Volume 7, Number 41 October  24, 2018

Dear Healthcare at Home Colleague,

Quite a variety of news this week. As promised, we interviewed the president of Honor Care about her company's new project, the "Honor Care Network." Between Nita Sommers' description of the goals for their second attempt at a successful business model and comments from your colleagues that reached us about potential pitfalls inherent in the model, I hope our analysis provides private duty agency owners with the information they need if and when they are approached to join. Click below on this week's lead story, "What Is Honor Up To?"

Providers of in-home services for mothers and children will want to learn about a new CMS program that provides extra help for your patients, and their newborns, struggling with opioid addiction. Cleverly named MOM (Maternal Opioid Misuse), the new model provides Medicaid funds to help states deal with their unique local problems. We have reprinted the CMS announcement for your convenience.

Speaking of CMS, you Medicare providers know that you have 14 months to prepare for the next major shakeup in the way you are reimbursed for your services. One important early activity is to figure out how your utilization needs to change. More or fewer nursing visits? More or fewer therapy visit? Front-loading? Remote patient monitoring? Every agency's answer to those questions will be different but how do you know how your agency needs to adapt? We found a free tool that might help. Be sure to read our product review "How Will PDGM Change Your Revenue?"

Our friends at Homecare Homebase also have a major partnership to announce this week. If you are a customer, or considering becoming one, take a look at "Homecare Homebase Aligns with Excel Health" in this week's issue.

Next week: We have finally completed our analysis of your responses to our survey about your EMR vendor's performance during the initial implementation and training phase. Look for it next week in our, yes, October 31 issue.

Many thanks to the good people at the New York State Home Care Providers Association. Their annual gathering for Medicaid and Private Duty providers was well-organized, well-attended, and featured excellent speakers and great food. I was honored to have been invited.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

What is Honor Up To?
"Everyone laughed at us but we were the last ones to get the joke." After failing to get away with deploying a fleet of "uberized" 1099 contract home care workers, Honor is resurrecting with a new investor and a new approach, partnerships. Should you "joinhonor.com"? We spoke with CEO Nita Sommers as well as a couple of doubters.

CMS News: Program Launched to Battle Opioid Misuse Among Expectant and New Mothers
Goals are to improve quality of care, increase access to treatment based on state-specific needs, and reduce expenditures.

Homecare Homebase Aligns with Excel Health
Partnership to bring more timely and complete market intelligence data to its Home Health & Hospice customers.

How Will PDGM Change Your Revenue?
Use this free PDGM tool to analyze your current claims under 2020 rules.

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you make sure HCTR continues to come to you for free.

During the 3rd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 1726 times.

To inquire about placing your message here, contact:


Last Week's Most-Read Stories:
What Providers Should Do About Denials From Medicare Advantage Plans
Guest author Elizabeth Hogue, Esq. looks at the OIG report on abusive insurance practices and finds the familiar refrain "always appeal" applies to Medicare Advantage plans as well as Medicare MACs and UPICs.
A Patient and Taxpayer Looks at the OIG MAO Report
Editor Tim Rowan takes a deeper dive into the OIG report on Medicare Advantage Organization abuses.

As of this date, approximately 31,394,000 Baby Boomers have become Medicare eligible.
Notable Upcoming Conferences Free Webinars

New York Association of Health Care Providers
Annual Management Conference and Exhibition

October 23-24
Uniondale, NY
Information and registration

The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration

*The Rowan Report will see you there.

Your state or national association meeting not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Hotel or Conference Center, City, State

QAPI 101

Presented by HealthcarefirstHosted by ElevatingHOME & HHQI
Date: Wednesday, November 14
Time: 1:00 pm EST
Audience: Home Health Agencies
Register Here

ElevatingHOME and HHQI will review the 5 Standards that are required to be included into an agency’s QAPI program. They will discuss possible activities, tools, and resources for each standard, as well as infection prevention and patient safety.

Public Policy Leadership Series

Presented by: ElevatingHOME


• Joy Cameron, Vice President, Policy and Innovation, ElevatingHOME and VNAA
• Bill Dombi, President, National Association for Home Care & Hospice
• Sarah Myers, Partnership for Quality Home Healthcare

Schedule: Wednesdays, October 3 - November 7
Session 1: October 3
Time: 1:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Click here for complete schedule and registration

Hospitalization Performance Improvement Projects (PIPs)

Presented by HealthcareFirst
Hosted by ElevatingHOME & HHQI

Date: December 12
Time: 1:00 pm EST

Information and registration

In this webinar, ElevatingHOME and HHQI will explore how to develop hospitalization avoidance Performance Improvement Project (PIP) for your Quality Assurance & Performance Improvement (QAPI) program. This will include data collection, goals, interventions, rapid-cycle testing, spread, and sustainment. They will review several key strategies to reduce avoidable hospitalizations and emergent visits.

PDGM is on the Horizon - What Now?

Presented by Netsmart

Featuring: Chris Attaya, President, Rapid Recovery Center; AJ Peterson,Netsmart VP of Interoperability

Date: Thursday, October 25
Time: 2:00 pm EDT
Fee: None

To thrive in the regulatory climate today, it’s important to stay ahead of the changes and adjust your business model to face the challenges. That is why we invited Strategic Healthcare Programs (SHP) to share the latest updates from CMS and to review the components of the proposed Patient-Driven Groupings Model (PDGM) program.  
Using data from the SHP national database, Chris Attaya, vice president of product strategy, and Zeb Clayton, vice president of client services, will identify the expected winners and losers of the new model. They will share insights around the operational and clinical changes you need to consider to remain a vital organization. Teresa Craig, director of client strategy for Netsmart, will join the discussion to outline what you should expect from your EHR partner as you prepare for the new PDGM requirements.
Key Takeaways:
  • The latest updates from CMS and the components of the proposed PDGM model
  • Insights to help your agency prepare for a PDGM-like model
  • How to work with your EHR partner to prepare for new requirements

Webinar hosts, send your announcements to: Conferences@RowanResources.com

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