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:: NAHC Report
  NAHC Report: Issue# 2766, 10/9/2015
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IN FOCUS: Hospice/Medicaid Issues
President Signs into Law Legislation to Prevent Premium Increases for Mid-Size Employers
For Your Information: The Largest Home Care and Hospice Marketplace in the World!
Job Corner: Assistant Vice President, Home Health/Hospice – Full Time
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IN FOCUS: Hospice/Medicaid Issues

Hospice Payment Reform/Medicaid: In response to the Centers for Medicare & Medicaid Services (CMS) proposed hospice payment reforms that, by law, are applicable to fee-for-service Medicaid hospice benefits, there was widespread concern that hospices, vendors, Medicare Administrative Contractors (MACs), and state Medicaid programs would not be ready for the anticipated Oct. 1, 2015, implementation. As part of the final hospice payment rule and out of particular concern for state Medicaid programs, CMS delayed implementation of the two-tiered payment system for Routine Home Care (RHC)/Service-intensity Add-on (SIA) until Jan. 1, 2016.

In recent months the National Association for Home Care & Hospice (NAHC) examined billing requirements for some state Medicaid programs to ascertain whether Medicaid programs required sufficient information on hospice claims to allow for the payment reform changes and discovered that a number of states do not currently require hospices to report sufficient detail (including skilled visits, which are essential for implementation of the SIA) on claims to facilitate implementation of the payment changes. NAHC contacted officials at CMS to convey these concerns, and CMS conducted outreach to select states to ascertain their states of readiness. Our understanding is that as part of the calls CMS was able to ascertain that all states are not currently securing information on hospice claims that would facilitate implementation of the payment reforms. As a result, CMS is planning on sending information to state Medicaid offices to assist them in implementing the changes that are needed to be able to move forward with payment reform on the Medicaid side.

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President Signs into Law Legislation to Prevent Premium Increases for Mid-Size Employers

On Wednesday, October 7, President Barack Obama signed into law the Protecting Affordable Coverage for Employees (PACE) Act, which maintains the existing definition of the small group market under the Affordable Care Act (ACA). As NAHC Report previously stated, the change could keep premiums from rising for home health and hospice agencies with 51-100 employees that offer health insurance. The bill, which passed with overwhelming support in both the U.S. Senate and House of Representatives, addresses concerns that expanding the small group market to employers with 51-100 employees—as previously scheduled to occur under the ACA on January 1, 2016—would have resulted in premium increases for mid-size employers. The PACE Act instead maintains the existing definition of the small group market, which only applies to employers with 50 or fewer employees.

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The Largest Home Care and Hospice Marketplace in the World!

Register Today!

NAHC’s Annual Meeting, October 28-30 in Nashville, Tenn., is approaching quickly! We’re proud to bring together not only thought leaders and innovators for our panel discussions and education sessions, but also to our Expo, the largest home care and hospice marketplace in the world.

This year’s Expo is expected to feature nearly 200 specialists and vendors who understand the issues and challenges agencies are facing, and are there to talk with you about solutions. The conference includes 7.5 hours of time, including meals, set aside exclusively for attendees to spend in the Expo, networking with exhibitors.

The array of regulatory and other issues facing home care and hospice, such as changes with the OASIS-C1 data sets and the ICD-10 Coding Manual, adjustments in HHCoP’s and their QAPI requirements, and developments in telehealth regulation, can be tricky to navigate. The Expo at NAHC’s Annual Meeting is the best way to explore potential vendors and specialists who can help you address real problems in your business and care more effectively for your patients.

REGISTER NOW: Join us in “NAHCville” Tennessee, October 28-30!

  • Take an active role in bringing solutions back to your agency.
  • Network with experts about services and products making a real difference.
  • Gain valuable skills to make home care and hospice a better industry.

The Meeting begins at 4:30pm on October 28 for our first education session, so make plans to arrive on Wednesday and stay through the closing party on Friday, October 30.

Visit or follow us on Twitter at @OfficialNAHC for the latest updates on our session topics, exhibits, and faculty.

Assistant Vice President, Home Health/Hospice – Full Time


The Assistant Vice President, Home Health/Hospice executes direct administration of the Penn Highlands Healthcare System Home Health and Hospice departments as evidenced by achieving results in clinical quality, service excellence, human resources management and financial management. The Assistant Vice President assists in developing and implementing a strategic plan for the growth and development of the System's home health and hospice services.


  • 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 required;
  • 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

Penn Highlands DuBois is the best of modern health care technology, plus the best of small town America!

Located in the midst of the beautiful rolling hills and woodlands of Pennsylvania, you don't have to be a native to feel at home here. No matter where your roots, you'll quickly recognize that the staff at Penn Highlands DuBois (PHD), like other residents of the community, will make you feel right at home.

Penn Highlands DuBois (PHD) offers residents of west central Pennsylvania a rare combination of technologically advanced health care in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the commonwealth, PHD is an oasis of clinical and technical excellence, with a focus on patient-centered care. Its rural setting is just far enough from the hustle of the city life to make it peaceful, but close enough to provide easy access to sought-after urban attractions.


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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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