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."
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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.
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.
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!
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.
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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
Direct Care Workers in the United States: Key Facts
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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
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 ExpositionDates: April 9-10
Venue: NIU Naperville
FREE WEBINAR: CMS’ Proposed Hospice FY2024 Payment Rule: Implications for Agencies and the Hospice Community
Sponsored by NAHC
Featuring: Theresa Forster, Katie WehriDate: April 11
Details and Registration
Time: 12:00 - 1:30 EDT
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
Encore date: April 13
Time: 1:00 - 2:30 EDT
On-demand recording available 24/7
Option to purchase recording and handoutsInformation 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.
- What must providers do when reviews show deficiencies in documentation?
- When and how can providers amend or supplement records prior to submission to auditors?
- Should providers send summaries to auditors along with patient records?
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 & SpaThe 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, CAFeatured Speakers:
- Mark King, CEO, Taco Bell
- Darryl "DMC" McDaniels
- David Causby, President & CEO, Gentiva
- Susan Benoit, CEO & President, CenterWell Home Health
- Bruce Greenstein, EVP, LHC Group
- Bill Dombi, President, NAHC
Partial list of topics:
- AI-enabled Remote Patient Monitoring
- Recruitment/Retention strategies
- AI and Automation for Better Hiring
- Developing an Effective MA Strategy
- The Future of Telehealth
- Taking on Risk
HI2: Home Care Innovation and Investment Conference *Presented by: Lincoln Healthcare Leadership
Dates: June 12-14
Venue: Swissotel
City: ChicagoFeatured Speakers:
- Vin Gupta, CMO, Amazon
- Patrick Conway, MD, CEO, Care Solutions
- Kevin Ban, MD, Global CMO, Walgreens
- Andy Slavitt, Founder, Town Hall Ventures, former CMS Administrator
leading ONE vision
Homecare Homebase User Group Meeting
Dates: June 12-14
Venue: Sheraton Dallas HotelClinical 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:
- Mark Scharenbroich: Award Winning Author, Emmy Award® Winner for an ABC TV special, National Speakers Association Hall of Fame Inductee, Golden Apple and Silver Screen Film award for his movie, "The Greatest Days of Your Life…(so far)," International film festival award winner.
- David Glickman: David has been a professional speaker and entertainer for over twenty years and has presented over 2000 programs. Before transitioning from "show business" to "speech business," he worked with everyone from Steve Martin to Ellen DeGeneres and performed at private parties for singer Gloria Estefan and former President Jimmy Carter. He also appeared on "Evening At The Improv" and several other national television shows.
2032 NAHC Financial Management Conference & Exposition
Date: July 16-18
Venue: Hilton Riverside, New Orleans
In addition to NAHC president Bill Dombi, featured speakers will include:
- Brent Korte, CEO, Frontpoint Healthcare
- Dexter Braff, MBA
- Jennifer Sheets, RN
- Mike Dordick
- Susan Benoit
- Zac Long, JD, MHA
- Melinda Gaboury, COS-C
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
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
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 HHFMASeptember 28, 2023
2023 NAHC Annual Meeting & Exposition *
"One Voice, Many Stories"
October 15-17
Gaylord Hotel and Conference Center
National Harbor, MDKeynote Speakers:
- Ben Nemtin, New York Times bestselling author of "What Do You Want to Do Before You Die?"
- Summer Napier, NAHC Director of Grassroots Advocacy
- Bill Dombi, NAHC President
2023 National Home Care Conference*
Home Care Association of AmericaOctober 23-24, 2023
Hilton Chicago
Chicago, IL
Vision – Plan – Succeed: 2023 Leadership Conference
Association for Home & Hospice Care of North Carolina
October 29-31, 2023
Renaissance Hotel Ashville, NCFeatured 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
Strategic Analysis and Provider Guidance
CMS CY2024 Final Rule Cuts to Home Health
Axxess
November 9, 2023
2 PM CST
Unlocking Home Care Agency Efficiency with AI
Virtual Workshop
Automation Edge
Nov 8, 2023
11 a.m. CST
Home Health Final Rule: Clinical & Financial Strategies for Success in 2024
McBee Associates
Nov 8, 2023
1:30 - 2:30 p.m. EST
Virtual
Automating Your Compliance Process in Home Care
AxisCare and CareAcademy
Nov 8. 2023
12 p.m. CT
Virtual
2023 Annual Conference – Hybrid Hospice & Palliative Care
Hospice & Palliative Care Association of New York State
November 13-14, 2023
Albany Marriott Hotel
Albany, NY
Call for Speaker Proposals
Association for Home & Hospice Care of North Carolina (AHHC) Annual Convention and Expo
April 7-10, 2024
Raleigh Convention CenterThe 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
Presented by Cindy Campbell, MHA-Healthcare Informatics, BSN, RN, COQS, CHHCM
12 p.m. CST
Request for Speakers: 2024 Annual Conference
Indiana Association for Home Health Care
April 16-17, 2024
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
2023 Virtual Annual Conference
Virginia Association for Homecare and HospiceOpening Date:November 15
Rapid Competency and Quality Improvement Training
CMS
November 30, 2023
1:00 p.m. EST
Safety Matters:
Protecting Home Care Workers from ViolenceNational Association for Home Care and Hospice
Nov 29, 2023
3 p.m. - 4 p.m. EST
Turning Lemons into Lemonade: Developing resilience in the face of change
McBee
Dec 6, 2023
1:00 p.m. EST
CRM Showcase:Empowering Reps for Smarter, More Efficient Growth
Trella Health
December 12, 2023
12 p.m. EST
Don't be Late for Section GGPrepare now for the new Discharge Function Score
NetSmart
Dec 12, 2023
2:00 p.m. EST
CRM Showcase: Empowering Reps for Smarter, More Efficient Growth
Trella Health
Dec 12, 2023
12 p.m. EST
Excavate-Tell-Affirm
Brand Leadership Summit
Revealing Genius
Dec 7-15, 2023
1 p.m. - 2 p.m. EST
RCM Success Toolkit:
Insights for RCM Leaders
NetSmart
December 14, 2023
2:00 p.m. EST
Understanding, Identifying, and Overcoming Conscious and Unconscious Bias
Home Care Pulse
Ongoing
FREE Sample Course
Home Health and Hospice Summit
HealthCare Synergy
January 10, 2024
Renaissance Hotel
Long Beach, CA
Home Care 100*
Lincoln Intelligence Group
January 21-24, 2024
The Fairmont Scottsdale Princess
Scottsdale, AZ
AGILE: Axxess Growth, Innovation and Leadership Experience*
Axxess
April 21-24, 2024
Irving Convention Center
Dallas, TX
Annual Conference & Trade Show
Michigan HomeCare & Hospice Association
May 8-9, 2024
Radisson of Kalamazoo
2024 KHCA Annual Conference
Kentucky Home Care Association
August 14-15, 2024
Embassy Suites by Hilton Lexington/UK Coldstream
Lexington, KY
Insight2024
6th Annual Forum on Coding, OASIS & Quality
McBee
Aug 5-7, 2024
Sheraton Overland Park Hotel at the Convention Center
Overland Park, Kansas
Agency Amplify
HomeCareSales
Recurring
2nd Tuesday
*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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