Volume 7, Number 46 August  29, 2018



Dear Healthcare at Home Colleague,

We do not often do single-topic issues, but this is an important one. Last week, CMS administrator Seema Verma published a document describing the agency's efforts to keep prescription drug prices under control, not just slowing the rate of increase but possibly even lowering them. Knowing how pricing affects the frail elderly more than any other demographic segment, and how a patient's economizing measures are often limited to dangerously stretching a 30-day prescription so it lasts 60 — with an avoidable rehospitalization as the inevitable result, it got us to wondering. What is the source of drug costs? Why are they tens or hundreds of times more expensive here than in other countries? How much control does CMS actually have over pricing, as compared to, say, Congress?

So, this issue is devoted, with a couple of exceptions, exclusively to those questions. We reprint the CMS announcement and we accompany it with the results of our research into our questions. We were surprised at what we found. While political appointees and bureaucrats in regulatory agencies certainly can make incremental adjustments, those efforts are dwarfed by the single stroke of a pen by lawmakers and executives. Our research took us back to events that occurred during the second Bush, the Obama, and the current administrations. I believe you will find it enlightening, particularly if you work with patients who cannot afford their prescriptions.

Worth the trip

I mentioned last week that I have been invited again this year to the faculty led by attorneys Lou Bernard and Liz Pearson on their 8th Annual "Compliance Cruise." I found the content compelling last year and am looking forward to learning more from them, and from the rest of the team. If regulatory compliance is near the top of your worry list, and if you are available in mid-January, and if you expect to be sick and tired of winter by then, take a look at the preliminary brochure and sign-up sheet. Come aboard and tell me you are a subscriber and I'll buy you a drink with a little umbrella in it.

Ohio readers, I hope to see you in Columbus next month at the OCHCH annual meeting, September 11-12. I will be delivering a presentation titled, "New Technologies You Haven't Heard of But Desperately Need."

To private duty providers: at the end of the month I will be demonstrating my competition-busting system that leverages the power of happy patient/family/client reviews when posted online. I'll be at the annual meeting of the Home Care Association of America, September 22-25 in Washington DC. Come to booth #209. We'll be giving away our secrets to our competition-busting system.

Upcoming webinars

You know that we promote in-person events and online educational opportunities at the bottom of this page every week, and that we rarely mention them here. But I have to make an exception this week. Curaport is hosting a reasonably-priced webinar by BKD's Aaron Little on the Review Choice Demonstration (formerly Pre-Claim Review). I've heard Aaron speak before and you probably have too. He is among the most knowledgeable and entertaining accountants I have ever met. Scroll down and check it out.

I also cannot allow this milestone to pass without calling your attention to it. ElevatingHome, the umbrella association that includes the VNAA and the Alliance for Home Health Quality Improvement, is hosting a series of webinars it is calling the "Public Policy Leadership Series." What is significant about this is that NAHC president Bill Dombi will be a panelist on the first episode, October 3. You know two things: until now, there has been a decades-long, unfortunate rivalry between NAHC and the VNAA; second, we here at HCTR have often shared our dream that one day there will be one single national association presenting our message to Congress, MedPAC, and CMS, just as there is in the behavioral health sector (thanks to the negotiating skills of the leadership team at Netsmart). Is this a step in that direction? Dream big!

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



CMS Takes Action to Lower Drug Prices
Agency is providing flexibility through private sector tools to negotiate lower prescription drug prices on behalf of beneficiaries.

Lowering Drug Prices is More Complicated Than Verma Says
CMS Administrator Seema Verma's self-congratulatory announcement only scratches the surface of the problem. We researched in some detail a crisis that will impact most home health and home care patients.



During the 2nd Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4523 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 30,778,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

Vendor Watch
— In its second alliance announcement of the summer, Maxwell Consulting forms a cooperative agreement with Gateway Coding and Consulting.
— PlayMaker Health Acquires viaDirect Solutions, Refines Brand
— Mediware acquires Rock Pond Solutions

10 Benefits of Listing Your Hospice Online
As Google replaces the Yellow Pages, you must learn how to maximize your online visibility. Guest author Roger McManus explains why, and how to do it for a tiny fraction of your marketing budget.




Upcoming Events

National Healthcare CNO/CMO/Informatics Summit

Presented by Marcus Evans Events

Date: March 18-19, 2019
Location: The Langham Huntington, Pasadena, Los Angeles, CA

The Healthcare Summits are the premium forums bringing senior level medical executives and solution providers together. The one-on-one business meetings provide access to senior medical executives within the largest healthcare organizations across the United States. A thorough selection process ensures a qualified audience, which grants unparalleled business and networking opportunities in a luxurious and stimulating environment.
Information and registration

 


2019 Omaha System International Conference: A Key to Practice, Documentation, and Information Management

Date: April 3-5, 2019
Location: Eagan, Minnesota
Fees: Pre-Conference (1 day): $165
Conference (2 days): $335
Pre-conference and Conference (all 3 days): $500

Registration and Information
The Omaha System International Conference is held every two years as a venue for those in practice, education, research, and software development to exchange experiences. There is something for everyone involved with the Omaha System, from beginners to experts to everyone in between. Joyce Sensmeier, HIMSS is the keynote speaker, and The University of Texas at Austin School of Nursing is the school host. The 2019 PDF flier includes location and registration information, speaker/planner list, agenda, exhibitors, and more.

National Healthcare CXO Summit

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information

The National Healthcare CXO Summit is the premium forum bringing senior level healthcare executives and solution providers together. As an invitation-only event, taking place behind closed doors, the Summit offers an intimate environment for a focused discussion of key new drivers shaping the healthcare industry.


WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.


Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

CMS will answer questions at the end of the webinar as time permits.

Register

Conference: Successful Home Health Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


 

WEBINAR: PDGM Preparation: Operational Strategies

Sponsored by Kornetti & Krafft Health Care Solutions & MedBridge

Date: December 5
Time: 1:00 pm EST

Information and Registration

Knowing that resources are tight as PDGM approaches, Kornetti & Krafft is offering a free overview of OASIS D1 to ensure that changes to this critical data collection instrument do not get lost in the shuffle.

What is Included:

 


Homecare 100 *January 19-22
JW Marriott Miami Turnberry Resort
Miami, FL

https://www.homecare100.com/

WEBINAR: Key Documentation Issues for 2020 & the Future

A 90-Minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney

Date: March 18
Time:
1:00 - 2:30 EDT

Encore date:
March 25; On-demand recording available


Information and Registration

Documentation remains a key requirement for home care providers as the consequences for inadequate documentation become more severe.

Gather your staff members to emphasize effective documentation yet again. Real examples of cases involving problematic documentation will be presented. Questions and case examples are welcome, and extensive handouts will be provided for use by staff members.

Recordings Available: Pandemic Recovery - Rebuild Stronger Than Ever

Texas Association for Home Care and Hospice

Two days of keynote and breakout presentations for home health and hospice providers.

Purchase Recordings

 


Free Webinar: Home Care Marketing Best Practices for Medicaid Agencies

Presented by: Ankota

Featuring: Steve "The Hurricane" Weiss

Date: June 18
Time: 12:00 EDT
Fee: Free

Register

Here are a few biographical fun-facts about Steve:


Virtual Conference: Virtual Summit on Health System Recovery from the COVID-19 Pandemic 

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

Sponsored by: Global Health Care, LLC

Featuring:

Date: June 22-25

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

All health care providers offering full-time, hands-on services to COVID patients click here to register at no cost.

All others register here by June 5 for $200 discount


Virtual Conference: ATA Annual Meeting

American Telemedicine Association

Date: June 22-26

Information and Registration


Webinar Series: Sales Training, Home Health and Hospice

Presented by: Healthcare Strategica, LLC

Featuring: Michael Ferris

1 - 8-week Hospice & Palliative Care Sales Training Course

2 - 8-week Home Health Sales Training

Rowan Report subscribers: Register with this link to receive $100 discount.

We have taken our best of class industry specific sales training bootcamps and are offering them via Webinar to enable you to continue to train your sales team in today's world of limited travel and social distancing.

The Hospice and Palliative Care course will be offered live every Tuesday starting May 19 through July 7, 2020.

The Home Health course will be offered live every Tuesday starting May 21 through July 9, 2020.

Each class will have participation exercises, homework assignments, quizzes and question and answer opportunities.

Each participant will receive their own course materials and individual coaching and feedback. At the conclusion of the course each student will receive a certificate of completion, an invitation to join the exclusive Sales Mastery Group* and opportunity to join the 52-week Sales Training Excellence Course.*

* Only available to Sales Professionals that have successfully completed the 8-week Sales Training Course – additional fees may apply.

Each session will be offered on-demand and if unable to attend the live webinar, you will be able to view the recording and participate in exercises, questions, coaching and quizzes. If you start after the first webinar date, you will be provided with access to those classes missed so that you can get caught up or you may elect to attend via the recorded sessions.


FREE WEBINAR: COVID-19 Forum: How Coronavirus is Reshaping Home Health and Hospice Financial Operations *

Sponsored by: HealthRev Partners

Moderator: Tim Rowan
Panelists:
Bobby Robertson, Chip Carroll, Holly Miller, John Reisinger, Rachel Bracken (details below)

Date: July 9
Time:
2:00 pm EDT

Register here for all three webinars in this series

Not only is the home care industry under tremendous clinical pressure, but you are also likely feeling a financial squeeze. Because of this, forward-thinking agency leaders are exploring new strategies and opportunities to remain solvent. In this webinar, our panelists will chat about ways to achieve financial success when so many are struggling. They will discuss:
Panelists:
Bobby Robertson | President & Founder, Missouri Home Hospice
Chip Carroll | Director of Strategy & Business Development, Playmaker Health
Holly Miller Chief Revenue Officer, Playmaker Health
John Reisinger | Principal, Innovative Financial Solutions for Home Health
Rachel Bracken | Vice President of Services, HealthRev Partners
Moderated by Tim Rowan | Editor, Healthcare at Home: The Rowan Report

Part III: "Agency Leadership and Operations" is set for July 23.

Virtual Conference: NAHC Financial Managers Annual Meeting

July 27-30

Register


Virtual Conference: SAGE 2020

Hosted by Honor

This is a half day, free conference that will stretch all of us to think about how we are shaping the future of elderhood. Our speakers will cover topics around innovation, technology, the evolving art of caregiving and the future of senior living. I’m very excited that we will kick off with Pulitzer Prize finalist and geriatrician Louise Aronson, author of  Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life

Date: September 1 & 2, 2020
Time: 10:00 am - 12:45 pm PST both days
Cost: Free of charge for Rowan Report subscribers
Website: https://network.joinhonor.com/sage-2020
Register
 
Free Webinar: Carpe Diem: Now is the Ideal Time to Excavate Your Brand Genius

A complimentary webinar & roundtable discussion for executive business leaders

Featuring: Mary Maloney

Date: September 11
Time: 12:00 - 12:45 EDT

Now more than ever we need leaders ready to own a new world narrative - those who are brave enough to strategically position and message their voice in the marketplace from a deeper perspective of purpose that connects directly to what lights them up (their brand genius).

Many leaders confess that they have forgotten their greatness or feel lost in a sea of sameness, amongst a fiercely competitive set. They say they struggle with what words will resonate or feel “salesy” when asked, “What do you do?”

Thanks to the pace of technology, we have less than seconds to connect, therefore, it’s no longer all about what you do for a living and the quantifiable goals you achieved;  it’s much more about what you stand for, the legacy you want to leave and building trust expeditiously with your tribe.

 If 82% of people make buying decisions based on emotion (Capgemini), what emotive messages are you sending?

This webinar will start you on your journey to deliberately make your personal brand come alive.

Register


*The Rowan Report will see you there.

Navigating the Hospice Cost Report

Sponsored by: ElevatingHOME

Date: February 19, 2019
Time: 12:00pm EST
Fee: FREE

Register Now

CMS has stated that 66% of the cost reports previously filed should not have been accepted and will now be subject to more strenuous requirements. The cost reports will be used by CMS to recalibrate and adjust the hospice daily payment rates.

Join Elevating Home for this webinar as Tom Boyd, Vice President of Reimbursable Services with Simione Healthcare Consultants discusses what is new and help participants identify and understand the requirements for the completion of the Medicare Hospice cost report.



 

The Hospice Cost Report: A Requirement & A Management Tool

Presented by: Tom Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants

Date: February 14
Time: 2:00 - 3:00 EST
Fee: FREE

Register now

Join Simione Healthcare Consultants for an overview of hospice cost reporting and ways to make sense of all the required information to support timely, accurate and affordable filing. A Simione cost report is backed by our longstanding experience with reimbursement and government reporting. Discover the difference and get the bigger picture on your hospice finances!



Interoperability for Service Providers through CMS’s EMDI Initiative

Presented by: ElevatingHOME and VNAA

Featuring: Pallavi Talekar, Project Manager, Scope Infotech, Inc.; Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.; Nandini Ganguly, Business Analyst, Scope Infotech, Inc.; Kishan Patel Business Analyst, Scope Infotech, Inc.; Briana Barnes, Project Coordinator, Scope Infotech, Inc.

Date: Tuesday, July 30
Time:
12:00 pm EDT
Fee:
Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

Representatives from the EMDI Initiative team will discuss interoperability using health IT standards, including Fast Healthcare Interoperability Resources (FHIR). Participants will learn about pilot opportunities with CMS to enhance provider workflow using three critical use cases. Participants will:


Learning Series Webinar: Million Hearts®2022 & Related Medicare-Covered Preventive Services 
CMS National Training Program

Date: February 14, 2019
Time: 1:00 - 2:30 EST
Fee: FREE

Register now

This webinar provides an overview of:

 



Security Risk Assessment Tool Overview and User Feedback Session

Presented by: CMS

Date: Wednesday July 17

Time: 1:00 pm EDT

Fee: Free

ONC and the HHS Office for Civil Rights are holding a training session and overview of the Security Risk Assessment (SRA) Tool. The tool is designed to assist small to medium providers in conducting an internal security risk assessment. This assessment will aid providers with their security risk analysis as required by the HIPAA Security Rule and the CMS EHR Incentive program. Following the webinar, participants will have the opportunity to ask questions and provide feedback.
 
Register


PDGM’s Behavioral Adjustments - What You Need to Know Now

Sponsored by eSolutions

Featuring: Karri Wright, Sr. Director, Product Management at Homecare Homebase

Date: Thursday, August 29
Time: 2:00 pm CDT
Fee: Free

REGISTER NOW

The webinar covers:



OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

* This education session is approved for one (1) contact hour of Continuing Education for Nursing.

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon request.



A QUALITY JOB: Clinical Management & Care Coordination Under PDGM

Hosted by VNAA
Sponsored by MatrixCare/Brightree
Presented by Simione Healthcare Consultants

Featuring: Laura Wilson, RN, BSN, Sr. Manager, Simione Healthcare Consultants
Date: Wednesday, September 11
Time: 12:00 pm EDT

Free Registration

PDGM is so much more than a billing change! Home health agencies preparing for payment reform need to look closely at clinical operations to make accommodations that will uphold quality, including care alternatives that add value to the equation. In this webinar, we’ll share insights based on the findings of gap analyses to help your organization make a successful transition under the new requirements. Recommended Attendees: Clinical Managers, Intake Staff, Coders / QA, Finance & Billing personnel Hosted by VNAA, sponsored by MatrixCare/Brightree, presented by Simione Healthcare Consultants



Using a Sales & Marketing Dashboard to Get Ahead of Your Competition

Presented by Curaport

Featuring: Melanie Stover, OT, MBA, Homecare Sales

Date: Wednesday, September 5
Time: 2:00 p.m. EDT
Fee: $59 (per attendee)

Information and registration

Webinar Overview
Driving patient admissions and revenue is the top priority for your sales team. Creating a system that quickly monitors production is key to keeping your agency on track for sustainable growth.

This webinar will provide your agency with 3 ways to use your dashboard to get ahead (and stay ahead!) of your competition.



Hospice compliance 2019: confronting a surprising new survey focus
Sponsored by: Wellsky
Featuring: Robert Markette, esq.
Date: March 14
Time: Noon CDT
Fee: None
Hospice providers today are confronting a new and unexpected survey focus. Hospice surveyors are increasingly focused on issues relating to hospice administration. This administrative focus includes topics such as your hospice’s corporate structure, the relationship between your hospice’s parent office and its multiple locations, and the role and job title of your administrator. Hospice providers who have been successfully operating for years are suddenly finding themselves hit with condition level citations. How will your hospice team adapt to the major survey focus of 2019? Join renowned hospice attorney Robert W. Markette of Hall, Render, Killian, Heath & Lyman, P.C. for an exclusive webinar that will prepare you and your team for the major survey focus of 2019.

Information and registration

Attend and learn:
Why a poorly drafted organizational chart can be a significant problem for your hospice
What hospice surveyors are looking for in the relationship between your hospice’s parent office and its multiple locations
Why calling your administrator something other than “administrator” could be a survey issue



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

Conference Title
Sponsoring Association
Date(s)
Hotel or Conference Center, City, State
URL



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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.

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