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  NAHC Report: Issue# 2729, 8/18/2015
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House Members Propose Single Value-Based Purchasing Program for Post-Acute Care Providers
Grassroots Advocacy during August Recess: Invite Lawmakers on a Home Visit
For Your Information: The Final FY2016 Hospice Rule: A Comprehensive Update on Payment and Policy Issues
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House Members Propose Single Value-Based Purchasing Program for Post-Acute Care Providers

House Ways & Means Health Subcommittee Chairman Kevin Brady (R-TX) and Congressman Ron Kind (D-WI) recently introduced legislation that would establish a value-based purchasing program for all post-acute care (PAC) services. The bill would create an incentive pool for four post-acute settings—home health agencies, skilled nursing facilities, inpatient rehabilitation facilities and long-term care hospitals. All of these PAC providers would compete for bonus payments based on only one quality measurement—Medicare spending per beneficiary. In addition, the bill would repeal the market basket cuts for post-acute providers scheduled for 2018 (see previous NAHC Report article here). It would also sunset the already established VBP program for skilled nursing facilities beginning in fiscal year 2026.

The lawmakers have proposed the single VBP program for post-acute care providers to replace the separate VBP programs put forward by the Centers for Medicare & Medicaid Services (CMS) in recent years, including the Home Health Value Based Purchasing program included in the Home Health Prospective Payment System (HHPPS) proposed rule for 2016. In a July letter to CMS, Brady and Kind stated that the proposed home health VBP pilot “re-enforces the silo-based nature of the Medicare program by applying one set of rules to a particular patient setting without any regard for the incentives or ripple-effects that it may cause in other health care areas.” They argue that a single VBP program for post-acute care providers is a “better approach.”

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Grassroots Advocacy during August Recess: Invite Lawmakers on a Home Visit
With members of Congress having adjourned for recess and returned to their home states, the month of August is a good time to engage your lawmakers about important home care and hospice issues

The National Association for Home Care & Hospice (NAHC) is providing a series of articles on suggested grassroots actions for advocates to use to engage their members of Congress on the issues most important to home care and hospice during the August break. Each article will highlight a different grassroots action, including detailed step-by-step guidance and advice. For more information about the specific home care and hospice issues to highlight during the August break, click here.

One of the most compelling ways to inform your members of Congress about the benefits of home health care and hospice is to invite them on a home visit. As evidence of this, Senator Pat Roberts (R-KS) said at this year’s March on Washington Conference that his commitment to home care and hospice began the day that he participated in his first home visit in Kansas. “That day really underscored my belief in the incredible value of the personal touch of the home care industry,” Senator Roberts said. Another example is Senator Susan Collins (R-ME) who has cited her home visit as the reason that she so strongly supports home care and hospice.

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The Final FY2016 Hospice Rule: A Comprehensive Update on Payment and Policy Issues
Tuesday, August 18, 2015, 1:00 PM – 2:00 PM Eastern

Program Description:

This program will explore hospice policy changes CMS finalized in recent weeks, and provide a comprehensive update of CMS' plans and timelines for implementing reform of the hospice payment system, and changes related to the inpatient and aggregate Caps, the Hospice Quality Reporting Program (HQRP), and diagnosis coding on claims. Presenters will also discuss potential future policy changes in the hospice arena.

Program Objectives:

  • Describe key elements of CMS' planned revisions to the payment system for Routine Home Care (RHC)
  • Outline changes affecting hospice payment CAP monitoring and reporting
  • Discuss various aspects of the Hospice Quality Reporting Program and anticipated future activities
  • Explain CMS' clarification regarding diagnosis coding on hospice claims

Panel of NAHC Experts:

  • Val J. Halamandaris, President, NAHC
  • Theresa M. Forster, Vice President for Hospice Policy & Programs, NAHC
  • Katie Wehri, Hospice Policy Expert, NAHC


Webcast and/or Recording
Member:  FREE      Non-member:  $150.00

Click Here to Register!

Referral Center Registered Nurse

The Visiting Nurse Association of Greater Philadelphia is the largest and oldest provider of hospice and home care in the Philadelphia region.

Position Summary:

Responsible for management of the clerical and clinical operations of the Intake Department.  Responsible for making clinical judgments regarding referral requests received by the Intake Department .Assists in planning and arranging for patient care needs in home or community based settings on a comprehensive basis. Initiates contact and follow up calls with referral sources to assure completeness on individual patient referrals, and educates referral sources on the VNA’s mission and full range of home and community health services. 


  • Two years professional level health care experience with a knowledge base of all aspects of home care.
  • ICD-10 training required
  • Knowledge of needs and requirements of third party payers, including Medicare, Medicaid and others.
  • Ability to identify unmet needs and match them with appropriate services in a complex clinical and financial environment.
  • Proficient in Computer Software Programs
  • PA Registered Nurse Licensure.
  • Flexibility of schedule- Will require some evening hours
  • BS in Nursing required

Candidates please submit a resume to or via fax to 215-878-9529.


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