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:: NAHC Report
NAHC Report: Issue# 2183, 4/26/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Legislation Would Modify Definition of “Full-Time Employee” from 30 to 40 Hours in the PPACA
Advocates Tempering Managed Care Overhauls of Medicaid in Kansas and New Hampshire
For Your Information: 2013 National State of the Industry Study Final Stage of Registration
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Legislation Would Modify Definition of “Full-Time Employee” from 30 to 40 Hours in the PPACA

Senator Susan Collins (R-ME) recently introduced the “Forty Hours is Full Time Act of 2013” (S. 701). It would modify the definition of full-time employee (FTE) for purposes of the shared responsibility mandates in the Patient Protection and Affordable Care Act (PPACA). Starting in 2014, the PPACA imposes a $2,000 employer penalty for each full-time employee - after the first 30 - where the business employs 50 or more full time equivalent employees, does not offer health insurance to all employees, and at least one of the employees qualifies for a federal subsidy to purchase health insurance. The definition of “full-time employee” in the calculation of target employer’s penalty is based upon the total of the number of employees working at least 30 hours a week.

S. 701 would change the definition of full-time employee to those working at least 40 hours a week rather than 30. This would affect both the determination of whether the employer is a “large employer” subject to the mandate and the number of employees for whom the employer would have to provide health insurance or pay a penalty. These changes would be beneficial to home care agencies that are unable to provide health insurance and are thus subject to the penalties. The legislation would also result in a definition of “full-time” that is more in line with current employment practices related to qualifying for health insurance. If passed, S. 701 would provide more leeway for home care employers who may be considering restricted working hours of employees in order to avoid or reduce the penalty that they currently face.

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2013 National State of the Industry Study Final Stage of Registration

NAHC urges its members to register and participate in the National State of the Home Care Industry Study. The survey is conducted via a 20-minute phone interview with senior managers in the home health community scheduled at the participant’s convenience. The survey aims to assess current practices and future strategies in the areas of IS/EHR, telehealth, new health care models, and operations with respect to home health care.

To participate in the study interviews, your agency must meet the following three criteria:

  • Medicare certified
  • Medicare revenues of $500,000 or higher
  • Home Health Compare scores for two or more reporting periods

“We are thrilled with the industry’s response to participate in the study interviews,” indicates Jean Ellis, Fazzi Associates’ study co-director. “We have completed over 700 interviews with leaders from all types of agencies covering all regions of the country. We are well on our way to our goal of 1,000 interviews that should be achieved over the next few weeks. This final stage of registration will be the last opportunity to contribute to the results.”

Please go to https://www.research.net/s/2013NationalSurveySignUp to register and participate in the National State of the Home Care Industry Study. The Study is sponsored by NAHC, CHAP, The Joint Commission, the Forum of State Associations, Delta Health Technologies, HealthWyse and Fazzi Associates.

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Advocates Tempering Managed Care Overhauls of Medicaid in Kansas and New Hampshire

On April 25, hundreds from the disabled community protested outside the Kansas statehouse for a permanent “carve out” of long-term developmental disability services (LTDDS) from managed care. Advocates are hoping to secure a permanent carve out following the return of the Kansas Legislature to finish its 2013 session on May 8.

Governor Sam Brownback (R) initiated Medicaid reform on January 1 - called KanCare - which enlisted almost all of Kansas’ 380,000 Medicaid beneficiaries into managed care plans administered by Amerigroup, United Healthcare, and Sunflower State Health Plan.

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