Volume 11, Number 22 August  17, 2022

Dear Healthcare at Home Colleague,


CMS plans to slash Medicare payments by more than 7 percent next year on our sector's nearly 10,000 Home Health agencies. Experts estimate that 40 percent of you will be pushed into a negative Medicare profit margin by the proposed cuts. Original Medicare profits underwrite your losses from Medicare Advantage and other insurance payers.

However, through August 12, CMS has received 158 viewable comments, and at least 64 of those, 40.5 percent, are "copy and paste" of someone else's sample comments. My friends, that is fewer than one-tenth of one percent original comments. The only logical conclusion is that most of you are content with the proposed cuts. 

Fortunately, it is not too late. The deadline for submitting your comment is August 16. Here is the link. We spoke with veteran Medicare reimbursement consultant John Reisinger, CPA, who offered us a checklist of problematic provisions in the proposed rule. Without copying and pasting them, you may use this checklist to construct your comments. As we wrote in July, "Stop what you are doing and submit a strongly worded comment to CMS about their 2023 proposed PPGM rule. Do it today."



In This Week's News

Two women made big news at the NAHC Financial Managers meeting last month. We have feature articles about each one. Note to Private Duty providers: before you let "Financial Managers" make you think this issue is all Medicare, you should know that one of these women delivered a historic presentation about research into recruiting and retaining caregivers. If you struggle with recruiting personal care workers, do not miss our report on a new study of successful recruiting and retention strategies, which was summarized by Brandi Kurtyka, CEO of MissionCare Collective, the parent company of myCNAjobs.

The NAHC meeting also featured early results from the BerryDunn "National Healthcare at Home Best Practices and Future Insights Study" presented by Lindsay Doak. We found it so important, we sat down with Lindsay after the meeting and planned out a series of video conversations with her. The first episode is available now. Lindsay has so much data to unpack, we will present it one topic at a time between now and the NAHC Annual Meeting in late October, where she will present an updated analysis of the more than 400,000 data points you and your colleagues submitted to the study.

The Office of the National Coordinator for Health IT has released important findings regarding healthcare equity. Of note, they say that one of the single greatest social determinants of health is where a patient lives. If you serve a low income, rural, or high-density population area, these insights will help inform your care planning.



New Home Telehealth Data

Cincinnati's Xavier University conducted a study of the use of remote patient monitoring and patient engagement tools with persons with disabilities. LADD, a not-for-profit healthcare organization offering services to the disabled in their homes, has been offering tools from GrandCare, makers of touchscreen-based remote monitoring/support technology. Our report on Xavier's study includes a finding that in-person visits were reduced in some cases by 75 percent without sacrificing the quality of patient care.

Worth the Trip

Be sure to put Lincoln Health Leadership's new Home Care Tech conference on your calendar for September 6-8 at the Gaylord in National Harbor, Maryland. We hope to see you there. Scroll down for information about this conference and the South Carolina Home Care and Hospice Association annual meeting at the end of this month.

Have a great week. Keep making a difference!


Editor signature
Tim Rowan

Guidelines for Submitting Comments to CMS
Excellent template from a leading Medicare reimbursement consultant to guide your comment writing before the August 16 deadline.

BerryDunn State of the Industry Survey Results Are Stunning
Lindsay Doak offered a hint at the insights the survey will present in detail in October.

Brandi Kurtyka on Recruiting
Whether in Winslow, Arizona or anywhere else, Home Care recruiters should have seven women on their minds, but they only have one. Founder of myCNAjobs explains what you are doing wrong by not recruiting all seven caregiver personas.

ONC and AHIMA: Advancing Health Equity Requires Better Data
According to a news release from the Office of the National Coordinator for Health IT, one of the single greatest social determinants of health is where a patient lives.

University Study Verifies Cost-Cutting Impact of In-Home Remote Monitoring with 24/7 Patient Support
Cincinnati non-profit serving adults with disabilities slashes cost of care in half with GrandCare Systems remote monitoring. Xavier University researchers report 75 percent reduction in in-person support hours.

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 46,717,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Shock and Awe at Homecare 100
475 attendees too stunned to applaud.

Direct Care Workers in the United States: Key Facts
PHI's most recent study of the in-home, direct care profession does not bode well for agency recruiting hopes.

Upcoming Events

2022 ONC Virtual Tech Forum 

Sponsored by: Office of the National Coordinator for Health IT

Location: Online

Dates: September 9, 16, and 23

Information and Registration

ONC has posted the high-level agenda and opened up registration for the 2022 ONC Virtual Tech Forum on HealthIT.gov. This year's event takes place during three consecutive Fridays in September (9th, 16th, 23rd). As in years past, the Tech Forum will feature industry perspectives on the progress made in health IT over the past year, and highlight how we can continue to advance health technology to improve patient care, health equity, data exchange, and interoperability.


2022 Leadership Conference: Association for Home & Hospice Care of North Carolina

Dates: September 25-27

Venue: Hotel Ballast

City: Wilmington

Register: ahhcconferences.com

20 educational sessions led by top industry experts, 30+ high caliber speakers, and over 40 exhibitors, including NAHC's Bill Dombi; David Rendall, Author; NC DHHS's Debra C. Farrington, MSW, LCSW; AHHC of NC Staff and Lobbyists; experts from ACHC; CHAP; Axxess; Wellsky; FORVIS; KATANA Safety; Cone Health; Delta Care Rx; The Joint Commission; Well Care Health; SembraCare, Inc.; SimiTree; LTSS Consulting, Inc.; Healthcare Provider Solutions; CareXM; 3HC and more!

MHCA 52nd Annual Meeting & Expo

Sponsored by: Minnesota Home Care Association

Date: October 12-14
Venue: Breezy Point Resort
City: Breezy Point, MN

Information and Registration

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!

2022 Annual Conference
New Mexico Association for Home and Hospice Care

Date: November 3
Venue: CNM Workforce Training Center
City: Albuquerque

Information and Registration


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

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 12,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.