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  NAHC Report: Issue# 2602, 2/10/2015
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NAHC Submits Comments on CMS’ Proposed Rule on Accountable Care Organizations
NAHC Urges its Members to Contact their Lawmakers Asking them to Oppose a Home Health Surety Bond
For Your Information: Home Care to the Rescue: Securing Medicaid’s Future
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NAHC Submits Comments on CMS’ Proposed Rule on Accountable Care Organizations

Earlier this month, the National Association for Home Care and Hospice (NAHC) submitted formal comments to CMS on their proposed rule on Accountable Care Organizations (ACOs) within the Medicare Shared Savings Program. NAHC’s comments focused on three main areas:

  1. Waivers for telehealth services;
  2. Waiver of the homebound requirement and other payment waivers, and;
  3. Waivers for referrals to post-acute care settings

NAHC states in its comments that:

“NAHC recommends that any waiver should apply to beneficiaries in Track 2 in addition to Track 3 ACO MSSPs. Limiting to waivers to Track 3 may discourage ACOs that are currently in Track 1 from participating in a Medicare Shared Savings Program for fear of taking on too much risk unless if wavers are also applied to Track 2 ACO agreements. Any ACO that assumes some level of risk should have the flexibility to provide care that achieves the dual goals of positive patient outcomes and Medicare savings.”

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NAHC Urges its Members to Contact their Lawmakers Asking them to Oppose a Home Health Surety Bond

President Obama’s recently-release budget for the 2016 Fiscal Year includes a proposal that would increase the required surety bond amount for Medicare home health agencies to an amount that is no less than $50,000 and commensurate with the volume of payments to the agency. In addition to the President’s proposal, legislation that was introduced in the House late in the last Congress, H.R. 5780, also includes such a provision.

The imposition of a surety bond requirement on all home health agencies will have serious negative effects:

  • It will hurt small home health businesses that struggle to comply with the many expensive and unreasonable regulatory burdens that threaten access to care;
  • It’s effectively a tax on the vast majority of ethical providers to cover the cost of a few bad actors;
  • It gives too much discretion to CMS in setting the bond amount and implementing the requirement; and
  • Surety bond requirements should be time-limited and targeted to new providers only. Longstanding providers rarely present a risk to Medicare.

NAHC urges all of its members to take action and contact their elected officials asking them to oppose this misguided initiative.

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Home Care to the Rescue: Securing Medicaid’s Future

The Medicaid program is the most vulnerable of all of the Federal entitlement programs. With its Federal/state partnership, Medicaid is a patchwork of state-by-state programs – and Medicaid expansion as stated under the ACA has become a political football. Despite all of the partisan issues surrounding Medicaid, five times more money goes to home care services through Medicaid than Medicare. The Home Care and Hospice community needs to develop and publicize a credible plan that can be adopted by Congress to ensure the long-term success of this valuable program. This engaging panel discussion will highlight the key issues outlined in NAHC’s updated Medicaid Blueprint for Action, as well as the plans to become fierce advocates for Medicaid programs and funding and sound reimbursement policies that will ensure that home care continues to play a prominent role in Medicaid’s future.

Conference Program
You may view the conference program here.

Registration Information
You may register using the Online Registration or print the Downloadable Registration Form and fax it to the phone number on the form. You may also call 202-547-7424 and register by phone.

Hotel Information: The Mayflower Renaissance Hotel, Washington, DC 
NAHC is hosting the 2015 March on Washington Conference in the splendid city of Washington, DC. Join us as we pursue a historic mission to make home care and hospice the center of health care in our country.

Standard room rate per night: $318.00 + tax (rate available until Friday, February 27, 2015)

To book hotel rooms online, click Online Reservations.

Number to call for room reservations: Toll Free: 1-877-212-5752

When making hotel reservations, please tell the agent that you are with the National Association for Home Care & Hospice March on Washington Room Block.

Director of Finance. VNA Care Network & Hospice, Inc., Southborough, MA

Reporting to the Chief Financial Officer/Chief Operating Officer the Director of Finance will oversee and actively participate in the accounting, budgeting, cost reporting, accounts payable, billing and cash flow systems of the Network and affiliates. BS Accounting required, MBA and CPA preferred. Minimum 4  years of experience in Home Health financial management and experience in personal computer spreadsheet applications.

Please forward your resume and cover letter with salary requirements to Ann Bohac, HR Recruiter VNA Care Network & Hospice at or visit our website at


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