News

Hospice Provider Preview Reports Now Available

Participate in CHAP’s Survey

QAZ: Postponement of Public Hearings on Per Capita Cap Waiver Application

Judge blocks Medicaid work requirements in Kentucky and Arkansas

MLN Connects for 3-28-2019

It’s Nice to be Appreciated, But…

Events

Interfaith Conversations With The Dying And Bereaved

Palliative Care Program Spotlight: Reducing Hospital Readmissions

Do’s and Don’ts From the 2019 Legislative Session

Interest Items

Centene will acquire WellCare for $17.3B

Industry News Articles


News

Hospice Provider Preview Reports Now Available

Via CMS: “Hospice provider preview reports and Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey ® provider preview reports have been updated and are now available. These two separate reports are available in your Certification and Survey Provider Enhanced Reports (CASPER) non-validation reports folder. Hospice providers are encouraged to review their Hospice Item Set (HIS) quality measure results from Quarter 3, 2017 to Quarter 2, 2018 and their facility-level CAHPS® survey results from Quarter 3, 2016 to Quarter 2, 2018. 

Providers have 30-days to review their HIS and CAHPS® results (March 1, 2019 through March 31, 2019) prior to the May 2019 Hospice Compare site refresh, during which this data will be publicly displayed.  

Should a provider believe the denominator or other HIS quality metric to be inaccurate or if there are errors within the results from the CAHPS® Survey data, a provider may request CMS review. Providers must adhere to the process outlined on the Public Reporting: HIS Preview Reports and Requests for CMS Review of HIS Data webpage and the Public Reporting: CAHPS® Preview Reports and Requests for CMS Review of CAHPS® Data webpage.

For more information on how to access these reports, view the HIS Preview Report Access Instructions and the Hospice CAHPS® Provider Preview Reports Access Instructions.”

Participate in CHAP’s Survey

Via CHAP: “CHAP is gearing up to release the 2019 Hospice Standards of Excellence and we want to know more about your education needs! Please take this 5 minute survey and let us know what your needs are so we can serve you better. Specifically, the results of the survey will be used to improve customer service, product offerings, and how relevant the education content is to your needs.”

Take the survey here…

​QAZ: Postponement of Public Hearings on Per Capita Cap Waiver Application

From Sharon Steigerwalt, Contact Analyst Division of Medicaid and Health Financing: “The Division announced at the last MCAC meeting to take public comments on Utah’s Section 1115 per capita cap waiver application scheduled for April 4, 2019 4:00-6:00 PM and during the MCAC meeting on April 11, 2019 from 2:00-4:00 PM. Due to the level of effort required for this application, these meetings are temporarily postponed and will be rescheduled for May 2019.”

Judge blocks Medicaid work requirements in Kentucky and Arkansas

Via Modernhealthcare.com: ” In a big health policy setback for the Trump administration, a federal judge Wednesday invalidated the CMS approvals of Medicaid work requirement waivers in Kentucky and Arkansas, sending them back to the agency for reconsideration.
 
U.S. District Judge James Boasberg in Washington, who blocked Kentucky’s waiver approval last June, wrote that the HHS secretary exceeded his discretionary authority under the Medicaid Section 1115 waiver program in approving waivers that could lead to tens of thousands of people losing Medicaid coverage.
 
“The court cannot concur that the Medicaid Act leaves the secretary so unconstrained, nor that the states are so armed to refashion the program Congress designed in any way they choose,” he wrote in sending the Kentucky waiver back to HHS and the CMS.”  Read the rest of Harris Meyer’s article here…

MLN Connects for 3-28-2019

Read the latest news and updates from CMS and CGS in their latest MLN Connects issue here…

It’s Nice to be Appreciated, But…

From Elizabeth E. Hogue, Esq.: “The following article is about issues raised by other providers and companies that want to provide care in patients’ homes.” Read her full article here…

Events

Interfaith Discussions With The Dying and Bereaved

Get $50 off!
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Palliative Care Program Spotlight: Reducing Hospital Readmissions

Via CAPC: “In a latest episode of Program Spotlight, Dr. Bob Bergamini of Mercy in St. Louis, Missouri, joins us to share the successes and challenges of implementing palliative care across his health system.
 
Listen to the podcast to learn how palliative care rose to become a key initiative at Mercy and how the palliative care teams, including pediatric, continue to reduce hospital admissions, and implement new initiatives to improve quality of life for people living with serious illness, and their families.”  Listen to the episode here…

Do’s and Don’ts From the 2019 Legislative Session

Via UNA Rapid Reads: “Join UNA, the Utah Avalanche Center, Action Utah, and the YWCA for a panel-style discussion where we will highlight the diverse work of nonprofits regarding their public policy and advocacy efforts. Share successes, lessons learned, and discuss how nonprofits fared during the 2019 Legislative Session. You can ask questions, have meaningful conversations, and leave with a sense of purpose for next year!

Registration is Required by midnight Tuesday, April 23, 2019. 

What: 2019 Legislative Session Recap
When: Thursday, April 25, 2019   2:30-4:30 pm
Where: UNA Office at 4900 South Highland, Suite B in Salt Lake City
Cost: FREE to UNA Members*/$15 for Non-Members
Food: Light refreshments, of course!

*UNA membership applies to all staff within an organization… think of it this way, if your employer organization is a member then you are too! 
Forgot Your UNA Member Username? Click Here
Forgot Your UNA Member Password? Click Here
Need a UNA Member Login? Click Here”

Register for the 2019 Legislative Recap here…

Interest Items

Centene will acquire WellCare for $17.3B

Via Politico Pro Health Care Whiteboard by Paul Demko: “Centene is acquiring WellCare for $17.3 billion, creating a Medicaid and Obamacare powerhouse that will have 22 million members across all fifty states and combined revenue of nearly $100 billion, the companies announced today.

Centene’s bread and butter is Medicaid managed care, where it had about 14 million members at the end of last year.

But the insurer has also emerged as a major player in the Obamacare markets, with nearly 2 million members across 21 states at the start of this year — nearly one in five exchange enrollees nationwide. The company hired Kevin Counihan, who headed HealthCare.gov in the Obama administration, to oversee its individual market business, and has been consistently bullish on the struggling markets.

“We have not been distracted by ACA legal headlines,” Centene CEO Michael Neidorff said on a call with investors last month, referring to a federal judge’s ruling — now backed by the Trump administration — that the entire federal health care law is unconstitutional and must be scrapped.

“We expect to have another strong year of operations in our industry-leading marketplace business.”

Centene has grown rapidly in recent years, with its stock price more than tripling since 2014. In 2016, the company acquired Health Net, another significant Medicaid managed care plan, for $6.3 billion.

WellCare had 5.5 million members at the end of last year.”

Industry News Articles

Shared via Ellen Almond’s Home Health Media Clips 3-25-2019

Pelosi Says Democrats to Unveil `Sweeping’ Health Bill March 26  Bloomberg BNA

Why More Nurses Are Required In the Health Care Industry  Healthcare Business Today

How Younger Baby Boomers Want To Spend Their Later Years, Not Necessarily At Home  Forbes

CMS Clarifies Medicaid Home, Community-Based Services Requirements  Inside Health Policy

With the Silver Tsunami on its way, telehealth is ready for its moment  Healthcare IT News

Shared via Ellen Almond’s Home Health Media Clips 3-26-2019

OIG Requests $10 Million To Target Home and Community-Based Fraud  Inside Health Policy

CMS Attempts to Curb Fraud in the HHA Industry by Limiting HHA Reimbursement  The National Mall Review

Dems’ Bill Aims To Improve ACA; E&C To Mark Up Pieces Wednesday Inside Health Policy

UPS Is the Newest Player in Home-Based Health Care Home Health Care News

Lawmakers said home health care was important. Now it’s time for them to do something about it.  Bangor Daily News

Caregivers’ Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care  Healio

Shared via Ellen Almond’s Home Health Media Clips 3-27-2019

OIG Asks for Extra $10M, More ‘Boots on the Ground’ to Target Home- and Community-Based Fraud  Home Health Care News

House Dems Release Bill To Bolster ACA Amid DOJ Intent To Repeal  Inside Health Policy

Democrats grill Trump official on budget cuts, Obamacare move  Politico

Home Care Providers Avoid 13-Hour Rule Financial Disaster  Home Health Care News

UPS teases new venture into at-home health care, vaccinations  Philly Voice

Shared via Ellen Almond’s Home Health Media Clips 3-28-2019

More Older Adults With Joint Replacements Recover At Home, Not Rehab  Kaiser Health News

GAO: Medicare made $23 billion in payment errors in 2017  Inside Health Policy

Hospitals owning SNFs is a ‘viable strategy’ to manage care costs, researchers say  McKnight’s

Home Health Agencies Ramp Up Social Media Recruiting Efforts  Home Health Care News

Trump pressures wary Republicans to produce replacement for health-care law  Washington Post

White House, Congressional GOP at Odds Over 2020 Health-Care Message  Wall Street Journal

Shared via Ellen Almond’s Home Health Media Clips 3-29-2019

Senator Susan Collins Takes Aim at PDGM’s Behavioral Assumptions  Home Health Care News

Alexander: Goal To Have Finance, Health Bills To Lower Health Costs By June  Inside Health Policy

How `Medicare for All’ Could Mean Change for Everyone: QuickTake  Bloomberg

House Passes ACA Replacement To Senate, Senate Punts To White House  Inside Health Policy

McConnell to Trump: Health care’s all yours  Politico

Trump: Group of GOP senators writing ‘spectacular’ ObamaCare replacement  The Hill

Editorial: Nursing home patients aren’t the only ones being neglected  Modern Healthcare

Telehealth Helping to Grow the US Home Healthcare Market   Home Care Daily