Hospice Proposed Rule Listening Sessions – Health Equity RFI and Payment

Hospice Proposed Rule Listening Sessions – Health Equity RFI and Payment

On March 30, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2023 hospice rule containing a Request for Information (RFI) on health equity, a proposed cap on wage index losses from year to year and providing guidance on projected payment rates. NAHC invites you to participate in one or more of the following listening sessions to provide input on the RFI and proposals. This input will help inform comments NAHC submits at the end of the month.

*Please follow the link for each session to sign in.

Friday, May 20
Noon – 1:00 PM | Join Zoom Meeting
3:00 PM – 4:00 PM | Join Zoom Meeting


The RFI has two components:

  1. CMS is soliciting public comment on the following questions:
    • What efforts does your hospice employ to recruit staff, volunteers, and board members from diverse populations to represent and serve underserved populations? How does your hospice attempt to bridge any cultural gaps between your personnel and beneficiaries/clients? How does your hospice measure whether this has an impact on health equity?
    • How does your hospice currently identify barriers to access in your community or service area? What are barriers to collecting data related to disparities, social determinants of health, and equity? What steps does your hospice take to address these barriers?
    • How does your hospice collect self-reported data such as race/ethnicity, veteran status, socioeconomic status, housing, food security, access to interpreter services, caregiving status, and marital status used to inform its health equity initiatives?
    • How is your hospice using qualitative data collection and analysis methods to measure the impact of its health equity initiatives?
  2. CMS is seeking information on publicly reporting a composite structural health equity quality measure; displaying descriptive information on Care Compare from the data hospices provide to support health equity measures; and the impact of the domains and quality measure concepts on organizational culture change.
    • Domain 1: Hospice commitment to reducing disparities is strengthened when equity is a key organizational priority. Candidate domain 1 could be satisfied when a hospice submits data on their actions regarding the role of health equity and community engagement in their strategic plan. Hospices could self-report data in the reporting year about their actions in each of the following areas, and submission of data for all elements could be required to qualify for the measure numerator
      • Hospice attests whether its strategic plan includes approaches to address health equity in the reporting year.
      • Hospice reports community engagement and key stakeholder activities in the reporting year.
      • Hospice reports on any attempts to measure input from patients and caregivers about care disparities they may experience and recommendations or suggestions
    • Domain 2: Training board members, leaders, staff and volunteers in culturally and linguistically appropriate services (CLAS)27, health equity, and implicit bias is an important step hospices take to provide quality care to diverse populations. Candidate domain 2 could focus on hospices’ diversity, equity, inclusion and CLAS training for board members, employed staff, and volunteers by capturing the following self-reported actions in the reporting year. Submission of relevant data for all elements could be required to qualify for the measure numerator.
      • Hospice attests whether employed staff were trained in CLAS and culturally sensitive care mindful of social determinants of health (SDOH) in the reporting year. Example data include specific training programs or training requirements for staff.
      • Hospice attests whether it provided resources to staff and volunteers about health equity, SDOH, and equity initiatives in the reporting year. Examples include the materials provided, webinars, or learning opportunities.
    • Domain 3: Leaders and staff could improve their capacity to address disparities by demonstrating routine and thorough attention to equity and setting an organizational culture of equity. This candidate domain could capture activities related to organizational inclusion initiatives and capacity to promote health equity. Examples of equity-focused factors include proficiency in languages other than English, experience working with populations in the service area, experience working on health equity issues, and experience working with individuals with disabilities. Submission of relevant data for all elements could be required to qualify for the measure numerator.
      • Hospice attests whether equity-focused factors were included in the hiring of hospice senior leadership, including chief executives and board of trustees, in the previous reporting year.
      • Hospice attests whether equity-focused factors were included in the hiring of hospice senior leadership, including chief executives and board of trustees, is more reflective of the services area patient than in the previous reporting year.
      • Hospice attests whether equity-focused factors were included in the hiring of direct patient care staff (for example, RNs, medical social workers, aides, volunteers, chaplains, or therapists) in the previous reporting year.
      • Hospice attests whether equity focused factors were included in the hiring of indirect care or support staff (for example. administrative, clerical, or human resources) in the previous reporting year.

 

Initiating a Hospital at Home Program: Financial and Operational Considerations – Part 1

Initiating a Hospital at Home Program: Financial and Operational Considerations – Part 1

Thursday June 9, 2022 at 2:00 – 3:00 PM ET

Register

Part One of this two-part webinar series will focus on the financial considerations and the value proposition that would impact your organizations’ decision about initiating a H@H program.


Faculty:

  • Summer Napier, CEO Healing Hands Healthcare, LLC
  • Colleen Hole, VP Clinical Integration and CNE at Atrium Health Medical Group
  • Patrick Kneeland, VP Medical Affairs at Dispatch Health
  • Sue Payne, Home Care Strategies Advisor, Corridor

Pricing:

NAHC Members: FREE
Non-members: $99


Thank You To Our Sponsor

Private Duty at NAHC Town Hall – Spring 2022: Advocacy Efforts on Behalf of the Home Care Workforce & More!

Private Duty at NAHC Town Hall
Spring 2022: Advocacy Efforts on Behalf of the Home Care Workforce & More!

Wednesday, May 4, 2022 |  3:00 – 4:00 p.m. EASTERN

REGISTER

Workforce shortages and the caregiver crisis are top of mind for private duty providers everywhere. Join Executive Director of Private Duty at NAHC, Kristen Wheeler, and members of NAHC’s Private Duty Advisory Council for this inaugural Town Hall meeting of 2022. Explore the latest about NAHC’s collaborative efforts to advocate at the federal level on behalf of the caregiver workforce and learn what NAHC’s new grassroots advocacy plan.

With several Advisory Council members in attendance throughout the meeting, attendees will have the opportunity to share individual challenges and triumphs and discuss best practices with colleagues from around your state and across the nation. Be part of the future of Private Duty at NAHC! Limited to 100 registrants – register now!


Pricing

NAHC Members: FREE
Non-members: $45

Speakers

  • Brittnei Salerno, President/CEO, La Jolla Nurses Homecare
  • Dave Totaro, Chief Government Affairs Officer, BAYADA Home Health Care
  • Cris Toscano, Chief Operating Officer, Skilled Nursing, BAYADA Home Health Care
  • Sam Smith, CEO/ President, BRC Access Care, Inc.
  • Nicholas Oliver, Executive Director, Rhode Island Partnership for Home Care
  • Sheila Davis, Senior Vice-President, Area Operations, Always Best Care Senior Services
  • Stephanie Johnston, President & CEO, Transcend Strategy Group
  • Kristen Wheeler, Executive Director of Private Duty, NAHC

Thank You To Our Sponsor

Care Management Considerations for Success

Care Management Considerations for Success

Tuesday, June 28, 2022 |  3:00 – 4:00  p.m. EASTERN

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Home Care providers are feeling the pressures of CMS mandated value-based payments, inadequate Managed Care rates and increased competition from an array of new providers supporting care at home.  In response to these pressures, Home Care providers have begun to diversify its service offerings to include a wide range of Care Management products.  These products can add value to your current business with value-based revenues, while enhancing patient outcomes and total cost of care.

This webinar will provide an understanding of the landscape of Care Management products, key financial, quality, and operational considerations necessary for any provider seeking to add Care Management or expand its offerings.

Learning Objectives:

  • Provide an understanding of the various Care Management products across Payer, Provider and Specialized Population Health organizations.
  • Outline a framework across various patient types as to how products and services provide improved outcomes and provider-payer alignment.
  • Explore the provider roles across post-acute transitional, palliative advanced illness management and long-term chronic and how personal, skilled, behavioral health and population health care mesh together into improved patient outcomes.
  • Highlight the key success factors which enable the Provider-Payor partnership and incentive alignment in the framing of value-based contractual arrangements.
  • Identify major elements of a successful strategy to operationalize a Care Management program.

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Faculty: 

  • Moderator:
    • Julie Hiett, LMSW Sr. Director of Population Health, Netsmart
  • Panel: 
    • Jessica Fear, Senior Vice President Behavioral Health, VNS Health
    • Devin Woodley, Vice President Managed Care Contracting, VNS Health

Pricing:

  • NAHC Members: FREE
  • Non members: $99

 

NAHC HOME HEALTH AND HOSPICE UPDATES

NAHC HOME HEALTH AND HOSPICE UPDATES

Thursday, April 14, 2022 | 1:00 – 2:00 EASTERN

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As the nation continues to adjust to the COVID-19 pandemic, Congress and regulatory agencies are ramping up health care reforms that include care at home. With less focus now on PPE and vaccines, there is also an increasing focus back on payment models, payment rates, program integrity, and quality of care.

The National Association for Home Care & Hospice (NAHC) President, William A. Dombi, updates the current legislative, regulatory, and policy landscape in home care and hospice. He will also address hot topics including business trends, progress on industry challenges, and where the opportunities lie for growth in 2022 and beyond.

During this session, Bill will discuss:

  • The state of home care, home health, and hospice legislation and regulatory action since the end of 2021, with an eye toward midterm elections
  • What is prompting the increased concerns on quality of care and where to start addressing them now
  • The state of workforce staffing in both home care and hospice settings
  • And more!

The Proposed FY2023 Hospice Payment Rule and Quality Updates

The Proposed FY2023 Hospice Payment Rule and Quality Updates

Wednesday, April 13, 2022 |  1:00 – 2:00  p.m. EASTERN

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In late March, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2023 rule providing guidance on projected payment rates for the coming year and forthcoming updates to the Hospice Quality Reporting Program (HQRP). While the rule addresses “standard fare” for an annual payment rule, CMS did include some policy proposals that will benefit the hospice community, including a proposed cap on wage index losses from year to year and plans to solicit input on a Hospice Special Focus Program through the formal rulemaking process.

NAHC’s hospice experts will discuss these issues and share some hospice data and insights from the Medicare Payment Advisory Commission’s (MedPAC’s recent Report to Congress on Medicare Payment Policy.

Objectives:

  1. Discuss the proposed hospice payment rates and wage index changes planned for FY2023
  2. Describe forthcoming changes to the Hospice Quality Reporting Program
  3. Identify key policy issues in hospice care as outlined by MedPAC

Faculty

  • Theresa M. Forster, VP for Hospice Policy & Programs, National Association for Home Care & Hospice (NAHC)
  • Katie Wehri, Director of Home Health and Hospice Regulatory Affairs, National Association for Home Care & Hospice (NAHC)

Pricing

NAHC Members: FREE
Non-members: $99


REGISTER

Thank You To Our Sponsor

OASIS-E Webinar – Part 3

OASIS-E Webinar – Part 3

Tuesday, June 21, 2022 at 2:00 PM ET

Register

Join us for three, consecutive OASIS E webinars dedicated to the OASIS E, which is set to go into effect on January 1, 2023. The three webinars build on one another so we hope you can join us for all of them. They will be held on the first three Tuesdays in June and launch on Tuesday, June 7 at 2pm EDT.

OASIS-E represents adjustments required to report standardized assessment data across post-acute care providers. It is critical for home health agencies to complete the OASIS accurately to ensure sound data can be used for changes in future payment design and policy. Learn the guidance for the new and updated items, best practice education and approaches for efficient assessment.

Session Three explores Social Determinants of Health (SDOH), patient hearing, speech, and vision, nutrition, and high-risk drug classes. It will also examine Section O: Special Treatment, Procedures and Programs and changes to the pain items that are included under Section J: Health Conditions. Participants will learn strategies to prepare and promote efficiency and accuracy of these new items.

Register for Part 1 | Register for Part 2 | Register for Part 3


Faculty:

Karen Tibbs, RN, MS, HCS-D, COS-C, Director Quality Assurance,
McBee

Mary Carr, RN, Vice President, Regulatory Affairs
National Association for Home Care & Hospice (NAHC)

Pricing:

NAHC Members: $99
Non-members: $199


Thank You To Our Sponsor

OASIS-E Webinar – Part 2

OASIS-E Webinar – Part 2

Tuesday, June 14, 2022 at 2:00 PM ET

Register

Join us for three, consecutive OASIS E webinars dedicated to the OASIS E, which is set to go into effect on January 1, 2023. The three webinars build on one another so we hope you can join us for all of them. They will be held on the first three Tuesdays in June and launch on Tuesday, June 7 at 2pm EDT.

OASIS-E represents adjustments required to report standardized assessment data across post-acute care providers. It is critical for home health agencies to complete the OASIS accurately to ensure sound data can be used for changes in future payment design and policy. Learn the guidance for the new and updated items, best practice education and approaches for efficient assessment.

Session Two examines Section C: Cognitive Patterns and Section D: Mood. It will include an explanation of the guidance as well as best practice assessment of the Brief Interview for Mental Status (BIMS), Confusion Assessment Method (CAM) and the PHQ-2 to 9. Participants will learn strategies to prepare and promote efficiency and accuracy of these new items.

Register for Part 1 | Register for Part 2 | Register for Part 3


Faculty:

Karen Tibbs, RN, MS, HCS-D, COS-C, Director Quality Assurance,
McBee

Mary Carr, RN, Vice President, Regulatory Affairs
National Association for Home Care & Hospice (NAHC)

Pricing:

NAHC Members: $99
Non-members: $199


Thank You to Our Sponsor

OASIS-E Webinar – Part 1

OASIS-E Webinar – Part 1

Tuesday, June 7, 2022 at 2:00 PM ET

Register

Join us for three, consecutive OASIS E webinars dedicated to the OASIS E, which is set to go into effect on January 1, 2023. The three webinars build on one another so we hope you can join us for all of them. They will be held on the first three Tuesdays in June and launch on Tuesday, June 7 at 2pm EDT.

OASIS-E represents adjustments required to report standardized assessment data across post-acute care providers. It is critical for home health agencies to complete the OASIS accurately to ensure sound data can be used for changes in future payment design and policy. Learn the guidance for the new and updated items, best practice education and approaches for efficient assessment.

Session One presents an overview and evolution of OASIS to the current version. It will outline the new, revised, and deleted OASIS items that constitute OASIS-E. This session will also explore the new Transfer of Health quality measure.

 

Register for Part 1 | Register for Part 2 | Register for Part 3


Faculty:

  • Karen Tibbs, RN, MS, HCS-D, COS-C, Director Quality Assurance,
    McBee
  • Mary Carr, RN, Vice President, Regulatory Affairs
    National Association for Home Care & Hospice (NAHC)

Pricing:

NAHC Members: $99
Non-members: $199


Thank You to Our Sponsor

NAHC Affinity Partner Presentation: Claim Your Valuable ERC Refund

 NAHC Affinity Partner Presentation: Claim Your Valuable ERC Refund

Thursday, March 3, 2022 at 2:00 pm Eastern

 

ERC Today will discuss a valuable stimulus benefit available to you called the Employee Retention Credit or ERC for short. The ERC benefit is received by qualifying businesses in a refund from the IRS. NAHC has partnered with ERC Today to provide their expertise and service to obtain these refunds on your behalf.

Faculty:

  • David Stoessel, ERC Consultant, ERC Today
  • Chris Hager, Chief Strategy Officer, ERC Today

ERC Today helps businesses determine their eligibility for the Employee Retention Credit (ERC) and has helped secure thousands to millions in funding from the IRS for organizations just like yours. ERC Today’s teams of experts of CPAs and tax professionals will review your detailed records for FREE to: (1) positively determine your eligibility and (2), if so, calculate your estimated refund. As a member of NACH, you will receive a 20% discount from their standard rates. The IRS refund schedule is currently running for 4 to 6 months.

 

Getting started is easy. Apply at https://erctoday.com/nahc/. ERC Today will take it from there and walk you through the entire process.