Volume 7, Number 46 December  12, 2018

Dear Healthcare at Home Colleague,

For nearly 20 years, this publication has taken the position that in-home post-acute care – including skilled home health, non-medical home care, and in-home hospice – saves public and private insurance payers more than it costs them, when total healthcare costs are included in the calculation. Still, from conference stages over the years, across microphones that always seem to be turned up just a little louder than the ones the audience uses, representatives of those payers always respond to such assertions with, "Prove it." Some claim they have data that proves the opposite.

After years of these public arguments, we were excited to read the report from a study conducted by the National Institutes of Health's National Center for Biotechnology Information. A team of physicians and statisticians followed thousands of claims for people discharged from a hospital admission after one of three common surgeries: total hip replacement, coronary bypass grafting, and colectomy. If you have ever endured an argument like the ones we have, you must read our report on this study. Click on the headline, "NIH Post-Acute Study Authors Blast CMS." In fact, you should follow the link and read the entire report. It will give you the ammunition you need the next time a payer says in-home care costs too much.

In other news: Home care attorney Elizabeth Hogue has been following the court cases that challenge CMS's right to withhold alleged overpayments during the appeals process. With a two to three year wait to bring an appeal before an Administrative Law Judge, losing contested funds in the six- or seven-figure range can be devastating. You will not believe the logic the court used in the cases Ms. Hogue explores this week. An HHA can keep the money if having CMS hold it would cause undue harm. Forcing an HHA out of business does not qualify as "undue harm." Click on "Home Health Loses Another ALJ Battle," below.

We wondered what MatrixCare will be doing now that it has been acquired by ResMed so we went to the source. Our conversation with CEO Bill Miller reveals his plans for products and how MatrixCare will prepare its customers for new Medicare payment rules. Click on our exclusive interview, below.

In October, I was invited to attend a healthcare conference hosted by Marcus Evans Events. Though the atmosphere was different from the state and national home care conferences I am used to, I was pleasantly surprised at how much I learned from executives from hospitals, rehab facilities, skilled nursing facilities, and investment banks. What was most memorable, however, was the keynote speech by former Rhode Island Congressman Patrick Kennedy. Click on "Introducing Marcus Evans Summits and Conferences" to see what I mean. The author of a number of mental health bills that he shepherded through the legislative maze to become law literally bared his soul to us while talking about his bouts with substance abuse.

Worth the trip:
New England providers (and their neighbors), put January 22-24 on your calendar. The Northeast Home Health Leadership Summit, sponsored by the state home care associations of New Jersey, New York, Massachusetts, Connecticut, Rhode Island, New Hampshire, Vermont, and Maine. The summit will be held at the Colonnade Hotel in Boston. Event website: nehomehealthsummit.com

There is still time to register for the 8th Annual Compliance Cruise. Join me, Liz Pearson, Lucian Bernard, Michael McGowan, Jim Plonsey, and Cheryl Petelkis for three days of intensive compliance consultations and presentations in the midst of a 7-day Caribbean cruise. January 13-20.

Have a great week. Keep making a difference!



Editor signature
Tim Rowan

NIH Post-Acute Study Authors Blast CMS
Researchers offer proof that post-acute care saves so much for payers that those payers should not quibble about how much post-acute care costs.

Home Health Loses Another ALJ Battle
Courts refuse to prevent CMS from recouping overpayments before ALJ hearings. Guest writer Elizabeth Hogue, Esq. has been following the effort to recover access to the Administrative Law Judge system. The latest development is not good news.

Exclusive Interview: Software CEO Looks at Post Acute Care's Future
Silver Tsunami will lead to a Silver Rush in post-acute care, says WellSky CEO Bill Miller.

Introducing Marcus Evans Summits and Conferences
Last October, former Representative Patrick Kennedy brought a group of healthcare executives to tears, then to their feet, with his courageous autobiographical keynote and appeal to concern for mental healthcare.

Ensocare and Wellpepper Streamline Patient Discharge and Engagement
Wellpepper and Ensocare join forces to improve discharge planning, post-acute placement, and patient engagement with care plans.

When you click on these ads,
you make sure HCTR continues to come to you for free.

During the 4th Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2106 times.

To inquire about placing your message here, contact:


Last Week's Most-Read Stories:
Product Review: New Mobile App Aims to Disrupt Healthcare Education Sector
Busy caregivers need education credits but rarely sit still for online courses. Startup tech company says short mobile lessons are the answer.
Have You Picked Your Poison Yet?
If you are in a targeted state, you get to choose pre-payment review, post-payment review, or a 25% penalty. Here is a way to learn about your choices.

As of this date, approximately 31,933,000 Baby Boomers have become Medicare eligible.

Notable Upcoming Conferences Free Webinars

The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration

17th Annual Northeast Home Health Leadership Summit: Playing to Win!

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

Date: January 22-24, 2019
Location: Colonnade Hotel, Boston

Information and Registration

In addition to the pre-conference and full Summit program, There will be a bonus Home Care & Hospice Special Medical Directors Meeting that coincides with the conference on January 23 from 8:30 to 10 a.m. Details.

PDGM National Summit in the Rockies *

Home Care Association of Colorado & NAHC

February 13, 2019
Hyatt Regency Aurora/Denver Conference Center
Fee Schedule:

Early bird – ends 11:59 p.m. MST Friday, January 11
Member $249, Non-Member $449

Regular Price  - ends 11:59 p.m. MST Sunday, February 10
Member $299, Non-Member $499 

Onsite – February 13 
Member $349, Non-Member $549

*Member rates apply to members of: Home Care Association of Colorado, National Association of Home Care & Hospice and participating state home care associations. 

Register now!

The Home Care Association of Colorado and the National Association of Home Care, together with state home-care associations in the region, will host a one-day conference Feb. 13 on the Centers for Medicare & Medicaid Services' Patient Directed Groupings Model. PDGM's adoption will bring significant change to home health care. This one-day regional conference on PDGM allows providers to hear from national experts on the new model, with significant time allocated to Q&A. Click here to view the schedule.

Information for Providers and Exhibitors

National CXO Summit *

Presented by Marcus Evans Events

Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information

*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


The 2019 Home Health Final Rule: Preparing for change
Your PDGM Questions Answered

Presented by WellSky

Featuring: Executive Management Consultant Sharon S. Harder and Home Health Clinical Expert Jill Dyer, BSN, RN, HCS-D, HCS-O
Date: Download on demand

Download now

Get answers to questions about the 2019 final rule and PDGM:

  • How to calculate case-mix
  • How to qualify for a rural rate
  • What does the term "budget neutral" mean
  • How will your agency be reimbursed for therapy under PDGM
  • How will LUPAs be calculated under PDGM

Dementia Webinar Series

Presented by Home Care Association of America

Featuring: Dr. Deborah Bier, PhD

Date: Thursday, January 17
Time: 1:00 pm EST
Fee: None

Dr. Bier will discuss how to create dementia behavior handling success within home care. In addition, this presentation will include ten “secrets” few in home care understand about dementia and behavior handling. Part 2 of the series is set for January 24.

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

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Home Care Technology Report is published by Rowan Consulting Associations, Inc., Colorado Springs, CO. All rights reserved. Request reprint permission by writing to editor@homecaretechreport.com.

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