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  NAHC Report: Issue# 2960, 7/29/2016
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OIG Advisory Opinion — Hospice Payment to Nursing Homes
Former President Bill Clinton Lauds Nurse Practitioners at the Democratic National Convention
For Your Information: Home is the Center of Health Care at the NAHC 2016 Annual Meeting Conference and Exposition
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OIG Advisory Opinion — Hospice Payment to Nursing Homes

The Office of Inspector General (OIG) for the U.S. Department of Health and Human Services recently released Advisory Opinion 16-08 pertaining to hospice payments to nursing homes. As with all OIG Advisory Opinions, the opinion is specific to the facts presented in the case. In this particular case, the question concerned an arrangement in which a hospice would make a supplemental payment to the nursing facilities in which the hospice’s dually eligible patients reside when the nursing facilities—instead of the hospice—receive payment for their patients’ room and board expenses. Specifically, the Requestor (the entity requesting the advisory opinion) wanted to know if this arrangement would constitute grounds for the imposition of sanctions under the exclusion authority at section 1128(b)(7) of the Social Security Act (the “Act”), or the civil monetary penalty provision at section 1128A(a)(7) of the Act, as those sections relate to the commission of acts described in section 1128B(b) of the Act, the Federal anti-kickback statute.

The Requestor is in a state where there is a Medicaid Demonstration Project in which the nursing homes are paid 95% of their daily room and board rate for dually-eligible residents electing hospice care directly from a Medicaid managed care organization. Typically, the hospice is billed the daily Medicaid room and board rate but then bills the state’s Medicaid program for this amount and pays this plus an additional 5% to the nursing home. This provides the nursing home with the same payment it would have received had the resident not elected hospice care.

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Former President Bill Clinton Lauds Nurse Practitioners at the Democratic National Convention

At the 2016 Democratic National Convention on July 26, former U.S. President Bill Clinton lauded nurse practitioners (NPs) in the context of promoting Secretary Hillary Clinton’s candidacy for President. In 1979, then First Lady of Arkansas, she chaired a local health committee focused on expanding health care to “isolated mountain areas,” he said. One of the committee’s recommendations, he recalled, was to deploy NPs to those areas to provide primary care.

“In 1979, just after I became governor, I asked Hillary to chair a local health committee to help expand health care to isolated mountain areas,” he said. “They recommended to do that partly by deploying trained nurse practitioners in places with no doctors to provide primary care that they were trying to provide. It was a big deal then—highly controversial and very important. And I got the feeling that what she did for the rest of her life, she was doing there. She just went out and figured our what would help people and if it was controversial, she just tried to persuade people it was the right thing to do.”

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Home is the Center of Health Care at the NAHC 2016 Annual Meeting Conference and Exposition
October 23–25, 2016 in Orlando, Florida

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Exhibitor Service Center

The National Association for Home Care & Hospice invites you to join us and more than 2,500 home care and hospice colleagues in sunny Florida for the 2016 Annual Meeting & Expo. This year’s meeting offers three days of opportunities to learn, connect and discover with unparalleled access to distinguished speakers, hot-topic education sessions and dynamic networking opportunities. Attendees will also have the opportunity to visit our world-class expo where over 200 specialists will showcase the latest in home care and hospice products and services.

Join NAHC and Save: Register by August 14 and save $400 off the full-conference registration. NAHC members pay $800 for the conference; non-members pay $1,200. Click on the link to the right to register.

The Annual Meeting & Expo boasts 80 education sessions across 10 tracks providing the latest research, developments and news in the home care and hospice industry. NAHC 2016 Annual Meeting & Expo provides comprehensive, carefully planned content along with inspirational keynotes and panel discussions. Click on the link to the right to learn more about education sessions.

You’ll have the opportunity to connect with industry leaders from around the country – in the classroom and at the Expo. Plus there are opportunities to network at receptions and meals and in one-on-one discussions throughout the conference.

You’ll discover what’s new this year at the Expo, which features over 200 exhibitors demonstrating and showcasing innovative home care and hospice products and services to support high-quality care. To learn more about exhibiting at the 2016 Annual Meeting & Expo, click here.

Host Hotel
The beautiful Gaylord Palms in Orlando, Florida, is hosting the2016 Annual Meeting & Expo. Book your room early to ensure that you’re just steps away from this year’s conference. (You must first register for the conference to get access to our special room rates at the Gaylord Palms.)

New this Year
My Planner: Take advantage of our online planner and create your own itinerary. Search by keywords or tracks to find the sessions you want to take. And when you’re onsite, you’ll have your personalized plan right on your phone with our conference app.

Learn more about the companies in our Expo before you arrive. Search, research, and interact through our online planner and mark your favorites so when you’re at the Expo you’ll have a personalized floor plan to guide you to the exhibitors you want to see most.

Florida in October is breathtaking. Come early and take advantage of one of our excursions. Whether it’s a theme park or golf, the Kennedy Space Center or a wildlife adventure, check out the options for fun during the registration process.

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