Volume 12, Number 36 September  20, 2023

Dear Healthcare at Home Colleague,

As the healthcare worker shortage continues to threaten the quality of care we are able to provide, Home Care owners and recruiters have learned to rely on the research from PHI. After reading our summary of their latest research, you can download the entire report here. It is not all good news, but it is good news to know.

[Speaking of Home Care, what do you think of the moniker "Family-Funded Home Care" as a replacement for "Private Duty?" I heard it suggested at a recent conference, and the attendees gathered there seemed to respond positively. Is it more descriptive? Is it too many words? I would appreciate your feedback.]


Excuse the pun, but Autumn begins this week and falls are in the news, twice. We have research from the CDC about the top 10 causes of non-fatal Emergency Department visits. Accidental falls lead the list, with an occurrence rate more than three times the second-place cause. Coincidentally this month, the HHS OIG criticized Home Health agencies for failing to report more than half of the falls suffered by their patients. Scroll down to read one law firm's report on the top 10, and then guest author Elizabeth Hogue's story on the OIG complaint.

In Heather Thompson's ongoing series about AI in healthcare, she introduces us to Anthony Alcaraz, Chief AI Officer & Decision Scientist for Aldecis, and an international leader in the burgeoning AI world. His take on the impact AI will have on Business Intelligence — essentially, he says, AI will replace it — is based on extensive research.




It is becoming more and more urgent that every single Home Health owner, executive, and employee contact their Representatives and Senators about two bills making their way through Congress. If they do not hear from us, the CMS price cuts -- 9.6% -- will take effect on January 1. NAHC estimates half of all HHAs could be forced out of business. Please start your reading this week with our CMS News column.

One more entry from the bad news department. Microsoft revealed this week that they discovered a data breach that began in 2020. Heather summarizes that sad story for us. Scroll down to click on "Massive Microsoft Mistake."



From time to time, we like to let you know about important articles we found in other publications. This week, the topic is related to a guest author we reprinted in February. Wendell Potter often writes about the patient abuses perpetrated by his former industry, health insurance, which he left in 2008 out of utter frustration over his employer's moral offenses. That article, "Medicare Advantage is Neither Medicare Nor an Advantage," is available in our archives. Potter's latest volley against his former industry describes their upcoming effort to push more people onto Medicare Advantage in order to satisfy the insatiable hunger of Wall Street investors. Apparently, $40 billion in profits during the first half of 2023 was not enough for them. This new exposé, "After missing mid-year financial expectations, here are the ways big health insurers are going to get back into Wall Street's good graces" is available online. Potter's assessment is supported by a new OIG report. Click here to read "High Rates of Prior Authorization Denials by Some Plans and Limited State Oversight Raise Concerns About Access to Care in Medicaid Managed Care."

Worth the Trip

Scroll down to view important upcoming events, including an invitation to submit a proposal to speak at next spring's North Carolina association (AHHI) convention. Virginia will host a virtual convention in November, and, of course, we hope to see you at both NAHC and HCAOA in October.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

CMS News
— CALL TO ACTION: Proposed CMS Rule Would Devastate Home Health. Congress Must Hear From Us All.
— New HHS Rule Reduces Red Tape and Simplifies Medicare Savings Program Enrollment.

The Agency of the Future - "Lean Decision Intelligence" Featuring Anthony Alcaraz, Aldecis
Featuring distinguished guest author from France Anthony Alcaraz, Chief AI Officer & Decision Scientist, Aldecis, our own AI Specialist Heather Thompson dives into the evolution from Business Intelligence to Artificial Intelligence.

Accidental Falls Leading Cause of ER Visits

OIG Says Agencies Failed to Report Falls and Hospitalizations
55 percent of falls are not reported by HHAs. CMS agrees with OIG recommendations for forcing HHAs to comply.

Latest PHI Report Confirms Urgent Investment Needed in Direct Care Workforce
New research on direct care workers depicts an essential, growing workforce struggling with economic hardship. From 2021 to 2031, the direct care workforce will have 9.3 million total job openings.

Massive Microsoft Mistake Raises Questions about AI Data Security
Microsoft's privacy breach of 38 terrabytes of customer cloud data raises new questions. It took them 3 years to discover it! Is our data safe?

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:


As of this date, approximately 51,106,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

EEOC Sues Licensed Home Care Agency for Discrimination
Federal agency charges Home Care agency with removing Black and Hispanic caregivers when client expressed racial or language preference.

Breaking News: CMS Amplifies Measures Against Hospice Fraud
As of August 7, CMS has completed more than 7,000 hospice site visits in a crackdown on care and billing abuse.

Upcoming Events


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

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


November 1-3, 2023

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Strategic Analysis and Provider Guidance

CMS CY2024 Final Rule Cuts to Home Health


November 9, 2023

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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

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Automating Your Compliance Process in Home Care

AxisCare and CareAcademy

Nov 8. 2023
12 p.m. CT

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.


2023 Annual Conference – Hybrid Hospice & Palliative Care

Hospice & Palliative Care Association of New York State

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

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Understanding the CY 2024 Home Health Final Rule:

Your agency's path forward


Nov 15, 2023
12 p.m. CST

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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

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The deadline to submit proposals is November 17, 2023.

2023 Virtual Annual Conference
Virginia Association for Homecare and Hospice

Opening Date:November 15

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Rapid Competency and Quality Improvement Training


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

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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

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Safety Matters: Protecting Home Care Workers from Violence

National Association for Home Care & Hospice

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

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


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

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CRM Showcase:Empowering Reps for Smarter, More Efficient Growth

Trella Health

December 12, 2023
12 p.m. EST

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


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

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CRM Showcase: Empowering Reps for Smarter, More Efficient Growth

Trella Health

Dec 12, 2023
12 p.m. EST

More Information


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


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

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Understanding, Identifying, and Overcoming Conscious and Unconscious Bias

Home Care Pulse

FREE Sample Course

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Home Health and Hospice Summit

HealthCare Synergy

January 10, 2024
Renaissance Hotel
Long Beach, CA

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Home Care 100*

Lincoln Intelligence Group

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

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AGILE: Axxess Growth, Innovation and Leadership Experience*


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

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Annual Conference & Trade Show

Michigan HomeCare & Hospice Association

May 8-9, 2024
Radisson of Kalamazoo

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2024 KHCA Annual Conference

Kentucky Home Care Association

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

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6th Annual Forum on Coding, OASIS & Quality


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

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Agency Amplify


2nd Tuesday

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*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
Hotel or Conference Center, City, State

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