Volume 11, Number 22 August  17, 2022



Dear Healthcare at Home Colleague,

DISAPPOINTING NUMBERS!

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 3rd Quarter of 2023, web sites of the above advertisers were visited by home care and hospice executives and staff 11531 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

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

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


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: January 22-25, 2023
Venue: Ritz-Carlton, Orlando, Grande Lakes, FL

Registration Information


 

Shine Your Light
Illinois HomeCare & Hospice Council Annual Meeting and Exposition

Dates: April 9-10
Venue: NIU Naperville

Information and Registration


FREE WEBINAR: CMS’ Proposed Hospice FY2024 Payment Rule: Implications for Agencies and the Hospice Community

Sponsored by NAHC
Featuring: Theresa Forster, Katie Wehri

Date: April 11
Time: 12:00 - 1:30 EDT

Details and Registration

 

Description: In addition to routine annual payment changes, CMS proposed FY2024 Hospice Payment Rule, issued on March 31, contains valuable updates on the Hospice Quality Reporting Program (HQRP). Perhaps most notable, the rule's deep dive into utilization trends signals an intensified interest in hospice care patterns, potentially inappropriate behavior in the hospice sector, and program integrity concerns.  Join two of NAHC's hospice experts as they detail proposed changes, including a new requirement that hospice certifying physicians be Medicare enrolled (or to have validly opted-out) and CMS' Requests for Information on hospice utilization and health equity, and examine their potential impact on hospice practice going forward.

Faculty: Theresa M. Forster, NAHC VP for Hospice Policy & Programs
Katie Wehri, NAHC Director of Home Health & Hospice Regulatory Affairs


WEBINAR: Audits: What to Do

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

Date: Thursday, April 6
Time: 1:00 - 2:30 EDT

Encore date: April 13
On-demand recording available 24/7
Option to purchase recording and handouts

 

Information and Registration

 

Audio-Conference Description: Home care providers of all types; including home health agencies, private duty agencies, hospices and HME companies; remain targets of audits by various regulators, including but certainly not limited to United Program Integrity Contractors (UPICs). The results of these audits can be devastating because they may threaten the ability of providers to remain in business, especially when overpayments are extrapolated to millions of dollars. Audits of all types must be taken seriously and providers must take action to close audits as quickly as possible! The first thing providers must do is to review records requested by auditors.

The purpose of this teleconference is to give providers detailed steps to follow to avoid adverse consequences of audits. Examples of common issues targeted by auditors will be provided and there will be time for questions and answers.


Rise Above!

Michigan Home Care & Hospice Association Annual Conference

Dates: May 3-5
Venue: Grand Traverse Resort & Spa

Registration and Information

The theme for the Conference is “RISE ABOVE” a fitting recognition of the challenges our industry and each of you overcame in your personal lives and professional careers to navigate the challenges of the past three years.

The MHHA conference presents an opportunity to meet new friends and reacquaint with peers. What better place to rise above, than at the spacious and beautiful Grand Traverse Resort & Spa? This conference has a little bit for every service line and discipline. Wednesday offers a track for Volunteer Managers and Thursday offers a track for Palliative Care as well as many other sessions for Certified Home Health, Hospice, DME and Private Duty Home Care.


Home Care Innovation Forum*Presented by: The Influence Group

Dates: June 4-6
Venue: Park Hyatt Aviara 
City: 
Carlsbad, CA


Information and Registration

Featured Speakers:

Partial list of topics:


HI2: Home Care Innovation and Investment Conference *Presented by: Lincoln Healthcare Leadership

Dates: June 12-14
Venue: Swissotel 
City: 
Chicago


Information and Registration

Featured Speakers:


leading ONE vision

Homecare Homebase User Group Meeting

Dates: June 12-14
Venue: Sheraton Dallas Hotel

Information and Registration

Clinical Education Credits
Nationally recognized speakers, eight clinical sessions. Clinicians are encouraged to sign up for the clinical sessions, but are free to jump between clinical and non-clinical topics. Clinical topics include a homecare focus on Wound Care, Value Based Purchasing, Clinical Leadership, conflict resolution, Quality Report, Oasis and more.

Featured Speakers:


2032 NAHC Financial Management Conference & Exposition

Date: July 16-18
Venue: Hilton Riverside, New Orleans

Information and Registration

 

In addition to NAHC president Bill Dombi, featured speakers will include:


54th Annual Meeting: "Bring Care Home"Presented by: Texas Association for Home Care & Hospice

Dates: August 28-31
Venue: Grand Hyatt Riverwalk
City: San Antonio


Information and Registration


FREE Webinar: "The Role of the Hospice Physician in Organizational Compliance"Presented by: FEMA

Date: September 6

Time: 10:30 AM - 12:00 PM, EDT

Register here 

Collaborating with the Administration for Community Living, the Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Policy, Planning, and Innovation, and the Schoharie County, NY, Area Agency on Aging, the webinar is designed to equip organizations with strategies to ensure seamless service continuity during an emergency. 

 


 

Home and Community-Based Palliative Care: Past, Present, and Future
NAHC and HHFMA

September 28, 2023

More Information

 


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2023 NAHC Annual Meeting & Exposition *

"One Voice, Many Stories"

October 15-17
Gaylord Hotel and Conference Center
National Harbor, MD

Information and Registration

Keynote Speakers:

 


 

2023 National Home Care Conference*
Home Care Association of America

October 23-24, 2023

Hilton Chicago
Chicago, IL

More Information

 

 


Vision – Plan – Succeed: 2023 Leadership Conference

Association for Home & Hospice Care of North Carolina

October 29-31, 2023
Renaissance Hotel Ashville, NC

Information and Registration

Featured speakers:

Bill Dombi, Melinda Gaboury, Tim Rogers, Nick Seabrook, Mark Sharp, Robert Markette, Mark Kulik, and more.


Ignite Your Revenue Engine - Virtual

HomeCareSales

November 1-3, 2023

More Information


Strategic Analysis and Provider Guidance

CMS CY2024 Final Rule Cuts to Home Health

Axxess

November 9, 2023
2 PM CST

More Information


Unlocking Home Care Agency Efficiency with AI

Virtual Workshop

Automation Edge

Nov 8, 2023

11 a.m. CST

More Information


Home Health Final Rule: Clinical & Financial Strategies for Success in 2024

McBee Associates

Nov 8, 2023
1:30 - 2:30 p.m. EST
Virtual

More Information


Automating Your Compliance Process in Home Care

AxisCare and CareAcademy

Nov 8. 2023
12 p.m. CT
Virtual

More Information


2023 Annual Conference – Hybrid Hospice & Palliative Care

Hospice & Palliative Care Association of New York State

November 13-14, 2023
Albany Marriott Hotel
Albany, NY

More Information


Call for Speaker Proposals

Association for Home & Hospice Care of North Carolina (AHHC) Annual Convention and Expo

April 7-10, 2024
Raleigh Convention Center

Submit Your Proposal

The deadline to submit a proposal is November 15, 2023.

 


Understanding the CY 2024 Home Health Final Rule:

Your agency's path forward

WellSky

Nov 15, 2023
12 p.m. CST

More Information

Presented by Cindy Campbell, MHA-Healthcare Informatics, BSN, RN, COQS, CHHCM

Request for Speakers: 2024 Annual Conference

Indiana Association for Home Health Care

April 16-17, 2024

More Information

The deadline to submit proposals is November 17, 2023.

Safety Matters: Protecting Home Care Workers from Violence

National Association for Home Care & Hospice

Nov 29, 2023
3:00 - 4:00 p.m. EST

More Information


2023 Virtual Annual Conference
Virginia Association for Homecare and Hospice

Opening Date:November 15

More Information


Rapid Competency and Quality Improvement Training

CMS

November 30, 2023
1:00 p.m. EST

More Information


Safety Matters:
Protecting Home Care Workers from Violence

National Association for Home Care and Hospice

Nov 29, 2023
3 p.m. - 4 p.m. EST

More Information


Turning Lemons into Lemonade: Developing resilience in the face of change

McBee

Dec 6, 2023
1:00 p.m. EST

More Information


CRM Showcase:Empowering Reps for Smarter, More Efficient Growth

Trella Health

December 12, 2023
12 p.m. EST

More Information


Don't be Late for Section GGPrepare now for the new Discharge Function Score

NetSmart

Dec 12, 2023
2:00 p.m. EST

More Information


CRM Showcase: Empowering Reps for Smarter, More Efficient Growth

Trella Health

Dec 12, 2023
12 p.m. EST

More Information


Excavate-Tell-Affirm

Brand Leadership Summit

Revealing Genius

Dec 7-15, 2023
1 p.m. - 2 p.m. EST

More Information


RCM Success Toolkit:

Insights for RCM Leaders

NetSmart

December 14, 2023
2:00 p.m. EST

More Information


Understanding, Identifying, and Overcoming Conscious and Unconscious Bias

Home Care Pulse

Ongoing
FREE Sample Course

More Information


Home Health and Hospice Summit

HealthCare Synergy

January 10, 2024
Renaissance Hotel
Long Beach, CA

More Information


Home Care 100*

Lincoln Intelligence Group

January 21-24, 2024
The Fairmont Scottsdale Princess
Scottsdale, AZ

More Information


AGILE: Axxess Growth, Innovation and Leadership Experience*

Axxess

April 21-24, 2024
Irving Convention Center
Dallas, TX

More Information


Annual Conference & Trade Show

Michigan HomeCare & Hospice Association

May 8-9, 2024
Radisson of Kalamazoo

More Information


2024 KHCA Annual Conference

Kentucky Home Care Association

August 14-15, 2024
Embassy Suites by Hilton Lexington/UK Coldstream
Lexington, KY

More Information


Insight2024

6th Annual Forum on Coding, OASIS & Quality

McBee

Aug 5-7, 2024
Sheraton Overland Park Hotel at the Convention Center
Overland Park, Kansas

More Information


Agency Amplify

HomeCareSales

Recurring
2nd Tuesday

More Information


*The Rowan Report will see you there.


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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