Aaron Marcum, an entrepreneur, home care investor and founder of technology firm Home Care Pulse, is not pleased about the 80/20 provision released in the Medicaid Access Rule this week. He ranked the provision, which requires that 80% of Medicaid payments for home health, personal care and homemaker services be spent on workers’ compensation, somewhere “between bad and catastrophic.” It will force a lot of home care providers to drop the federal-state program and move to care funded by private pay and long-term care insurance, he told McKnight’s Home Care in a Newsmakers podcast.