In April of this year, a two-year project came to fruition with the formation of a new National advocacy organization for the Home Health Care arena: Elevating Home. This article is an editorial perspective on this group, as well as an interview with the President & CEO of Elevating Home, Tracey Moorhead.
Aaron Little and Raymond Belles of BKD sat down with me at the NHPCO conference in Washington recently to discuss the recent happenings in the Home & Community Based Services arena.
We discuss the "pause" in the Pre-Claim Review initiative (which is a somewhat controversial part of this discussion) as well as the delay in the implementation of the new Conditions of Participation for Home Health. Raymond also discusses some of the new Alternate Payment Models that are emerging for Homecare - and what that means moving forward.
One of Curaport's favorite educators, Katie Wehri, has joined a new firm. Healthcare Provider Solutions, Inc. proudly announces the addition of Katie Wehri as Director of Operations Consulting. Katie is certified by the Health Care Compliance Association in health care privacy compliance. She has been working in the hospice, home health, private duty, and palliative care industries for 25-plus years and has held executive level positions in these arenas.
General Inpatient (GIP) care is one of the most targeted areas for fraud, abuse and waste in hospice, as targeted by the authorities, because it is one of the most misused levels of care. When a hospice patient is deemed by the interdisciplinary team to need this level of care, there are complex and serious medical issues that require greater levels of expertise and attention. Although the significant majority of hospice patients never receive this level of care, it is the most scrutinized and poorly managed.
This excellent session was led by Katie Wehri, CHPC, of Healthcare Provider Solutions. Her focus is:
Clearing up myths about how GIP should be used
Providing concrete, practical examples of how to and how NOT to use this level of care
Providing a summary of what has happened over the recent years relative to oversight activity for this level of care
CMS has made it clear that the current reimbursement models for healthcare delivery is not sustainable and is in the midst of significant change. What this means for the Post-Acute Care industry is still somewhat murky, but make no mistake – new Alternative Payment Models are coming and will impact your organization. Home Care providers can play an increasingly pivotal role in post-acute care delivery, however the key to playing this pivotal role is ensuring the entire organization has a clear understanding of what an Alternative Payment Model (APM) is and the risks associated with implementing these models.
Mark Sharp and Raymond Belles of BKD conducted this educational presentation that will enhance your organization's ability to take a proactive approach to the inevitable reality of new reimbursement models. Highlights of this session:
Over the last 30 years CMS [Center for Medicaid Medicare] has warned the health care community that Medicare as it was constructed could not survive. Because of this, there has been increased focus on service delivery options and an increasing emphasis on quality care of the chronic diseases that account for 80% of the expenses for health care insurers.
One missing link seems to be adequate aide education or lack thereof. To address this issue, Ginny Kenyon of Kenyon HomeCare Consulting presented this webinar on WHY healthcare organizations need to have Chronic Disease education at the heart of their strategic initiatives, and how they can access and implement this education to their staff and clinicians.