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  NAHC Report: Issue# 2988, 9/8/2016
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Ways & Means Health Subcommittee Explores Value Based Purchasing in Post-Acute Care Settings, Updates Legislation
Home Care Issues Front and Center at House Ways and Means Hearing
For Your Information: Home is the Center of Health Care at the NAHC 2016 Annual Meeting Conference and Exposition
Job Corner: Director of Patient Services — Home Care & Hospice, Long Island, NY
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Ways & Means Health Subcommittee Explores Value Based Purchasing in Post-Acute Care Settings, Updates Legislation

This week the Ways and Means Health Subcommittee held a hearing on the evolution of quality in Medicare Part A to examine whether existing policies are improving quality and cost-efficiency of care in hospitals and what opportunities there are to improve care delivery in post-acute care settings.  As Ways and Means Committee Chairman Kevin Brady stated, “Physician payment policies are just one piece of the puzzle.  To ensure the Medicare program is truly delivering the high-quality care seniors deserve, we also need to improve the way it pays post-acute, or after hospitalization providers.”

This hearing was held immediately following the release of draft changes to the Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R. 3298).  (A summary of the original bill can be found here.)  The legislation would create an incentive pool for four post-acute settings – home health agencies, skilled nursing facilities, inpatient rehabilitation facilities and long-term care hospitals.  When the legislation was first introduced in 2015, NAHC and other post-acute care organizations expressed concerns with the program.  Concerns included that the program does not adhere to the implementation timeline that was established under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, quality measures (rather than just a focus on spend) should be narrow and include at least one measure focused on patient outcomes, and the withhold amount in a program should not be more than two percent at full implementation.

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Home Care Issues Front and Center at House Ways and Means Hearing

A September 7th House Ways and Means Health subcommittee hearing on the evolution of quality in Medicare Part A featured an interesting series of questions and answers between Rep. Tom Price (R-GA-6) and Steve Guenthner, President of Almost Family, a home health care company with over 250 locations in 15 states. Price specifically mentioned three issues important to NAHC and its members, pre-claim review (PCR), the physician face-to-face encounter rule and withholding amounts in the value-based purchasing model.

Rep. Price opened his comments by drawing attention to the May 25, 2016 letter, signed by 116 bipartisan members of Congress, calling for the withdrawal of the proposed use of prior authorization for all home health claims in five targeted states.

“At one point, Medicare officials recommended that home health agencies fax in documents, as the electronic system was not working,” said Price. “Home health providers are experiencing submission issues that require more than 45 minutes for each and every pre-claim review request. Pre-claim rejection rates of between 70 and 80 percent.” Price noted the proliferation of complaints about confusion created by burdensome paperwork requirements.

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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: NAHC members pay $950 for the conference; non-members pay $1,350. 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.

Director of Patient Services — Home Care & Hospice, Long Island, NY
Full Time

Brookhaven Memorial Hospital Medical Center is changing every day. Many new medical innovations are being implemented, and there’s an air of exhilaration at the possibilities for an amazing future. Be the heart of our community – in our award-winning Home Care division! We rank as one of the best in America by recently being awarded the prestigious Home Care Elite Award!

We require

  • Education: BSN preferred or a Bachelor’s health/human services.
  • Experience: Two years as a supervising community health nurse
    if not a supervising community health nurse, two years of home care nursing experience plus a Master’s degree in nursing, public health, business administration or another health related field. Master’s not needed if possesses Bachelor’s and was a supervising community health nurse.
  • Licenses: Current NYS RN licensure
  • Knowledge: CMS and DOH Home Health regs

We’re just minutes from the world-famous Hamptons, over 60 award-winning vineyards, water parks, picturesque rural farms, historical homes and Montauk. Look to a hospital that has a fresh new feel in the air as we continue to transform. Email An amazing career awaits you. EOE/AAP/M/F/D/V

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