Volume 10, Number 33 March  17, 2021

Dear Healthcare at Home Colleague,

Every year, around the ides of March, the Medicare Payment Advisory Commission publishes an annual Report to Congress, with its recommendations for the next fiscal year. Commissioners almost always recommend payment increases for hospitals and doctors and decreases for home health and hospice.

Congress, on the other hand, almost always ignores MedPAC's recommendations, provided it hears from enough constituents. This year's report was just released, and it follows established tradition. Whether Congress will also follow tradition is up to you and your state and local association lobbyists. After reading the analyses by the four experts we heard from, pick a choice sentence or two and relay them to your Representative and Senators. (Try to pick the ones without the swear words.)



Stop Hiring Caregivers Who Never Show Up

A home care agency owner recently complained about all the leftover donuts when all 12 new hires failed to show up for initial caregiver training. Another told the first owner to be grateful. Her problem is even more expensive: the ones who go through orientation and training and never take a shift. We have seen estimates these people cost you over $4,000 each. Ouch!

If you would like to hear about a science-based tool that can help you avoid a number of these $4,000 losses, please join me Thursday when I interview the CEO of the company that developed and patented it. Preview: one avoided bad hire will pay for a year of using the tool; early adopters have avoided many more than just one.

Home Care Technology: The Rowan Report "Meet the CEO" Webinar Series
featuring Eric Becker, CEO, MiliMatch
Thursday, March 18
3:00 EDT - 12:00 PDT



Pay-for-Performance One Step Closer

CMMI announced a performance-based payment demonstration for physicians. Are we next? See "January 2022 - The CMS Primary Care First Model Begins!" below.

Healthcare Equality

We introduced the National Minority Health Association last month. This week, guest author Ken Accardi, CEO of new NMHA member Ankota, offers thoughts on the research he conducted before deciding to join the cause. See "An Action Plan for Health Equity in Home Care."

Nurse Calls Help Coordinate Pandemic Efforts

As a provider of patient follow-up calls to post-acute networks, Cortex worked with various state and local health agencies to provide in-bound and out-bound call support to keep the public informed of a quickly evolving situation throughout the duration of the pandemic. See "Call Support Keeps Post-Acute Care Informed of COVID-19 News," below.



Worth the Trip

KanTime invites you to a free webinar on "Key Tips for Success Regarding the Medicare Cost Report." Learn from John Reisinger, CPA, CEO of Innovative Financial Solutions for Home Health, on Wednesday, March 31, at 2:00 EDT. Scroll down to register for this and other upcoming events.

Have a great, healthy week. (I got my first shot!) Keep making a difference!

Editor signature
Tim Rowan

MedPAC Recommends Pay Cuts for Home Health, Hospice
On a 17-0 vote, the Medicare Payment Advisory Commissioners declare HHAs and Hospices make too much money. Industry reimbursement consultants baffled.

An Action Plan for Health Equity in Home Care
Guest author Ken Accardi offers some background into the need for a National Minority Health Association.

January 2022 - The CMS Primary Care First Model Begins!
With a CMMI model for primary care announced, performance-based reimbursement gets one step closer to home health.

Call Support Keeps Post-Acute Care Informed of COVID-19 News
Cortex RNs have handled nearly one-half million COVID-19 related in-bound and out-bound calls, helping with education, safety, and vaccine info.

During the 2nd Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 5944 times.

To inquire about placing your message here, contact:


As of this date, approximately 41,019,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Survey Finds Interoperability A Deal-Breaker for Referral Sources
76 percent of hospitals and physicians that refer to post acute care say they would stop referring to one agency and switch to another that had superior interoperability capabilities.

Maximize Episode Management with Evidenced-Based Wound Care
Inadequately treated pressure ulcers are the second most common legal claim against healthcare providers after a wrongful death. Darcey Trescone, RN, profiles a company battling the wound care specialist shortage with online assistance.

Upcoming Events

FREE WEBINAR: Tech Titans Join Forces to Tackle Post Acute Care Challenges

Sponsored by: KanTime

Featuring: Terra Vicario (Moderator) CMO, Viventium; Malka Trump, Director of Compliance, Viventium; Kristen Duell, EVP, KanTime; Kim Spence, RN, Customer Success Division Leader, KanTime; James Cohen, CEO & Co-Founder, Nevvon

Date: Thursday, April 22

Time: 11:00 am PDT, 2:00 pm EDT


2021, in many ways, is a continuation of challenges from 2020 and more! During this webinar, experts from companies with solutions for talent/retention and compliance issues, along with the continued challenges that COVID-19 has presented to our industry, will cover rules, regulations, and programs you need to stay on top of so your company can thrive amidst the pandemic.

Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL

Registration Information

NAHC Financial Managers 2021 Conference and Expo *

Presented by: National Association of Home Care and Hospice

Date: August 1-3

Venue: Sheraton Grand Chicago

Information and Registration

2021 Home Care and Hospice Conference and Expo *

National Association for Home Care and Hospice

Date: October 3-5
Venue: New Orleans

Sadly, this conference has had to be postponed, due to the hurricane in New Orleans and COVID situation in Louisiana.

SCHCHA 2021 Annual Conference

Presented by: South Carolina Home Care & Hospice Association

Date: October 25-26

Location: Sonesta Resort, Hilton Head Island, SC

Information and Registration

AHHC 2021 Leadership Conference

Presented by: Association for Home & Hospice Care of North Carolina

Date: November 8-9

Location: Holiday Inn Resort, Wrightsville Beach, NC

Information and Registration

Employee Owned 2021 — "Adapt / Innovate / Lead"

Presented by: The ESOP Foundation: International Employee Ownership Center

DATE: November 10-12
VENUE: Caesars Palace, Las Vegas

"Employee Owned 2021," a hybrid ESOP Conference, is built to help you adapt to the ever-changing business landscape. The pandemic, government regulations, supply chain issues, the list of obstacles to optimally running your ESOP goes on and on. We are here to help. Through insightful speakers, innovative ideas, the latest industry updates, technical content you can trust, and a focus on current events, Employee Owned 2021 will prepare you and your ESOP to march confidently into 2022.

More Information

Who Should Attend?

*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.

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."


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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