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NAHC Report: Issue# 2349, 1/9/2014
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Medicaid Council Reports on Study that Finds Dual Eligibles Can Hurt Medicare Advantage Ratings
Relias Learning Acquires Hospice Education Network
For Your Information: Join the American Health Lawyers Association and NAHC at the Upcoming Long Term Care and the Law Conference
NAHC/Home Care & Hospice Events
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Medicaid Council Reports on Study that Finds Dual Eligibles Can Hurt Medicare Advantage Ratings

Inovalon recently published a study titled “The Impact of Dual Eligible Populations on CMS Five-Star Quality Measures and Member Outcomes in Medicare Advantage Health Plans.” Inovalon collected information on beneficiaries from 80 Medicare Advantage (MA) contracts.  Specifically, the study looked at 1.33 million MA enrollees from 2011, and 1.61 million MA enrollees from 2012, comparing the dual population with the non-dual population in each year. 

The highlights from the 2012 data are discussed below.

Duals have lower quality measures

Inovalon took an in-depth look at ten CMS Five Star Quality Measures.  Five of these were Healthcare Effectiveness Data and Information Set (HEDIS) Admin measures and five were Prescription Drug Event (PDE) measures.  These ten measures were chosen as scores can be calculated using available administrative claims data.    

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Relias Learning Acquires Hospice Education Network

Relias Learning, a provider of online learning content and learning management systems for the senior care industry, recently completed the acquisition of the Hospice Education Network (HEN) from the principals of Weatherbee Resources. The acquisition will add over 160 hospice and palliative care courses to Relias Learning’s online library of programs designed specifically for the North American senior care industry. Weatherbee Resources will continue providing regulatory products and services for hospices and will work closely with Relias in the ongoing strategy and development of training programs for the industry.

HEN was launched in 2007 when Weatherbee Resources recognized the critical importance of training and continuing education for hospice and palliative care providers. The nation’s leading provider of hospice regulatory consulting, Weatherbee provides an array of services to help hospice programs manage operational and regulatory challenges. HEN’s educational offerings cover a wide range of topics including administration, patient/family care and leadership

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Join the American Health Lawyers Association and NAHC at the Upcoming Long Term Care and the Law Conference

The National Association for Home Care & Hospice is a co-sponsor of the upcoming American Health Lawyers Association (AHLA) Long Term Care and the Law conference. The conference will be held in Las Vegas, NV at The Cosmopolitan Hotel, from Wednesday, February 19 to Friday, February 21, 2014.

The 2014 conference promises to be an exciting and informative meeting where some of the leading long term care lawyers in the nation will be presenting on topics ranging from fraud and abuse to how the post-acute market is changing. NAHC’s Bill Dombi will provide an update on the “Legislative and Regulatory Issues for Home Health and Hospice.”

For the first time, the conference will have an education track with a focus on “Home Health and Hospice.” Some of the program topics include Government Fraud Concerns in Hospice and Home Health; Home Health Transactions: Clinical and Legal Aspects of the Diligence; Compassionate and Compliant End of Life Care in SNFs; and Hone in on Home Health and Hospice Compliance and Quality: The Government is Watching. The conference will also have an Interactive Session and Roundtable dedicated to home health and hospice.

This year’s plenary session is titled, Acute and Post-Acute Integration: Insights from Both Outside and Inside the Long-term Care Spectrum. The Plenary Session Panel will discuss these trends with an outstanding panel of diverse experts who will provide perspectives from outside as well as inside the post-acute spectrum. Two moderated panels will delve deeply into not only what appears to be happening with post-acute integration, but also what is really happening with actual provider experiences. The first part of the panel will include leaders who are outside of long-term care – from the acute care, managed care, and health care financing arenas. They will provide their perspective on how they see forces outside of long-term care affecting and shaping this integration trend. A second expert panel of individuals from inside the post-acute care spectrum, who are deeply involved in developing these integration transitions within their organizations, will then discuss and give examples of what the post-acute organizations who are leading this movement are doing.

As a co-sponsor to the conference, NAHC non-attorney members and NAHC In-House Counsel members will receive a special discounted rate. To view rates, click here.

For detailed information on the brochure, program, education sessions, and the speakers, please click here.

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