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Study Results Point to Caregiving Difficulties

On a recent survey of family caregivers Caring.com found caregivers are experiencing high blood pressure/hypertension (37%), arthritis (34%), high cholesterol (26%), obesity (18%), and diabetes (13%) at a pretty alarming rate. That coupled with the newest findings of financial insecurity among family caregivers really shines a light on the difficult and complex world of the […]

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U.S. House & Senate Pass Medicare Post-Acute Care Bill

The bipartisan, bicameral bill to standardize patient assessments among the four post-acute care providers, known as the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (H.R. 4994/S. 2553) passed by voice vote in both the U.S. House and Senate last week, and is now awaiting signature from the President.  If it becomes law, IMPACT […]

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NAHC Lawsuit on Face-to-Face Physician Encounter Rule Advances

According to today’s NAHC Reports, the lawsuit challenging the face-to-face rule is advancing in Federal District Court. The Department of Justice has filed a motion to dismiss with the court arguing that the court does not have the power to hear the case. The Medicare Motion to Dismiss argues that NAHC failed to exhaust all […]

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Free Hospice PEPPER Training To Be Offered

The Health Quality Institute is offering a free webinar on Thursday, October 1 to review updates in the recent PEPPER release, common questions and answers, and the new method for accessing the hospice PEPPER. The webinar will be presented by TMF Health Quality Institute educator, Kimberly Hrehor. It is not necessary to pre-register for this […]

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Health Alert: Enterovirus Affects Children in Multiple States

The CDC has issued a Heath Alert Advisory regarding Enterovirus D68 following several cluster outbreaks of severe respiratory illness.  Although there has not been a confirmed cases in New Hampshire yet, there have been more than 100 cases of Enterovirus D68 confirmed in 12 states.  The CDC believes the real number of severe respiratory illnesses […]

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So You Want to Open a Home Care Agency in New Hampshire?

Despite what many online “resources” may tell you, opening and maintaining a home care agency isn’t easy.  But what our members will tell you is, it is rewarding.  Following are some helpful links that you may need as you begin the process. These are just suggestions.  Always consult your business development lawyer to be sure […]

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Tubing Misconnections Risk Lives

Joint Commission Warns of Tube Misconnection Risk

Recently the Joint Commission issued an alert containing updated recommendations and strategies to prevent tubing misconnections as the health care field transitions to new manufacturing standards for medical tubing connectors. Developed by the International Organization for Standards, the new standards are expected to make tubing misconnections nearly impossible, but old connectors will remain in the […]

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Home Care Management Course to be Offered

SupervisionPlus, Part 1, 8-week, Online Program beginning September 8th. Creating a culture of accountability has never been more important for home care and hospice agencies.  Agency leaders are challenged to do more with less while guiding their staff to optimal productivity, higher patient and family satisfaction scores, and greater outcomes of care. Leaders, from front […]

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New Hampshire Watches Multi-State Health Care Compact

Kansas, Missouri and seven other states have signed on to a movement that would snatch regulatory authority of most of the nation’s health care insurance systems from the federal government. New Hampshire’s House of Representatives voted in 2012 to join the national Health Care Compact, but the introduced legislation has stalled in the Senate. If […]

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GAO Report Calls For Reforms to CMS Post Payment Review System

Re-posted from VNAA The Government Accountability Office (GAO) released a report calling for the Centers for Medicare and Medicaid Services (CMS) to “take actions to improve the efficiency and effectiveness of contractors’ post payment review efforts, which include providing additional oversight and guidance regarding data, duplicative reviews and contractor correspondence” with providers. The report had […]

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NH Drug Free Workplace Regulation Change

New Hampshire Law Changes Aug. 25 A new State law takes effect this month requiring all licensed health facilities, including Home Care, to have a drug-free work place policy. Home care agencies should review their current policy to assure it meets the new requirements. Need help revising your policy? The US Department of Labor has […]

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Glenda Jimmo and husband Dennis at their home in Lincoln, VT, photo by Andrew Stein

‘Improve or You’re Out’ Medicare Policy Unchanged

Glenda Jimmo has been blind since childhood because of problems related to her diabetes. A few years ago she had her leg amputated below the knee and all but one toe removed from the remaining leg. After the surgery she received rehab services from a local home care agency, paid for by Medicare– but then […]

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Court Decides Against Subsidies for Health Care Exchange

This morning the D.C. Circuit court ruled, 2-1 against the government in the case Halbig v Burwell.  The ruling effectively strikes down federal subsidies available to consumers who buy insurance in the 36 states where the exchanges are operated in whole or in part by the federal government, rather than the states.  New Hampshire has […]

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Washington Discusses Home Care Rebasing

Last Friday, Congressman Ralph Hall (R-TX) introduced the Medicare Home Health Rebasing Relief and Reassessment Act (H.R.4625). The bill would suspend the rebasing rule for 12 months and require that CMS reassess the rule and submit a report to Congress on alternative rebasing methods, including methods offered by stakeholders. This is a NAHC supported bill […]

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DOJ Focuses on Elder Abuse

Leaders in the fight against elder abuse announced a framework for tackling the highest priority challenges to elder abuse prevention and prosecution, and called on all Americans to take a stand against the serious societal problem of elder abuse, neglect and financial exploitation. Research suggests that one in 10 Americans over the age of 60 […]

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OASIS Validation Audits Cancelled

The Centers for Medicare & Medicaid Services (CMS) has suspended the Outcome and Assessment Information Set (OASIS) submission audits conducted in the New England states. CMS has instructed Strategic Health Solutions (SHS) to begin issuing record request cancellation letters to the providers from whom they have requested records. The supplemental medical review contractor, SHS, has […]

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CMS Releases Proposed 2015 PPS Changes

Centers for Medicare and Medicaid Services (CMS) posted the new proposed PPS changes that include changes for 2015 and introducing 2016 roll-out of Home Health (HH) Value-based Purchasing Model. Comment period is open from July 7 until September 2, 2014. 2015 Medicare Home Health PPS Proposal from CMS CMS has proposed eliminating the brief narrative […]

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U.S. Supreme Court

US Supreme Court Rules on Home Care Union Case

On the final day of its term, the Supreme Court ruled that thousands of home health care workers in Illinois cannot be required to pay fees that help cover the union’s costs of collective bargaining. In a 5-4 split along ideological lines, the justices said the practice violates the First Amendment rights of nonmembers who […]

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NH Ranks 32nd in Long Term Care Services

A new report issued by AARP, The Commonwealth Fund and The Scan Foundation ranks NH 32 out of 51 states for its state-level performance of long term services and supports that assists older adults, people with physical disabilities and family caregivers. The Raising Expectations report measures states across five dimensions of care: 1) affordability and […]

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NH Delegation Asks CMS to Halt Medicare Part D Implementation

New Hampshire’s entire Congressional delegation has added their voices to sign-on letters being circulated by Senators Rockefeller and Roberts (PDF) and Representatives Reed and Thompson (PDF), asking CMS to temporarily halt implementation of action that has left hospice patients without medications they need at the end of life. The National Association of Home Care, Forum […]

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