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NAHC Report: Issue# 2456, 6/24/2014
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Senator Harkin Marks the Fifteenth Anniversary of the Olmstead Decision with the Introduction of the Community Integration Act
CMS Releases Modified Version of OASIS C-1 (OASIS C1/ICD-9)
For Your Information: Open Forum, and Medicare Advantage and Managed Care Cost Analysis Discussion
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Senator Harkin Marks the Fifteenth Anniversary of the Olmstead Decision with the Introduction of the Community Integration Act
Senator Harkin also chaired roundtable hearing on the progress towards home and community-based care since the Olmstead decision

Last Sunday marked the fifteenth anniversary of the Supreme Court’s Olmstead decision, which found that the unnecessary segregation of individuals with disabilities in institutions is a violation of the Americans with Disabilities Act. To recognize that landmark decision, Senator Tom Harkin (D-IA), the Chairman of the Senate’s Health, Education, Labor and Pensions (HELP) Committee introduced the Community Integration Act. Senator Harkin also held a hearing on the status of home and community-based living for people with disabilities 15 years after the Olmstead decision was handed down.

Last July, Senator Harkin’s HELP Committee staff released a report that found that more than 200,000 working-age Americans remain unfairly segregated in nursing homes. In his introductory remarks announcing the Community Integration Act, Senator Harkin stated that:

“Fifteen years ago in Olmstead v. L.C., the Supreme Court held that under the ADA, individuals with disabilities have the right to choose to receive their services and support in home- and community-based settings, rather than only in a nursing home or other institutional setting.  But we have yet to fully realize this promise, and many individuals with disabilities—our family members and our friends—continue to reside in institutional settings against their wishes.

Studies clearly show that home and community-based care is not only what most people want, but it is also more cost-effective. The choice to live in the community is one of the most important civil rights issues we face today. The Community Integration Act honors the Olmstead decision and ensures that states take the steps needed to ensure that all individuals with disabilities are given the opportunity to receive their services and supports in a community based setting, where they can work, participate in community life, and be an integral part of their communities.”

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CMS Releases Modified Version of OASIS C-1 (OASIS C1/ICD-9)

CMS recently released a modified version of the OASIS C-1 to accommodate the delay in ICD-10 implementation. The OASIS-C1 data item set was scheduled for implementation on October 1, 2014.  However, five of the data items contained in OASIS-C1 require the use ICD-10 codes. 

Since ICD-10 has been delayed until at least October 1, 2015, CMS  has made interim changes to the OASIS-C1 data item set and process for reporting OASIS-C1 data.

The following is a summary of the changes that CMS is has made  to OASIS-C1 and the OASIS data submission process in response to the legislatively mandated ICD-10 delay.

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Open Forum, and Medicare Advantage and Managed Care Cost Analysis Discussion
Closing General Session at the Financial Management Conference

This year, NAHC and its affiliate Home Care & Hospice Financial Managers’ Association (HHFMA) Financial Management Conference & Exposition is being held July 13 – 15 in Chicago, IL. Once again, the Closing General Session will present its open, no holds-barred forum meeting to conclude the annual conference. The session addresses any and all issues of interest to the conference faculty and attendees. 

A special feature at this year's Closing General Session is a program focused on Medicare Advantage and managed care cost analysis.

The Managed Care Task Force Committee of HHFMA has developed an analytical tool that assists providers with the essential task of costing and pricing Medicare Advantage Plan services to assist all providers with network contract negotiations. The tool is based on the nationwide Managed care Survey conducted by HHFMA.

The seminar will include a discussion of the survey results and the use of the MA plan Costing and Pricing Tool. Be sure to plan you time at the Financial Management Conference to include this crucial program at the closing session of the conference.

Moderator: William A. Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice; Executive Director, Home Care & Hospice Financial Managers Association, Executive Director, National Council on Medicaid Home Care, Washington, DC

Panelists: Pat Laff, CPA, Managing Principal, Laff Associates, Hilton Head Island, SC; Paul Giles, BS, Director of Home Health Finance, Dignity Health Care, Yorba Linda, CA ; Christopher Attaya, MBA, FHFMA, VP, Business Intelligence, Strategic Healthcare Programs, Santa Barbara, CA; Dawn Michelizzi, BS.  Controller, VNA of Greater Philadelphia, Philadelphia, PA

To register to attend this year’s Financial Management Conference & Exposition, please click here.

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