Volume 9, Number 38 — July  29, 2020

Dear Healthcare at Home Colleague,

If we were to put a headline on the early results from our poll, it would be "Bad News in Store for Landlords." The poll is still open (click here) but early results show a number of you are seriously thinking about downsizing your office space to save rent, and keep some staff working from home in order to facilitate that. If you haven't already, please share your own post-pandemic plans. There are only four questions. Would you give a couple of minutes to help all readers?

In this week's news

HOME HEALTH: CMS published the proposed rule for Calendar Year 2021 and you have until August 31 to submit your comments. Guest author John Reisinger, CPA, went through the proposed rule with a fine toothed comb and offer his analysis of the changes it may bring. He targets for us specific areas of the rule that the entire industry should comment on. Preview: Get used to the term "No-Pay RAP." John's excellent analysis is below, aptly titled "It Is Time to Send CMS Your Comments on 2021 Proposed Rule."

Yes, you are tired of hearing about COVID-19, but CMS keeps sending out updates to its provisions and warnings. There are three separate announcements in this week's CMS News column, including a list of support calls the agency has scheduled for August, targeted to home health and hospice.

HOME CARE: Staff writer Darcey Trescone spoke with an innovative home care provider in New York who has improved both patient care and caregiver retention by sending his caregivers to advanced training and supplying them with a mobile app. Read about Richard Keller, President of All Metro Health Care in "Building A Stronger Direct Care Workforce Yields Better Outcomes."

Speaking of New York, the state's home care association has made headlines recently. The Home Care Association of New York State was awarded a grant from the Mother Cabrini Health Foundation to leverage Selfhelp Community Services’ "Virtual Senior Center," so that every home care provider in the state can make VSC available to their patients.

VENDOR RELEASES INDUSTRY DATA: PlayMaker Health does a quarterly deep-dive analysis of CMS claims data. The recent release of Q4 2019 data will create a benchmark against which the twin 2020 challenges of PDGM and COVID-19 can be compared. Read about the shrinking number of HHAs, growing influence of Medicare Advantage, and lengthening hospice stays in this week's Vendor Watch column.  A CRM company, PlayMaker Health's data is informative well beyond physician referral counts.

We round out this week's issue with a reprint of an appeal by the American Telemedicine Association to Congress to pass the "Protecting Access to Post-COVID-19 Telehealth Act." It is a bill to keep support for remote patient monitoring going post-COVID-19.

As we approach the dog days of summer, I hope you are taking some time for yourself. After the last seven months, you deserve it.

Have a peaceful, healthy week. Keep making a difference! (And please take a moment to take our survey.)

It Is Time to Send CMS Your Comments on 2021 Proposed Rule
Public comment period expires August 31. Home health financial advisor says, "Let's flood CMS with thoughtful comments."

Vendor Watch: PlayMaker Health Releases Q4 2019 Market Data and Growth Trends
Medicare Advantage enrollment up. Consolidation a growing factor. Hospice admissions may be impacted by Palliative Care.

CMS News: Three Major COVID Updates
— New COVID-19 Data Reveals Impact on Medicare Beneficiaries. Important to all, especially to those serving minority populations, especially Native Americans.
— Home Health QRP COVID-19 PHE Tip Sheet is Available
— COVID-19 Stakeholder Engagement Calls — July 27 to August 14

Building A Stronger Direct Care Workforce Yields Better Outcomes
New York HHA increases aide retention, improves patient care by providing aides with training and a mobile app.

ATA Urges Congress to Protect Telehealth Post-COVID
Though it does not mention home care, the ATA issued a statement pushing Congress to pass the "Protecting Access to Post-COVID-19 Telehealth Act."

State Association Expands "Virtual Senior Center" for NY Home Care Patients
Grant from Mother Cabrini Health Foundation to fund statewide technical expansion of Selfhelp's online VSC platform so home care providers statewide can offer service, connect patients.