Volume 6, Number 45 December  13, 2017



Dear Healthcare at Home Colleague,

Representatives from hospital, physician, and post-acute associations gathered in Washington DC this week at the intersection of healthcare and politics. It turned out to be an intersection with elevated speed limits and no traffic signals or yield signs. We'll go into more detail next week about the BRG Healthcare Leadership Congress, but imagine one panel discussion that included Obama-era CMS staffers alongside senior healthcare staffers from current Republican committees, one from the House, the other from the Senate. Then picture another panel that found David Axelrod and Karl Rove sparring from adjacent chairs about everything from the ACA to the controversial 2017 tax cut bill. When the dust settled, there was a lot to learn. We will attempt to sort through our notes by next week. BRG organizes excellent conferences. We will let you know about next year's event.

For now, we turn our attention to the next chapter in the Ohio EVV saga, to a Texas judge who administered a record-breaking prison sentence to a home health owner, and to an historic study that finally proves exactly how much home health saves payers.

In this week's news:

  • Our lead story summarizes the methodology used by the Cleveland Clinic to determine that, all told, payers save an average of $6,500 every time a hospital discharges a patient to home health instead of sending them home alone.
  • We have been advocating one EVV model over others. This week, we interview principals of a company that provides the data aggregator service that makes the best model possible. This would be a good article to share with your state Medicaid officials.
  • A Houston jury found a woman guilty of Medicare fraud after her husband had pleaded guilty to the same charges. Wait until you see the length of the sentence the judge gave the couple, in spite of the wife's health condition and little children at home.
  • Telehealth reporter Audrey Kinsella files another story from Partners Health's Connected Health Symposium. Three different keynote presentations, from totally different starting points, arrived at the same conclusion: the role of healthcare for the aging is to keep them moving, not just keep them at home, to help them age in health, not just in years.
  • As the January 13 deadline nears for compliance with the new Conditions of Participation, we are finding that software vendors are stepping up to help their customers prepare. Online webinars and in-person workshops may offer content unrelated to software support but many vendors are doing it anyway. This week we interviewed the leadership team at Change Healthcare.

We are planning one more report before taking a break for Christmas and New Year's. Let me take this opportunity to wish a Happy Hanukkah to all my Jewish readers. 

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Study Finally Proves How Much Healthcare at Home Saves Public and Private Payers
Print this article and show it to hospital and ACO executives, Managed Care Organizations, and your Congressional representatives. Mail a copy to MedPAC commissioners and CMS administrator Seema Verma. The American Journal of Medicine will soon publish results of a study conducted by the Cleveland Clinic that puts a precise dollar figure on Healthcare at Home savings to public and private payers when compared to hospitalization costs.

Statewide Single Source EVV; There Has to be A Better Way
In this exclusive interview with an EVV data aggregator service provider, we unearth more evidence to support our previously stated editorial position that state Medicaid offices must avoid naming a single vendor as the only approved path toward 21st Century CURES Act compliance.

Software Vendor Becomes More Than Software Vendor for COP Prep
Software vendors are stepping up to help their customers prepare for the new Conditions of Participation. In this segment of our series, we describe what Change Health has been doing.

Experts Outline New Care Directions: From 'Aging in Place' to 'Thriving in Motion'
One likes mobile devices, another technologies to repair molecular and cellular damage, a third the healthcare applications of artificial intelligence. What do they all have in common?

Texas Judge Gives Agency Director of Nursing 75 Years; Husband Gets 80
If you are going to commit Medicare fraud, do not do it within the jurisdiction of the U.S. Federal Court for the Southern District of Texas.

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



















During the 2nd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Total Knee Replacement, A Patient's-Eye View
Since I wrote my first article for this report in the summer of 1998, I have often written about the way you take care of total joint replacement patients. From wound care nurses and physical and occupational therapists in the field to the software vendors that help them track a patient's progress, it is safe to assume that everyone reading this page has been directly or indirectly impacted by the dramatic increase in the total number of these surgeries. Today, I find myself on the other side of the scalpel. I took detailed notes before, during, and after my own October 24 total knee replacement procedure. I trust I am not assuming too much that some readers might be interested in my experience.
 
Ohio Association Testifies Against EVV Rule
Joe Russell is the Executive Director of the Ohio Council for Home Care & Hospice. Last week, he told the Ohio Department of Medicaid that the model they chose to implement Electronic Visit Verification does not comply with federal law. We reprint his entire testimony.

As of this date, approximately 27,929,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


West Coast Payer and Provider Summit to Address Social Determinants of Health for Complex PopulationsA World Health Care Congress Executive Series Event

June 4-5

Doubletree Resort Paradise Valley
Scottsdale, AZ


Download agenda

Post Acute 360: Strategy and Solutions Conference

Presented by: Lincoln Healthcare Leadership

June 25-27
Gaylord National Resort
National Harbor, MD
Information and Registration


NAHC Financial Managers Meeting

July 15-17
Austin, TX
Information and Registration


HomeCareCon: Unleash Your Inner Super Hero

Home Care Association of Florida Annual Conference 2018

July 29-Aug. 1
Renaissance Orlando at Sea World

Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

Information and registration


Home Care Cruise

Sponsored by: HealthCare Synergy
Featuring: Melinda Gaboury, Michael Tidd, Paula Pettit
Dates: August 24-27
Location: Carnival Inspiration, Los Angeles to Ensenada, Mexico

Information and Registration

(Early Bird Pricing Ends May 15)


Hospice Financial and Administrative Management Academy

Presented by: The Health Group, LLC

Date: September 17-18
Location: Mirage Las Vegas

Information and registration


2018 National Leadership Conference *

Home Care Association of America

Date:
September 22-25
Location: Marriott Wardman Park Hotel
Washington DC

 

Information for Providers and Exhibitors


*HCTR 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
Date(s)
Hotel or Conference Center, City, State
URL

Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


FY2019 Hospice Proposed Rule: What You Need to Know

Sponsored by HEALTHCAREfirst
Featuring:
Deanna Loftus, Director of Regulatory Compliance, HEALTHCAREfirst

Date: Tuesday, June 5
Time: 2:00 pm EDT

Free Registration

On April 27, 2018, CMS issued a proposed rule that would update FY2019 Medicare wage index and payment rates for Medicare hospice agencies. The proposed rule includes changes to the hospice payment rates, updates to the Hospice Quality Reporting Program (HQRP), and more. Ms. Loftus will review the latest information regarding proposed changes and how they may affect you.


Are You Marketing to the Wrong Person?
A Different Way to Get Home Health Referrals

Presented by Healthcare Synergy
Featuring: Melinda Rodriguez, PT, DPT, MSCS, LSVT
Date: Wednesday, March 7
Time: 10:00 a.m. PST; 1:00 p.m. EST

In this Webinar, you will:
  • Learn another way to market inpatient facilities other than discharge planners, case managers or social workers.
  • Discuss the role of Home Health in the challenging healthcare environment – Short Term Home health.
  • Describe the Continuum of Care Concept in the post acute care network
  • Identify strategies to reduce risk of acute care readmission.
  • Discuss options for discharge disposition for potential skilled nursing facility candidates to decrease SNF discharge rate for inpatient rehab units.

Register



How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


Chronic Disease Education: Becoming the Partner of Choice

Presented by Curaport
Featuring:
Ginny Kenyon, RN, MN

Date: Tuesday, July 17
Time: 2:00 p.m. EDT

Fee: $79 (per attendee)
Information & Registration

*This education session is approved for one (1) contact hour of Continuing Education for Nursing


Clinical Impact of OASIS-D

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Mary St. Pierre, RN, BSN, MGA, Regulatory Consultant

Tuesday, May 1
2:00 pm EDT

Free Registration

In March 2018, CMS released the draft of the latest version of the OASIS data set, OASIS-D. Modifications are being made to OASIS in order to comply with the IMPACT Act, to reduce data collection burden, and to improve formatting throughout the document. CMS is seeking approval from the Office of Management and Budget for a January 1, 2019 implementation date. Topics:

  • Addition of six new standardized items
  • The removal of 28 OASIS questions that will no longer be assessed.
  • Modification to M1311 to support a new standardized pressure ulcer measure.
  • Addition of responses to M1028, M1311, M2102 and removal of responses to M2310.
  • Review of additional changes to OASIS

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is pending approval for one (1) contact hour of Continuing Education for Social Work from the National Association of Social Workers.

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



Managed Care Insights and Strategies for Post-Acute Partners

Presented by: Netsmart/DeVero
Wednesday, July 11
2:00 p.m. Eastern
Registration

According to a recent MedPAC report, enrollment in managed care programs grew 8% from 2016 to 2017, accounting for nearly 32% of all Medicare beneficiaries, with enrollment projected to grow even higher in 2018. With the rapid growth in managed care plans, the organizations managing these contracts are looking to narrow their network of post-acute providers, creating smaller networks of high-value preferred partners.

To help post-acute providers develop effective managed care strategies, we invited Stacey Youcis, senior vice president of service lines and population health at Lancaster General Health to discuss what they look for in an ideal post-acute partner. AJ Peterson, vice president of interoperability at Netsmart, will join the conversation to discuss technology strategies post-acute providers should consider when positioning to their managed care partners.

Key Takeaways:

  • Insights from a managed care organization
    • Current state of managed care programs
    • Ideal characteristics of a post-acute partner
    • Future of managed care programs
  • Strategies to participate in managed care
    • Understanding risk
    • Technology solutions to facilitate participation
    • Integrating into the broader ecosystem of care


The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

This education session is approved for one (1) contact hour of Continuing Education.



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

Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 5,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.