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:: NAHC Report
  NAHC Report: Issue# 2912, 5/24/2016
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MedPAC Explores Impact of Hospice on Overall Medicare Outlays
Advocacy Update: Three Bipartisan Representatives Cosponsor the Home Health Care Planning Improvement Act
For Your Information: Achieving Successful Clinical and Financial Collaboration at Your Agency at FMC 2016
Job Corner: 1) Home Health Executive Director; 2) Education Coordinator/HHA Department Manager
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MedPAC Explores Impact of Hospice on Overall Medicare Outlays

At its April meeting, the Medicare Payment Advisory Commission (MedPAC) discussed the findings of a contractor report released last summer, with staff providing an overview of the contractor’s findings and asking for guidance from commission members on what actions might next be taken by the commission.  The report “Spending in the Last Year of Life and the Impact of Hospice on Medicare Outlays,” examined national trends, reviewed and replicated recent studies on the topic in literature, and developed a new “market-level” approach to assessing the impact of hospice on overall Medicare expenditures. 

The report found that between 2002 and 2012, use of hospice increased (from 26 to 47 percent of decedents) and spending in the last year of life also increased by 1.1 percent. The contractor found that nothing in the national trends suggested that use of hospice decreased Medicare costs for beneficiaries in the last year of life.  The study also found that one-third of hospice spending (approx. $5 billion) was spent outside of the final year of life.

In its review and replication of studies in the literature on hospice’s impact on Medicare outlays, the contractor looked at “fixed period studies” and “enrollment/pseudo-enrollment” studies. Fixed period studies compare spending for decedents who do and do not enroll in hospice over a fixed period of time (often the last six to 12 months of life). As a general rule, these studies show low additional costs or small amounts of savings generated by use of hospice services. The contractor’s replication of the fixed period study showed that overall hospice was not associated with an aggregate reduction in Medicare spending but that by diagnosis hospice was associated with significant savings for cancer decedents and significantly higher cost for non-cancer decedents.

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Advocacy Update: Three Bipartisan Representatives Cosponsor the Home Health Care Planning Improvement Act

The National Association for Home Care & Hospice (NAHC) is pleased to announce that three additional bipartisan members of the U.S. House of Representatives have joined as cosponsors of the Home Health Care Planning Improvement Act (H.R. 1342) to allow non-physician practitioners to certify home health care services. The House version (H.R. 1342) now has a total of 192 cosponsors, while the Senate version has 50 cosponsors, just one short of a majority.

The most recent cosponsors of the legislation include: Rep. Judy Chu (D-CA-27); Rep. Tim Murphy (R-PA-18); and Rep. Donald S. Beyer, Jr. (D-VA-8).

This progress shows the continued effectiveness of NAHC’s advocacy efforts building on the in-person visits during the March on Washington and fly-in efforts by state affiliates. NAHC’s government affairs staff continues to schedule meetings with members on both sides of the aisle.

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Achieving Successful Clinical and Financial Collaboration at Your Agency at FMC 2016

Home care and hospice financial leaders will be connecting and discovering solutions at NAHC and HHFMA’s 2016 Financial Management Conference July 10-12 at the Red Rock Spa & Casino in Las Vegas, Nevada.  We hope you’ll join us and take part in advancing industry leadership.

Achieving successful collaboration between clinical and financial departments is a challenge, and without proper interdepartmental communication your bottom line is at risk. Learn to recognize the differences in language between departments and the steps that will translate into an integrated management culture when you come to FMC 2016.  We want you to know the best practices that foster working collaboration between these two critical professional departments.

Learn more about FMC 2016!  See the conference program and schedule here.

Register for discounted attendee hotel rates at the Las Vegas Red Rock Casino & Spa and the conference itself here.

Director, Hospice

OSF Healthcare “More than a Career … A Calling”

OSF Healthcare has a Director, Hospice opportunity available in our hospice division, located in Peoria, IL. The responsibilities would include supervision and operational oversight of hospice operations in all regions and for the clinical care and non-clinical services delivered to patients with twenty-four hour accountability for patient care and operations of the hospice division. Candidates must have a current RN license and bachelor’s degree. Three years of management/supervisory experience and hospice experience preferred. OSF Healthcare offers excellent benefits and compensation.

Inquires can be directed to or please apply online at

Home Health Executive Director

Certified Home Health Agency operating in the Kansas City metropolitan area is seeking an Executive Director.  Organization has been part of the Kansas City community for over 30 years and is affiliated with a hospital system within the community.  Strong outcomes, financial performance and tenured staff.  Opportunities for growth and development of additional business models present.  Excellent opportunity for someone wanting to live in a culturally diverse city, with major sports teams, theatre, great seasonal weather and wonderful neighborhoods and school districts. 


The position provides direction, planning, and oversight for the entire organization and must have strong knowledge of the Conditions of Participation, Federal and State laws and Medicare program requirements. Strong leadership skills, computer skills and clinical expertise a must. Qualified candidate will be able to move the organization forward into new service areas, new programs and new technologies.

Education & Experience

  • Bachelors Degree Nursing, Masters in nursing or Business Administration preferred.
  • A minimum of 5 years’ experience in Management or executive level in home health agency preferred.
  • Knowledge of corporate business management including budget development and monitoring, market analysis and strategic planning, and licensure and/or regulatory compliance
  • Experience with McKesson software preferred.
  • Current and valid RN License in Missouri and Kansas

For more information, contact: Jenifer Bellamy, 909.625.8275,

Education Coordinator/HHA Department Manager

Our Education Coordinator meets the needs of our employees by providing for educational experiences needed to ensure a competent workforce. The Education Coordinator identifies the educational needs of our employees and meets those needs with the most appropriate methods including, but not limited to, one-on-one education, in-servicing, external conferences, joint visits, workshops and other activities. The right candidate will understand the role of each member of the agency, how those roles intersect and complement each other, and what is needed to have each employee capable of performing his or her role competently. The ability to analyze trends and performance improvement opportunities is essential. Oversight of the Home Health Aide Department is also an essential part of this position’s responsibilities. Performing home visits based upon patient and agency needs is also included.

Requires NJ RN, BSN or equivalent experience and actively pursuing BSN, minimum of 3 years certified home care experience, including 1 year instructional experience or 1 year supervisory experience. OASIS-C certification is preferred. Excellent interpersonal and communication skills, and strong organizational skills are required.

For consideration send your resume to

Visiting Health Services of New Jersey, Inc.
783 Riverview Drive
Totowa, NJ 07511

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