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:: NAHC Report
NAHC Report: Issue# 2560, 12/3/2014
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ACA Employer Mandate Survey Closed: Preliminary Results
Final CAHPS Hospice Survey Instruments Gain Approval; Now Available Online
For Your Information: Hospice-Facility Contracting Resources Now Available
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ACA Employer Mandate Survey Closed: Preliminary Results

On January 1, 2015, many home care companies will face significant increased costs for employee health insurance or large financial penalties under the ACA employer mandate. That is the overall indication from responses to NAHC’s 2014 ACA Employer Mandate Impact Survey. “These results mirror the 2013 results, thereby indicating that home care companies have not found reasonable solutions to address the requirements of the ACA employer mandate,” stated Bill Dombi, NAHC’s VP for Law who managed the survey development.

A high priority policy issue for NAHC since the ACA was enacted in 2010, the organization has been to create solutions for home care companies relative to the employer mandate. NAHC has advocated for the elimination of the mandate, exceptions for home care and hospice companies, changes to the definition of “full-time” employee, delays in the effective date of the requirements, tax subsidies for private pay clients, increased Medicaid rates, and more in hopes of finding one or more solutions. NAHC President Val J. Halamandaris successfully took the message to the White House in 2012 and 2013, leading to delays in the application of the mandate.  However, beginning January 1, 2015, any employer of 100 or more full-time equivalent (FTE) employees will find the mandate taking effect.

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Final CAHPS Hospice Survey Instruments Gain Approval; Now Available Online

NAHC and its affiliate Hospice Association of America (HAA) wanted to inform its hospice. Members that  that the final CAHPS hospice survey instruments have been approved and are accessible at the hospice CAHPS survey website. In addition to the final survey instruments, the Consent to Share Response question in both English and Spanish has been posted on the site. 

One supplemental question must be included in the mail and telephone questionnaire if the hospice wishes to view the survey responses linked to respondents’ name and other identifying information. The survey question, referred to as the Consent to Share Responses, must be printed in the mail questionnaire and included in the telephone questionnaire. The respondent must check the “Yes” response option in the mail questionnaire or answer “Yes” to the question during the telephone interview for the survey vendor to provide the hospice with the respondent’s answers linked to the respondent’s name and identifying information.

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Hospice-Facility Contracting Resources Now Available
Special rates for NAHC members.

The National Association for Home Care & Hospice (NAHC) is now offering The Essential Hospice-Facility Contracting Resource:  Inpatient, Respite, Nursing Home and Assisted Living Arrangements at reduced rates for NAHC Members under agreement with Reinhart Boerner Van Deuren LLC,.

With new agreements and tools, The Essential Hospice-Facility Contracting Resource is a must-have for every hospice.  The practical insights and contracting tips can help you strategically respond to the changing regulatory landscape.  Grounded in Reinhart's nearly two decades of experience working with hospices across the country, this trusted industry resource includes the following:

  • Detailed tips about emerging business and legal issues in the hospice industry, including implementation of the new nursing home regulations related to hospice care and billing for items and services "related to the terminal illness and related conditions"
  • Instructive footnotes throughout the agreements explaining how to implement key provisions
  • An easy-to-follow "road map" to the nursing facility agreement, allowing you to customize your organization's agreements and identify potential issues in other facilities' contracts
  • Practical explanations of the important differences between contract provisions that are required and where you have room to negotiate with facilities
  • New agreements — 9 total — to allow your organization to partner with different types of facilities for a variety of services

As a NAHC member, The Essential Hospice-Facility Contracting Resource is available to you for only $595 (retail $995).  To purchase this invaluable resource, take the following steps:

  •  Log in to NAHC’s CARING Store
  • Scroll down to The Essential Hospice-Facility Contracting Resource
  • Add TO CART
  • Go to CHECK OUT
  • Select “Purchase Now”
  • On the “Check Out” page, go to “My Profile”, then to “My Transactions”
  • Go to the “My Downloadable Products” prompt; the ORDER FORM will be available for print and submission

The staff at Reinhart Boerner Van Deuren LLC that fill your request will confirm your NAHC membership status.

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