March 13, 2024 │ Virtual
Join HCA on March 13th for the 2024 Senior Financial Managers Summit! This popular signature program will help you better understand timely and prominent finance issues affecting your bottom line as a home care provider, hospice or MLTC plan, including the OMIG’s Updated Self-Disclosure Program, Medicare Home Health Value-Based Program (HHVBP) the implications of the 2024-2025 State Budget, and much more.
Learn from expert HCA Policy staff, Department of Health officials, Medicare home health consultants, and health law attorneys to assist you in your budgeting and projections and inform you of current trends and federal and state legislation.
9:00 am – 10:00 am
HCA Policy Update
HCA Policy Staff
HCA’s policy team is a singular resource for all payment, rate and reimbursement matters affecting New York’s home care, hospice and Managed Long Term Care organizations. Our team will provide an update on the impact of the Governor’s proposed 2024‐25 Executive Budget, federal developments related to PDGM, as well as our advocacy efforts in Albany and Washington. We’ll also highlight our annual industry financial condition report, as well as discuss other state and federal legislative and regulatory activities.
10:05 – 11:15am
Medicare HHVBP Data to Drive Success
Chris Attaya, MBA, FHFMA, Vice President, Product Strategy, Strategic Healthcare Programs
Calendar Year (CY) 2023 was the first performance year for the Home Health Value Based Program (HHVBP) National Expansion. Already, the U.S. Centers for Medicare and Medicaid Services (CMS) is changing the measures for the third year of the expanded model. How are Certified Home Health Agencies (CHHAs) in New York performing this year against SHP national benchmarks? This presentation will review the measures used in the first two years of HHVBP along with insights on the finalized new measures. Mr. Attaya will share insights on how agencies are performing in CY 2023 and how agencies should be managing outcomes to be successful.
Objectives of the session include: understanding the data components and measures of HHVBP; reviewing SHP data and the changes finalized in the CY 2024 rule; and developing a strategy for success.
11:15 am -11:30 am
Stretch Break
11:30 am – 12:30 pm
Providers and Plans’ Compliance with OMIG’s Updated Medicaid Self-Disclosure Program
Elisa Nunziato, Manager, Self-Disclosure Unit, New York State Office of the Medicaid Inspector General (OMIG)
Medicaid Entities/Providers and Plans who received and identified Medicaid overpayments are required to report, return and explain those overpayments to the New York State Office of the Medicaid Inspector General (OMIG). In January, the OMIG posted updates to its Self-Disclosure Frequently Asked Questions and Guidance document. This presentation will provide an overview of the latest updates to the Self-Disclosure Program as they affect home care providers and managed care plans, and outline steps plans and providers and plans should take to be fully compliant.
12:30 pm – 1:15 pm
Lunch Break
1:15 pm – 2:15pm
Hot Topics for LHCSAs
Emina Poricanin, Esq, Poricanin Law, P.C.
Emina Poricanin, one of New York’s premier health care law attorneys, will discuss crucial issues for LHCSAs including wage parity and minimum wage requirements, Labor Law pay frequency changes, elimination of COVID sick leave, electronic visit verification, non-compete restrictions in New York State, the new joint employer and independent contractor rules, new protected categories under federal and State laws, changes to unemployment insurance notice requirements, and New York City specific employment law updates.
2:20 pm – 3:15 pm
DOH Office of Health Insurance Program (OHIP) Update on MLTC Reimbursement and 2024-25 State Budget Proposals
Daniel Carmody, Director, OHIP, Bureau of Managed Long Term Care Rate Setting
During this session, representatives from DOH’s OHIP will provide updates on the following: provisions in the 2024‐25 Executive State Budget that impact Medicaid Long Term Care (MLTC) plans and contracted home care providers; plan premium rate updates and adjustments for 2024, risk score/acuity factors, QIVAPP and the minimum wage updates.
3:15pm
HCA Closing Remarks & Adjourn