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:: NAHC Report
NAHC Report: Issue# 2291, 10/9/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
An Update on the Government Shutdown for Home Care & Hospice Providers
The National Council on Medicaid Home Care Hosts Teleconference on the Companionship Exemption
For Your Information: NAHC Will Host Free October 11 Teleconference on Rebasing, the Government Shutdown, and the Affordable Care Act
NAHC/Home Care & Hospice Events
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An Update on the Government Shutdown for Home Care & Hospice Providers

Physicians, nurses, authors and a past president of the United States were voted the top 30 Visionaries in Hospice and Palliative Medicine, as the American Academy of Hospice and Palliative Medicine (AAHPM) celebrates 25 years. 

The Academy commemorated its anniversary by asking its 5,000 members to nominate who they consider to be the most influential leader in hospice and palliative care, then vote for the top 10 among the 106 submitted by their colleagues. The Academy was founded with 250 members in 1988 as the Academy of Hospice Physicians and was renamed the American Academy of Hospice and Palliative Medicine in the late 1990s to reflect the evolving specialty.

“This program recognizes key individuals who have been critical in building and shaping our field over the past 25 years, noted Steve R. Smith, AAHPM executive director and CEO. “These individuals represent thousands of other healthcare professionals in this country who provide quality medical care and support for those living with serious illness – each and every day.”

Most of the Visionaries – 14 women and 16 men – are physicians, including nine Academy presidents. But several nurses were named, along with hospice pioneers such as British physician, nurse and social worker Cicely Saunders, credited with starting the modern hospice movement, and Elisabeth Kübler Ross, author of numerous books including the groundbreaking “On Death and Dying.” Five elected officials were nominated and one of them, former President Ronald Reagan, was named a Visionary for signing into law the Medicare hospice benefit in 1982.

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NAHC Will Host Free October 11 Teleconference on Rebasing, the Government Shutdown, and the Affordable Care Act

What: A free teleconference. The National Association for Homecare & Hospice (NAHC) will host a free teleconference to highlight issues of critical importance to the home care and hospice community.

When: Friday, October 11, 2013, from 12:00 noon to 1:00 pm EST. The number to call in US/CAN Toll free is 1-888-601-3874 and the code is 226171.

What issues will be discussed: a) Implications of the 2014 Budget; b) The shutdown of the federal government and the plans to raise the “debt ceiling;” c) Repeal of the “companionship exemption;”
d) Complying with the employer mandate (and individual mandate) to provide insurance to workers or pay a fine; and e) Implementation of the Affordable Care Act.

Who is conducting the seminar: Val J. Halamandaris, President of NAHC; Jeff Kincheloe, Vice President for Government Affairs; Bill Dombi, Vice President for Law; Richard Brennan, Vice President for Technology Policy and Government Affairs; and, Theresa Forster, Vice President for Hospice Policy and Programs.

Who may participate: NAHC members will receive priority, but the conference is open to all. Please send an email to blake@nahc.org to reserve your place on the call. The first 500 people will be guaranteed a place on the call.

Will questions be allowed: Yes. Your questions will be received 24-hours in advance of the broadcast and will close at 12:45 pm EST on the date of the broadcast. Send questions to Barbara D. Woolley, Director of Communications at bdw@nahc.org.

Will the teleconference be recorded: Yes. The teleconference will be recorded. The highlights will appear in NAHC Report, NAHC’s daily electronic newsletter and summarized in CARING, its monthly magazine.

Visit the CARING Store online for the latest Resources

The National Council on Medicaid Home Care Hosts Teleconference on the Companionship Exemption

The National Council on Medicaid Home Care – a NAHC affiliate – recently hosted a teleconference to discuss recent developments surrounding the Companionship Exemption. Bill Dombi, the Council’s Executive Director and NAHC’s Vice President for Law, led the call and made the following Medicaid-specific points for those who participated:

  • The redefinition of “companionship services” by the Department of Labor rule should automatically exclude all Medicaid-covered services from what remains of the exemption. The new definition limits “personal care” to no more than 20 percent of the work done.

    Medicaid home care benefits do not cover “fellowship and protection” which is what “companionship services” is limited to.
  • The change in companionship services definition means that state Medicaid programs will face a new cost that they are not likely capable of meeting, at least easily. Unless Medicaid raises its payment rates, providers may have no choice but to avoid overtime work hours through the use of part-time workers or to reduce the hourly wage for workers to have funds to cover any overtime costs.

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