Category: Publications

Document Drop: HCA Seek Fixes to Medicare Payment Reform, NPP Authorizations & Continued NY Exemption from Pre-Claim Review

HCA is seeking technical corrections that would mitigate the financial and service impact of this change for providers and beneficiaries. We also urge a piloting mechanism so that the payment reforms are tested first on a demonstration basis. These and other recommendations are included in a new HCA piece being shared with Congressional offices, titled Vital Corrections, Safeguards Needed in 2018 Home Health Payment Reform Act (see https://hca-nys.org/wp-content/uploads/2018/06/Vital-Corrections-Safeguards-Needed-in-2018-Home-Health-Payment-Reform-Act.pdf).

With the reemergence of a new pre-claim review demonstration (see the June 4 edition of The Situation Report), HCA is urging Congressional oversight to make sure that the U.S. Centers for Medicare and Medicaid Services (CMS) doesn’t repeat the problems that caused CMS to halt a prior version of the demo in the first place. (CMS suspended pre-claim review in March of last year.

The demo is not proposed for New York State, but CMS has signaled it is retaining the option to extend the demo to other states beyond those currently proposed. For background, see our new piece entitled CMS Restarts Pre-Claim Review Demo without Addressing Problems That Halted It (see https://hca-nys.org/wp-content/uploads/2018/06/CMS-Restarts-Pre-Claim-Review-Demo-Without-Addressing-Problems-that-Halted-It.pdf).

HCA is also reasserting our call for passage of the “Home Health Planning Improvement Act” (H.R.1825/S.445) which is sponsored by New York Congressman Chris Collins, cosponsored by 12 of his New York Delegation colleagues as well as 177 Members of the House and 43 Senators. The bill would allow advanced-practice clinicians to order and certify Medicare home health services, not just physicians.

Earlier this year, HCA engaged six of our CHHA members in Western New York – who collectively serve 35,000 Medicare beneficiaries in Rep. Collins’ district – to write Rep. Collins urging his work to bring this measure to the floor for a vote. HCA is sharing this joint provider letter and a related new advocacy document (see https://hca-nys.org/wp-content/uploads/2018/06/Pass-Home-Health-Planning-Improvement-Act.pdf) with the entire Delegation to push hard on this commonsense bipartisan solution, as we continue to engage with Rep. Collins and the whole New York Delegation on this issue.

Home Care, Hospice and Managed Long Term Care Financial and Program Trends 2018

HCA has prepared a 2018 report on the finance and program trends within the home care, hospice and MLTC sectors. This report is based on a statistical analysis of state-required financial documents, a survey of HCA’s membership, and other data sets. It provides aggregate data on financial margins, accounts-receivable balances, direct-care staffing vacancies and turnover rates, and other important findings within New York’s home care, hospice and MLTC sector.

 

HCA Issues Financial Condition Report, Budget Proposals

HCA has issued its annual financial condition report on New York’s home care and managed care systems, along with a set of vital proposals for consideration in the 2017-18 state budget.

These budget proposals cover the areas of home care and managed care Medicaid payment, regulations, workforce issues, and infrastructure investment.

The financial condition report is available here and the state advocacy agenda is here.

HCA Takes Aim at Federal Regs, Seeks CoP Implementation Delay

HCA this week prepared and circulated two new federal advocacy pieces targeting a series of problematic home care regulations while calling for a one-year delay in implementation of the sweeping new Home Health Conditions of Participation (CoPs).

In a new document, entitled Home Care Advocacy Ask: Regulatory Relief for Home Care Providers, HCA targets five areas of regulation that demand change, consistent with our past advocacy efforts and support garnered from Members of New York’s Congressional Delegation. Continue reading “HCA Takes Aim at Federal Regs, Seeks CoP Implementation Delay”

Briefing Papers: Federal Home Health Policy Summit and Capitol Hill Advocacy Day

The Council of State Home Care Associations is headed to Washington on July 12 and 13 for the first-ever Home Health Policy Summit and Capitol Hill Advocacy Day. The following are a series of briefing papers (in PDF format) about core issues for home care reimbursement, regulatory relief and program needs.

Share this Resource with DSRIP, VBP Leads so They Know Your Value!

HCA has prepared a special resource document that we hope all members find useful in communicating your value-proposition to DSRIP and Value-Based Payment Partners.

We wanted to make sure you saw this piece and find benefit in using it. We also invite you to put your own logo on this piece so that it is branded with your organization’s imprint. (See instructions below.)

The piece is called Don’t Reinvent the Wheel: Home Care is Already Your Hub for Community-based DSRIP and Value Based Dont Reinvent Image 2Services.

Why did HCA create this piece? For several reasons. One, we have heard from many members that Delivery System Reform Incentive Payment (DSRIP) Performing Provider Systems (PPSs) and their committees may not understand home care’s role in the system and the infrastructure you already provide.

What’s more, in some cases, these committees and potential Value Based Payment (VBP) partners appear to be considering options for duplicating home care services from within other settings – in ways that may even interfere with the jurisdictional requirements of Article 36 (an area of concern that HCA is working to address in other venues).

We encourage you to share this document at PPS committee meetings and VBP stakeholder or partnership interactions so that the committees: know more about what home care does; learn some data on home care’s success in meeting PPS and VBP outcomes goals; and understand the regulatory structure that governs home care.

When sharing this document, we also encourage you to present agency-specific data and narratives to support your organization’s successes in achieving the broader points about home care’s value-proposition.

The document can be downloaded in two PDF formats. One format is a four-page document that can be printed and stapled in standard paper size. The other format is designed for 11-by-17-inch printing, front and back, so that it can be produced as a bi-fold. (HCA is happy to assist if you have difficulty printing this piece or need HCA to mail you copies.) Links are below:

Want to co-brand?

Also, HCA is happy to work with you to include your logo on this piece so that it is a co-branded document with your organization’s imprint alongside HCA’s logo.

Please contact HCA’s Communications Director Roger Noyes if you are interested in co-branding with HCA. Just send an e-mail to rnoyes@hcanys.org and we’ll work with you to make this document as effective as possible for your purposes by inserting your logo along with HCA’s.

HCA’s “Priority Asks: Position Home Care to Meet the State’s Policy Goals”

On January 25, 2016, HCA published a two-page document outlining our “asks” of the Legislature for the 2016-17 State Budget and legislative session. The requests, in a document called “Priority Asks: Position Home Care to Meet the State’s Policy Goals,” include the need for reimbursement support and programmatic changes to support home care in a changing state health care policy environment.

Continue 3% Medicare Add-On for Home Health Services in Rural Areas

Congress should permanently extend the 3 percent Medicare rural add-on for home health services delivered in rural areas so that access to skilled home and community based care is not threatened. Congress should also closely monitor the adequacy of the Medicare home health prospective payment system (PPS) payment so that agencies can continue to provide care to Medicare Home Care Association of beneficiaries in rural areas.

HCA’s Financial Condition Report: Home Care Financial and Program Support Vital for Success of New Care-Delivery Models

HCA’s annual financial condition report is a signature publication in our state advocacy efforts. The report combines a rigorous analysis of Medicaid cost reports — which are a financial reporting instrument that home care agencies are required to submit to the state — with a survey of HCA’s members seeking their responses on financial, policy and programmatic trends in home care.

HCA’s Legislative Advocacy Agenda: Driving Health Care Improvement and Savings through Home Care 

Driving Health Care Improvement and Savings through Home Care is HCA’s 2015 State Budget policy statement where we highlight key areas of needed financial, regulatory and programmatic support for the home care system. These policies fall into several main areas:

  • The need for state officials to move promptly on home care-managed care regulatory relief and realignment measures already in the cue as part of the state’s Home Care Regulatory Workgroup process;

Continue reading “HCA’s Legislative Advocacy Agenda: Driving Health Care Improvement and Savings through Home Care “

A Report on the Fiscal Health of Home Care in New York State

HCA’s 2013 financial condition report summarizes the results of a financial analysis of the home care industry coupled with a survey of HCA’s provider members on their cost experiences with payment, regulatory and programmatic changes.