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  NAHC Report: Issue# 2717, 8/3/2015
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NAHC Summary: CMS Finalizes FY2016 Hospice Payment Rule
President Obama Signs into Law Legislation Extending Home-Based Demonstration Model
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NAHC Summary: CMS Finalizes FY2016 Hospice Payment Rule

Late Friday, July 31, the Centers for Medicare & Medicaid Services (CMS) released the final hospice payment rule for fiscal year 2016 (FY2016); the final rule is available here: The rule is scheduled for publication in the Federal Register on August 6, 2015. Final hospice wage index tables are not included in the publication but are available online at: This summary by the National Association for Home Care & Hospice (NAHC) is an expanded version of the synopsis provided to NAHC members via its member listservs late Friday, July 31.

The overall impact of the final rule is an estimated net increase in federal Medicare payments to hospices of $160 million; hospice base payments under Medicare will increase an average of 1.1 percent over FY2015 (this amount takes both the projected market basket update of 1.6 percent and changes to the wage index into account). In April CMS projected the net market basket update to be 1.8 percent, but since that time has adjusted the calculations for both the hospital market basket update calculation and the productivity adjustment.

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President Obama Signs into Law Legislation Extending Home-Based Demonstration Model

U.S. President Barack Obama signed into law the Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 (S. 971) on Thursday, July 30. The legislation extends for an additional two years a home-based demonstration model, Independence at Home, which was originally implemented under the Affordable Care Act.

The U.S. Senate passed the legislation in April, and the U.S. House of Representatives passed it in July (see previous NAHC Report articles here and here). The bill was originally introduced by Senators Ron Wyden (D-OR), Edward J. Markey (D-MA), Michael Bennet (D-CO), Richard Burr (R-NC), and Johnny Isakson (R-GA).

Independence at Home focuses on certain high risk patients with chronic illnesses and provides incentives for improved quality outcomes and reduced expenditures. The model uses home-based primary care teams directed by physicians and nurse practitioners.

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Registration is now open for NAHC’s 2015 Annual Meeting

Registration for NAHC’s Annual Meeting is now open! The conference is October 28-30, 2015, at the Gaylord Opryland Resort & Convention Center in Nashville, Tennessee.

To register for the conference and to make your reservation at the Gaylord Opryland, click here.



Community Nurses, Inc. was named by Becker’s Hospital Review as one of the top 150 Great Places to Work in Healthcare in the United States for 2015 – Come join our team!


The Director executes direct administration of the Community Nurses Inc. System Home Health and Hospice departments, Adult Day Services and Support Services as evidenced by achieving results in clinical quality, service excellence, human resources management and financial management.  The Director assists in developing and implementing a strategic plan for the growth and development of Community Nurses Inc. services in collaboration with the AVP of Home Health/Hospice and other Penn Highlands Healthcare leadership.


  • Bachelors Degree in Nursing, Business Administration, or related field required; Masters Degree in Nursing, Business Administration, or related field preferred.
  • System management experience preferred.
  • Five years home health/hospice nursing experience preferred.
  • Two years management experience in home health/hospice setting required.
  • Demonstrates effective communication and collaboration skills with physician and all other members of the health care team
  • Progressive and successful work history
  • Specialty certification preferred

Interested candidates please submit a resume and cover letter for consideration. FAX:  814-788-8046 OR E-MAIL:


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