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NAHC Report: Issue# 2174, 4/15/2013
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President Obama’s Budget Promotes Relatively Small Cuts to Medicaid
President’s Budget Proposes Additional Cuts and Copys to Medicare
For Your Information: The LTPAC Health IT Summit Takes Place June 17–18, 2013
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President Obama’s Budget Promotes Relatively Small Cuts to Medicaid

President Obama’s budget, released last Wednesday, proposes a $19.6 billion reduction over 10 years to Medicaid spending. Of this number, the President’s budget would cut $4.5 billion by limiting Medicaid reimbursement of durable medical equipment (DME) to Medicare rates.

When viewed in comparison to Senate Budget Committee Chairwoman Patty Murray’s (D-WA) budget proposal of a $10 billion cut to Medicaid, and House Budget Committee Chairman Paul Ryan’s (R-WI) budget proposal of Medicaid cuts estimated anywhere from $757 billion to $810 billion, President Obama’s budget approaches closer to Murray’s position and cuts Medicaid by a relatively small amount.

The competing congressional budgets offer different views on the future of Medicaid. The budget proposal of Rep. Ryan, released on March 12, turns Medicaid “from an open-ended entitlement program into a block-granted program,” and would allow states to contribute less money into Medicaid through use of Medicaid waivers.

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The LTPAC Health IT Summit Takes Place June 17–18, 2013

Long-term and post-acute care is healthcare’s fastest-growing frontier. Explore how LTPAC providers can meet the needs of an aging population while advancing policies and initiatives in alignment with the national healthcare strategy at the annual Long-Term and Post-Acute Care (LTPAC) Health Information Technology (HIT) Summit, June 17 to 18, in Baltimore, MD.

The conference, sponsored by AHIMA in collaboration with NAHC, convenes HIT leaders, policy makers, federal and state grantees, care provider executives, LTPAC providers, and hospital leadership, providing critical insights to increase LTPAC involvement in national health IT programs, including health information exchange (HIE) and future meaningful use stages.

“Technology, including interoperable health information technology, is a key facilitator of better coordinated care,” said Dr. Mark McClellan, Director of the Engelberg Center for Health Reform, Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institution, and Chair of LeadingAge CAST. “Interoperability and the exchange of health information are playing a major role in healthcare delivery reforms to improve care. Payment reform initiatives including the Hospital Readmission Reduction Program, ACOs and Bundled Payments are accelerating the need for effective interoperability and exchange. For these efforts to succeed in improving quality and lowering costs, it is imperative to connect LTPAC providers with hospitals and other acute care partners.”

Further information on the event can be found on the AHIMA website at

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President’s Budget Proposes Additional Cuts and Copys to Medicare

The President’s FY2014 Budget released last week proposes to reduce Medicare and Medicaid spending by $400 billion over 10 years. The spending cuts in the proposed budget would hit almost every sector in healthcare, particularly pharmaceuticals, hospitals, and skilled nursing facilities. The President’s budget would replace the across-the-board cuts required by the sequester law.

The proposal includes a home health copay identical to the President’s proposal in September 2011 along with reduced Market Basket Index (inflation) updates in 2014 to 2023. The copay proposal would create a co-payment for new Medicare beneficiaries of $100 per home health episode, starting in 2017.

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Director of Compliance
Community Health Systems Professional Services Corporation
Community Health Systems Professional Services Corporation seeks a Director of Compliance for its Franklin, TN, headquarters’ Corporate Compliance (Home Care Division) team. The Director of Compliance is a liaison to an assigned group of home health and hospice agencies.
Essential Duties and Responsibilities: Ensure full implementation of the CHS Corporate Compliance Program at each agency assigned to the Director. Develop training and education programs for regulatory changes and topics identified as potential risk areas. Structure tools for use with compiling data and trend analysis. Assess auditing and monitoring trends and coordinate mitigation activities when opportunities for improvement (audit variances) are identified. Prepare oral and written reports, including recommendations for improvement based on audit and investigative findings. Monitor Compliance Committee minutes to ensure adequate follow-up of potential risk areas. Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations and physician relationships. Conduct focused compliance audits on topics of concern. Coordinate compliance policy development and/or revision, when necessary. Participate in compliance and privacy investigations. Other duties as assigned by the VP, Corporate Compliance and Privacy Officer. This position will require travel up to 40% of the time.
Education/Experience: The Director must have current experience working within the Home Health and Hospice industry and should be familiar with reimbursement methodologies and regulations pertaining to benefit coverage. Bachelor’s degree in Health Information Management, Nursing, Business, or related area, or three or more years’ experience in compliance functions. The Director must have the ability to plan, develop, and present educational or programmatic materials in front of an audience greater than 20 people.
To apply for this job, please visit the career section of and apply to Job Number 1254993.

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