentially devastating consequences. Staff reductions, service cutbacks, and even hospital closures could become inevitable, severely impacting the communities they serve. These hospitals are often the primary, if not the only, healthcare providers in their regions. Their closure would leave residents with limited or no access to medical care, worsening health outcomes and increasing mortality rates.

Eric Borgerding’s remarks underline the urgent need for Congressional intervention. He emphasizes that non-profit hospitals in Wisconsin play a critical role in the healthcare system. Losing Medicare funding would not only disrupt healthcare services but also put these institutions’ very survival at risk. To avoid a healthcare crisis, immediate legislative action is necessary to extend these vital programs, ensuring that rural hospitals remain operational and continue to serve their communities effectively.

Urgent Call for Congressional Action

The looming expiration of Medicare telehealth coverage and other crucial programs on March 31st is raising serious concerns about the stability of Wisconsin’s healthcare system. These “Medicare extenders” were vital during the COVID-19 pandemic, allowing millions of beneficiaries to access care via telehealth services. According to Jeremy Levin, director of advocacy at the Rural Wisconsin Health Cooperative, these services have been a positive development, especially benefiting those in rural areas and the elderly who have difficulty traveling to hospitals or clinics. If Congress doesn’t take action to extend these benefits, individuals who depend on telehealth will lose this essential service. The risk is particularly significant for vulnerable populations, such as seniors and rural residents, who may have limited access to traditional in-person healthcare. The potential lapse in coverage underscores the urgent need for legislative intervention to sustain these invaluable healthcare services moving forward.

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