Volume 11, Number 22 November  16, 2022

Dear Healthcare at Home Colleague,

Was it just me? Or did anyone else notice that the phrase "It's so good to see you in person again" was uttered more often than "Let me show you what my software can do for you?" at last month's NAHC Annual Conference and Expo? It did have an old-home-week feel after three years and two meetings canceled by Covid and a hurricane. 

But there was a lot more going on in St. Louis than the reunion.


President Bill Dombi declared that strategic planning meetings were revolutionary enough to replace "NAHC 2.0" with "NAHC 3.0" as the branding for the modernization he promised when he took over the reins five years ago. He delivered a personal history of the association to mark its 40th anniversary, highlighting his 35 years as legal counsel and the roles of Senator Claude Pepper during its founding and of Senator Susan Collins for her ongoing support. His trademark humor emerged when he promised to cancel the expo's closing gala and replace it with a study session if CMS released its 2023 Final Rule on Tuesday afternoon before the party.




In this week's edition, we take an early look at the impact 2023 reimbursement will have on HHAs large and small, with a quick peek at the payment reductions that were delayed and loom large for 2024. We also get into the details of one of the major announcements that could never have happened prior to the Dombi era, an alliance between NAHC and HCAOA.


Do not miss guest author Elizabeth Hogue's analysis of a recent court case. Apparently, some home care agencies and staffing agencies try to deal with the caregiver shortage by agreeing not to "poach" each other's workers. A veteran home care attorney, Elizabeth explains why this practice can lead to accusations of collusion and price fixing, harming workers by limiting their freedom to earn. In this court case, the organizations convicted of the crime were hit with a six-figure fine and barely avoided prison time.




Four news items came across our desk this week, most of them about mergers or at least cooperative agreements. Click on our Vendor Watch column to see what Careficient, Enclara Pharmacia, Corstrata, HARTMANN USA, Nuvance Health, Lumeon, and NTT DATA have been up to. Some of these alliances will change your mind about EMRs, telehealth, and data analysis.


You know, we enjoy adding this paragraph at the end of each newsletter, but it is November and all the important conferences are done for the year. So let me just end with a personal wish for safe travels and joyous family gatherings over the next two months. Having said that, be sure to scroll down to see updated info on Homecare 100, taking place in Orlando in January.

Have great week, and a terrific Thanksgiving holiday. Keep making a difference!

Editor signature
Tim Rowan

CMS Releases 2023 Final Rule
Good news and bad in CMS HHA final rule for 2023. We add our comments to the news.

Criminal Conviction in "No Poach" Case
One phone conversation, one email generates 6-figure fine for wage suppression collusion.

HHS Prepares for Next Pandemic; Request Public Input
White House Office of Science & Technology Policy, in partnership with the Office of the National Coordinator for Health IT, seeks input on optimizing data capture for clinical trials.

Vendor Watch
— Careficient announces pharmacy integration with & Enclara Pharmacia
— Hartmann USA and Corstrata collaborate to improve patient wound outcomes
— Nuvance Health brings new, cognitive, care-at-home program to patients
— Lumeon and NTT DATA form strategic alliance to support Hospital-To-Home programs

During the 4th Quarter of 2022, web sites of the above advertisers were visited by home care and hospice executives and staff 6586 times.

To inquire about placing your message here, contact:


As of this date, approximately 47,718,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Product Review: New AI Tool Turns Good Coders into Great Coders; Eliminates ADRs
Early adopters report 6% reimbursement increases, 16.2% improvement in co-morbidities identification, and 35% reduction in hospital readmissions. Longtime users speak of employee satisfaction and a 27% decrease in clinician turnover.

Nursing Sign-On Bonuses Reaching $30,000
Desperate healthcare systems are offering record sign-on bonuses to lure COVID-weary nurses back to work.

Upcoming Events

20th Annual Northeast Home Health Leadership Summit

Sponsored by: State Associations of Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York (HCA), New York (HCP), Rhode Island, VNAs of Vermont

Dates: January 17-19

Venue: Revere Hotel, Boston


Information and Registration

FREE WEBINAR: NAHC President Bill Dombi Shares 2023 Industry Outlook

Hosted by Mike Dordick, Netsmart

Date: January 18
Time: 2:00 - 3:00 EST

Details and Registration

(Unable to attend? Register anyway to receive the recording.)

Discussion Topics:

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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