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  NAHC Report: Issue# 2841, 2/9/2016
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President’s Budget Proposes More Than $470 Billion in Medicare Savings Over 10 Years
Have You Accessed Your Hospice PEPPER?
For Your Information: NAHC Announces the March on Washington Conference
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President’s Budget Proposes More Than $470 Billion in Medicare Savings Over 10 Years
Proposals Include Home Health Copays, Additional Payment Cuts for Post-Acute Care Providers, New Hospice Market Basket Cuts, and Other Changes

On Tuesday, February 9, U.S. President Barack Obama released his $4.1 trillion fiscal year (FY) 2017 budget proposal, laying out his agenda and legislative priorities for the coming year. While the President’s proposed FY2017 budget has been dubbed by some on Capitol Hill as “dead before arrival,” it includes a new proposal related to hospice services titled, “Reform of Medicare Hospice Payments” of significant concern.  The budget document also contains several repeat proposals from last year of great concern to the home health community including the introduction of a home health copayment; further cuts to post-acute care providers, including home health care; provisions for a bundled payment program for post-acute providers; as well as value-based purchasing for post-acute care providers. The National Association for Home Care & Hospice (NAHC) has expressed its opposition to and concerns with these proposals, as described in greater detail below.

Introduce Home Health Copayments for New Beneficiaries

This proposal creates a copayment for new beneficiaries of $100 per home health episode, starting in 2020. Consistent with MedPAC recommendations, this copayment will apply only for episodes with five or more visits not preceded by a hospital or inpatient post‐acute stay. Home health services represent one of the few areas in Medicare that do not currently include some beneficiary cost-sharing. [$1.3 billion in savings over 10 years]

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Have You Accessed Your Hospice PEPPER?

The Hospice PEPPER (version Q4FY14) summarizing statistics for fiscal years 2012, 2013 and 2014 has been available through the PEPPER Resources Portal since April, 2015. The PEPPER summarizes statistics for these six target areas:

  1. Live discharges
  2. Long length of Stay
  3. Continuous home care in assisted living facility
  4. Routine home care in assisted living facility
  5. Routine home care in nursing facility
  6. Routine home care in skilled nursing facility

How can I learn more?

For more information on accessing your PEPPER, see the Distribution page. Recorded PEPPER training sessions are available on the Hospice Training and Resources page at, along with the Hospice PEPPER user’s guide. Join the email list at to receive notifications of upcoming training opportunities and report distribution. The next report is scheduled for release in April, 2016.

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NAHC Announces the March on Washington Conference
Mayflower Renaissance Hotel, April 4–5, 2016

NAHC is hosting the 2016 March on Washington Conference in the splendid city of Washington, DC. Now is a critical point as we face new rules that could challenge our mission to serve America’s aged, disabled, and ill. Join us as we work to make home care and hospice the center of health care in our country.

The nation’s capital is the heart of legislative activity that affects home care and hospice. That makes it the perfect place to raise awareness of the vital work we do. Together, we can deliver a unified message to those who make the policies that shape our business. Take advantage of this chance to lobby your lawmakers, connect with colleagues, and attend educational sessions led by experts in our field.

Register and Book Your Hotel!

View the Conference Program!


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