Volume 10, Number 44 November  10, 2021

Dear Healthcare at Home Colleague,

Electronic Visit Verification. Devil or angel? Time saver or annoyance? Cause of efficiencies or frustration? We have been hearing comments from Medicaid providers all over the country with strong opinions about their EVV system and its provider, including state aggregators. With the EVV mandate on the cusp of expanding to Medicare providers, we want to know what Medicaid providers and EVV tech companies think about it. What do you love about it and hate about it? What would you change if you were in charge of designing a perfect EVV system? 

To find the answers, we have put together a simple, quick survey that should take about three minutes to complete. Our survey is for both EVV customers and EVV vendors and aggregators. Would you give us those three minutes please? The survey offers many places to add comments in addition to checking a few boxes. Feel free, speak your mind. The survey does not ask your name or collect your email address, so you can be both Frank and Ernest. We will leave the Rowan Report National EVV Survey open through the Thanksgiving weekend and publish results in December. 


Our top story this week: CMS has released the final rule for Home Health Value-Based Purchasing. Lots of changes from the proposed rule. Clilck on our top headline, below.



More Good News from HRSA

Flex For Checks, the Home Care portion of the $125 million Health Resources and Services Administration grant to encourage (not mandate) COVID vaccinations has been extended through May! That means home care, home health, and hospice providers can still join the program and receive cash rewards. For every registered and confirmed shot that took place on or after July 1, the vaccinated person gets $50, the home care worker gets $25, and the agency gets $25. 




Staff Shortage

We are not going to let up on this topic, the one you consistently identify as your number one problem. Darcey Trescone offers a convincing argument for changing the wording in your job postings. Do not describe your needs, she says, quoting recruiting experts, address theirs. Be sure to read, study, print, and share Darcey's piece, "Job Postings Are Not About Your Organization's Needs Anymore." On the same topic, we reprint an extremely popular article from last January about four of your colleagues who found a technology that solved an expensive problem, hiring people who disappear after orientation and training. See "Four Home Care Agencies Solve Expensive 'Bad Hire' Problem."


Thoughts in the Aftermath of the Delta Acquisition

I may not be the only one who noticed a glaring absence in last week's announcement that AlayaCare acquired Delta Health Technologies. Keith Crownover had been at Delta since 1983 and only recently retired. He was not involved in the AlayaCare deal, or mentioned in the press release, but after 38 years, his role in the industry needs to be acknowledged. I spoke with him this week and tell his story from my personal perspective.


Do you care for Mesothelioma victims?

We found an excellent resource for clinicians. Take a look at our introduction to "Mesothelioma Hope."


Have a great week. Keep making a difference!

Editor signature
Tim Rowan

CMS News: HHVBP Final Rule
Final rule accelerates shift from volume-based incentives to quality-based incentives and advances coordination of care through Quality Reporting Programs. First performance year will be 2023. 3.2% rate increase.

Job Postings Are Not About Your Organization's Needs Anymore
Darcey Trescone explores the importance of addressing their needs more than your own when trying to attract top quality clinicians and other staff.

AlayaCare/Delta Announcement Inspires Memory Lane Trip
Last week's acquisition announcement centered on the future, but Keith Crownover's 40 years at Delta cannot be allowed to end quietly. Editor Tim Rowan shares some personal memories.

Mesothelioma Resource Offers Help to Home Health
Do you treat patients with Mesothelioma? A new resource offers a great deal of help.

Four Home Care Agencies Solve Expensive "Bad Hire" Problem
What does it cost when a new caregiver disappears after orientation and training, never taking a first shift? How often does it happen? One franchise organization has found a way to lower this risk, saving $4,500 or more every time a bad hire is avoided.

2022 Physician Fee Schedule Changes
Physician fee schedule changes are important to Home Health and Hospice providers because they affect referral sources and patients.

During the 2nd Quarter of 2022, web sites of the above advertisers were visited by home care and hospice executives and staff 4119 times.

To inquire about placing your message here, contact:


As of this date, approximately 43,637,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

AlayaCare Acquires Delta Health Technologies
Surprise acquisition signals Private Pay Home Care software company's move into Medicare Home Health and Hospice.

Pamphlet Promotes A Way for Hospitals to Compete with Home Health
New guidebook for hospitals promotes an Ohio program that sends hospital staff to homes, post-discharge, bypassing HHAs, Home Care, and Hospices. "Hospital at Home" is not "Hospital to Home."

Upcoming Events

FREE WEBINAR: Admit more Patients & Stop Nursing Burnout!

Presented by: OperaCare

Date: November 10

Time: 1:00 pm EST; 10:00 PST

Information and Registration

The nursing shortage is getting much worse and will most likely impact your business if it has not already.
During this event we will demonstrate how to complete an entire OASIS in approx. 60 minutes or less. This includes ICD-10 coding, entry and revision of medication’s, all the OASIS items, and Quality Assurance while the nurse is with the patient in the home.

The result: Eliminating 100% of after-hours documentation, increasing clinical productivity, and reducing your labor costs.

The Benefit: The ability to significantly increase your recruitment and retention efforts by providing your clinicians with a sane and humane work life balance.

Important Final Rule Discoveries Every Agency Needs to Know: Examining HH PPS for CY2022

Presented by: HealthRevPartners

Featuring: John Reisinger, CPA

DATE: November 18

TIME: 2:00 - 3:00 EST

VENUE: Online


Register Here

One of the major changes in CMS’ final rule for the Home Health Prospective Payment System announced is this — ???2022 will be a "pre-implementation year for the HHVBP, which was originally scheduled to begin in January.

Learn exactly what you need to do in 2022 for HHVBP.

Additionally, we will cover these final rule changes and more:

And, do you know how much your Medicare revenues are projected to change?

There will be a 3.2% increase ($570 million) in home health spending for CY2022.


FREE WEBINARS: "Best of Home Care Heroes" Series 

Sponsored by: Ankota

Featuring: Steve "The Hurricane" Weiss, Ophelia Cole, Barbara Gaines, Cheryl Hammons, others

Dates: Ongoing


Contact Ankota directly about two special offers: a free trial of a staffed, live-chat solution for your website, and a discount to Steve Weiss' "Mililonaire Bootcamp."


*The Rowan Report will see you there.

FREE WEBINAR: New, Science-Based Methodology Reduces Cost of Recruitment and Retention

Presented by: The Rowan Report

Featuring: Eric Becker, CEO, MiliMatch

Date: Thursday, March 18

Time: 3:00 pm EST; Noon PST

Recorded version available.



Every time a home care agency hires and trains a new caregiver, it invests about $4,500, which is wasted if that new hire does not work out, often before working a first shift. MiliMatch CEO Eric Becker will explain the company's patented product/service, based on the science of Applied Cognitive Linguistics, which has been proven to help home care agencies avoid those costly bad hires.

2022 Rocky Mountain Home Care, Home Health & Hospice Conference *Presented by: Home Care Association of Colorado

Dates: May 5-6
Venue: Keystone Resort & Conference Center, Keystone, CO

Information and Registration

FREE WEBINAR: Combat the Great Resignation and Reduce Employee Turnover by 40%

Presented by: National Minority Health Association

Date: Tuesday, May 24

Time: 10:00 AM Pacific; 1:00 PM Eastern 

Information and Registration


As organizations plan for the future, they must cultivate a happier, healthier workforce. Most CEOs, CFOs, HR professionals, and other business leaders are eager to know the true impact of financial wellness. We are gathering to discuss and explore how prioritizing employee financial wellness can help increase caregiver retention and productivity at no cost to your businesses.


Gulf Coast Regional Conference & Exposition

Presented by: Home Care Associations of Louisiana, Mississippi, and Alabama

Date: July 18-20

Venue: Grand Hotel Marriott Resort

Location: Point Clear, Alabama

Information and Registration

2022 NAHC Financial Management Conference & Exposition *

Date: July 24-26
Venue: Caesar's Palace, Las Vegas

Information and Registration


Register for the in-person conference - starting at $750 for NAHC members or $1,025 for non-members - or for the digital only content - $400 for members and $600 for non-members. If you register for the in-person conference, you'll get access to all of the digital content.

Home Care Tech Expo *

Presented by: Lincoln Healthcare Leadership

Date: September 6-8, 2022
Venue: Gaylord National Harbor Maryland

Registration Information

2022 NAHC Annual Meeting & Exposition *

"Connection 4.0: Linkup"

Date: October 23-25
Venue: America's Center Convention Complex
Location: St. Louis, MO

Information and Registration

This year, we want to celebrate one of the most meaningful touchstones of our industry — connection. At the Home Care and Hospice Conference and Expo, we'll explore ideas around connection and community to help attendees reach their stakeholders in authentic and meaningful ways.

New technology, workforce developments, and the importance of high standards in quality care continue to push our community of clinicians and providers to revamp their strategies and skill sets. This event is the meeting point for you to uncover groundbreaking ideas, discover new interests, and network with industry pros.

Meet us in St. Louis, Missouri, once known as the "Gateway to the West." So, it is perfectly centered to make those connections even easier for members and attendees from all ends of the U.S. We look forward to linking up with you this October!

Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: January 22-25, 2023
Venue: Ritz-Carlton, Orlando, Grande Lakes, FL

Registration Information

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

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

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