NH House to Discuss Medicaid Expansion

On Wednesday the House will take up one of this session’s most significant pieces of legislation – whether to continue the state’s Medicaid expansion program another two years. One of the biggest hurdles supporters of the bill have to overcome on the floor this week relies on the measure’s work requirements. Under the current proposal, […]

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CMS Seeking Members for Panel for Post-Acute Quality Measures

CMS is accepting nominations until March 8 for providers to join a Technical Expert Panel (TEP) that will help develop and implement standardized post-acute care quality measures. These measures will be used to evaluate care provided in dual eligible programs, managed long-term services and supports and the Medicaid Innovation Accelerator program. The panel will assist […]

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Home Care Saves Money

A recent study by the Centers for Medicare and Medicaid Services (CMS) has affirmed what several previous studies have reported – home health care reduces hospital re-admittance rates and saves millions of dollars. Chrissy Buteas president and CEO of the home care association in New Jersey, one of the five state included in the report, […]

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Home Care Star Ratings Confusing & May Not be Useful

A recent article in underscores some of the problems with the star rating system for home care. According to the article, four home care agencies run by Brookdale Senior Living – in Florida, North Carolina, Ohio and Rhode Island – each earned five stars, the top quality score  yet none of the four earned more […]

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CMS Proposes Changes to ACOs

The Centers for Medicare & Medicaid Services (CMS) is considering changing its evaluation of accountable care organizations (ACOs) to be based on regional spending fee-for-service costs. The CMS recently filed a proposal in the Federal Register, with a focus on shifting ACO benchmarks away from looking at historical spending. The CMS also noted in the […]

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Vaughan Award Committee Seeks Nominations

EngAGING NH and the NH State Committee on Aging are pleased to announce that we are soliciting nominations for the annual Joseph D. Vaughan awards. This is a joint effort to recognize individuals or couples over the age of 60 who demonstrate outstanding leadership or meritorious achievement as volunteers on behalf of New Hampshire’s older […]

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Industry Greets New Face-to-Face Rule with Cautious Optimism

From Home Helth Care News By Kourtney Liepelt | February 1, 2016 It seems the Centers for Medicare & Medicaid Services (CMS) learned from a rocky rollout for its Medicare face-to-face rule, as it released similar regulations with several key distinctions last week for home care services covered by Medicaid. “We’re very appreciative of the […]

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A Parting Lesson from My Parents

As Andrew’s dad approached the end of his life, there were difficult choices to be made.  Read the heartfelt account of how president and chief executive officer of Blue Cross Blue Shield of Massachusetts, Andrew Dreyfus found himself on the family side of health care in his moving opinion piece “A Parting Lesson from My […]

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Integrating the Community Based Organization Into the Post-Acute Care Continuum

The Patient Protection and Affordable Care Act has prompted an environment that is encouraging non-traditional collaboration across the care continuum. In response to the need to better manage the health of a population beyond the confines of a hospital setting, healthcare providers and payers have begun to integrate the social sector into their strategic partnerships. […]

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Something in Your Christmas Stocking: CFI Retroactive Payment

NH DHHS has informed the Association that home care agencies will receive $371,775 extra in their CFI payments during the week of December 28th. This special payment is for the legislatively-mandated 5% rate increase for Choices for Independence.  It is a retroactive payment for CFI RN, HHA, homemaker and PCSP services that were provided from July […]

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NGS Releases New Presentation on Home Health Certification

The Home Health Roadshow that National Government Services hosted in Boston earlier this month received much criticism.  Many complained about confusing and conflicting information in regard to documentation for Medicare home health certification.  As a result, NGS has released a revised 66-page presentation that has been approved by CMS.  You can access this NGS presentation on […]

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Let’s Get Presidential Candidates Talking about Home Care

With the New Hampshire Presidential Primary fast approaching, candidates are swarming the Granite State. New Hampshire residents have the unique privilege of vetting our future president. There are so many opportunities to meet the candidates at town hall meetings, round table discussions and neighborhood living rooms. Let’s hear what the candidates have to say about […]

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Report Says Baby Boomer Less Healthy

A recent report from the University for Southern California’s Schaeffer Center of Health Policy and Economics says Baby Boomers will set another trend: more of them will need care for chronic conditions than any generation before them. According to the report, after the last of the baby boomers is fully eligible for Medicare, the federal […]

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MedPAC Recommends No Hospice Increase for FY2017

As expected, the Medicare Payment Advisory Commission (MedPAC) has recommended no raise next year for hospice because they believe hospice payments are too high. MedPAC staff estimate the profit margin for hospice providers in 2016 will be 7.7 percent, way too high for them (as compared with an estimated margin of 8.6 percent in 2013). […]

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CMS December 1, 2015 National Provider Call Recording

Description: This MLN Connects® National Provider Call focuses on nursing home providers, as well as transitions of care between acute and long-term settings. A physician shares approaches to effectively manage high-risk medications, and a pharmacist discusses the importance of drug regimen reviews and medication reconciliation. Additionally, CMS subject matter experts update you on the progress […]

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Changes to Hospital CoPs Impact Home Care

The Centers for Medicare and Medicaid Services (CNS) has proposed changes to the Conditions of Participation (CoPs) for hospitals that will impact home health. Under the new rules, hospitals must have “an effective” discharge planning process that focuses on the patient’s goals and which assures a smooth transition from the hospital to home health. If […]

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NAHC Appeals Labor Lawsuit Defeat

The National Association for Home Care and Hospice (NAHC) has appealed the adverse ruling in its Department of labor lawsuit regarding the “companionship services” and “live-in domestic services” overtime exemptions under the Fair Labor Standards Act. NAHC has filed a petition with the Supreme Court. In addition, there are several amicus curiae (“friends of the […]

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Probe and Educate Review for F2F, Medicare Eligibility

The Centers for Medicare and Medicaid Services (CMS) recently issued a Medlearn Matters (MLN) article SE1524 which provides further details on the ‘Probe and Educate’ Review audits it is conducting for home health agencies (HHAs). Earlier this year, CMS announced its plans to begin a ‘Probe and Educate’ strategy for reviewing Medicare home health claims […]

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CQI Member List

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