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:: NAHC Report
NAHC Report: Issue# 2489, 8/15/2014
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CMS Announces In-Home IVIG Demonstration Project
EEOC Expands Protections for Pregnancy and Pregnancy-Related Conditions
For Your Information: Health IT Educational Sessions at NAHC’s Annual Meeting
NAHC/Home Care & Hospice Events
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CMS Announces In-Home IVIG Demonstration Project

The Centers for Medicare & Medicaid Services (CMS) has announced a three-year demonstration to evaluate the benefits of providing payment for items and services needed for the in-home administration of intravenous immunoglobulin (IVIG) for the treatment of Primary Immune Deficiency Disease (PIDD). The Medicare IVIG Demonstration was authorized under the “Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012.” 

CMS has designed the IVIG demonstration to pay a bundled payment for items and services needed for the in-home administration of IVIG for the treatment of PIDD. The demonstration will begin paying for services as of October 1, 2014, and will continue for three years, as long as funding remains available.

Medicare Part B covers IVIG for persons with PIDD who wish to receive the drug at home. However, Medicare does not separately pay for any services or supplies to administer the drug if the person is not homebound and otherwise eligible to receive the associated supplies and services under the Medicare home health benefit. As a result, many beneficiaries have chosen to receive the drug at their doctor's office, in an outpatient hospital setting, or to self-administer the drug subcutaneously.

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EEOC Expands Protections for Pregnancy and Pregnancy-Related Conditions
The following article was written by Eileen Maguire, Esq., The Gilliland Law Firm, P.C.

On July 14, 2014, the Equal Employment Opportunity Commission (“EEOC”) issued new Enforcement Guidance (the “Guidance”) that expands a female employee’s rights under the Pregnancy Discrimination Act (the “PDA”).   Pregnancy and pregnancy-related conditions now encompass every aspect of the reproductive process, including conception (e.g., infertility treatment) and decisions not to conceive (e.g., contraceptives), pregnancy or termination of pregnancy (e.g., abortion), childbirth, and post-birth needs, including lactation and nursing. 

EEOC also intends to scrutinize additional employment terms and conditions, including whether your agency’s health insurance benefits offer all available contraceptives and whether your agency treats applicants and employees claiming pregnancy-related impairments equal to applicants and employees claiming disabilities. EEOC justifies this expanded enforcement, in part, because employers are now subject to a number of new laws that were enacted after 1978 (when the PDA was enacted), such as the Americans with Disabilities Act, and its Amendments Act of 2008 (the “ADA”), the Family and Medical Leave Act and the Affordable Care Act.

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Health IT Educational Sessions at NAHC’s Annual Meeting

This year’s Annual Meeting features track-specific educational sessions, informative round table discussions and much, much more. Below are some of the sessions included in this year’s Health IT Track:

  • How to Exchange Health Information to Improve Care Transitions
  • How to use Clinical Decision Support Technology to Improve Clinical Workflow and Margins
  • How to Ask the Five Right Questions before You Invest in Technology
  • How to Reduce Costs per Episode by Going Paperless: Case Study

Visit the NAHC website for full descriptions and to register for the this year’s Annual Meeting.

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