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NAHC Report: Issue# 2408, 4/9/2014
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NAHC Submits Additional Comments on Rebasing to MedPAC
NAHC’s HAA Releases Tools to Assist with Hospice/Part D Prior Authorization Processes
For Your Information: NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice
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NAHC Submits Additional Comments on Rebasing to MedPAC

The National Association of Home Care and Hospice (NAHC) is submitting additional comments to MedPAC on the issue of rebasing. NAHC’s new comments stem from a recent MedPAC meeting, where it was made clear that MedPAC still does not see rebasing as adversely affecting quality or access to home health care.

NAHC is providing comments regarding the presentation at the April 3, 2014 MedPAC public meeting on the “Mandated Report: Impact of Home Health Payment Rebasing on Beneficiary Access to and Quality of Care.”

During the public meeting, MedPAC staff offered flawed statistics that home health agencies will experience a net rate cut of just 1.6 percent by 2017 – or 3.6 percent if sequestration is considered. That cut level is calculated by offsetting the rebasing cuts with annual Market Basket Index inflation updates. As such, it is based on the unfounded assumptions that home health agencies will face no cost increases in the next four years or that Medicare revenue increases can offset higher costs.

In its comments, NAHC respectfully cautions MedPAC to rely on the impact forecast presented at the meeting. That forecast is based on key unfounded assumptions that are at direct odds with the current data on costs, revenues, Medicare margins, and industry changes. NAHC hopes that MedPAC will examine the facts and data in greater detail before preparing its report to Congress.

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NAHC’s HAA Releases Tools to Assist with Hospice/Part D Prior Authorization Processes

On March 10, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum, “Part D Payment for Drugs for Beneficiaries Enrolled in Hospice -- Final 2014 Guidance,”  directing Part D plans to institute a beneficiary-level prior authorization  (PA) process for Part D enrollees receiving hospice care effective May 1, 2014. 

At press time, CMS was scheduled to hold a Special Open Door Forum (ODF) during which hospices and other interested parties would have the opportunity to ask questions about the final guidance.  Slides for the scheduled ODF are located in the “Spotlight” section of the Hospice Center Webpage. As a general rule with Special ODFs, CMS provides access to a transcript and MP3 audio file approximately one week following the event that is available for 30 days under the "Downloads" section on the Special ODF webpage.

NAHC’s Hospice Association of America (HAA) has developed several tools to assist member organizations as they implement processes to help patients ensure timely access to prescribed drugs. Following is a list of items now available on the NAHC website (under Hospice Regulatory Resources) for use by member organizations.

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NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice

The National Association for Home Care & Hospice (NAHC) and the Home Healthcare Nurses Association (HHNA) are launching their third annual Nurse Recognition Program. They are now accepting nominations to honor and recognize home care and hospice nurses from across the country.

To nominate a nurse for the 2014 recognition program, please visit or

One nurse will be recognized from each state and one of those 50 nurses will be chosen as Home Care & Hospice Nurse of the Year. Home care and hospice agencies that are NAHC members may nominate any registered nurse to represent their state for 2014. Nominations will be reviewed by the Nurse Recognition Program Selection Committee.

“Our focus is highlighting the impact that nurses make day in and day out in homes across the country,” said Andrea L. Devoti, MSN, MBA, CHCE, and NAHC chairman of the board. “We have a unique opportunity to put a face on the industry.”

“We intend for these top nurses to serve as role models who will inspire their peers to become leaders in enhancing the quality of health care, preserving the standards of nursing, and expanding opportunities in the profession,” said Elaine Stephens, RN, MPH, FHHC, and chairman of HHNA.

The ongoing recognition program will collect stories of special home care and hospice nurses who have served their agencies by providing exceptional care, reducing hospital readmissions, and making a difference in patients’ lives. The selection committee will review all the nominees to choose those who best represent the ideals that are honored during National Nurses Week each May. The nurses will be highlighted in the May issue of CARING and have their registration fee waived at the NAHC Annual Meeting in October.

To nominate a nurse for the 2014 recognition program, visit or

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