National Healthcare at Home Best Practices and Future Insights Study

The National Association for Home Care & Hospice (NAHC) is pleased to sponsor the National Healthcare at Home Best Practices and Future Insights Study and we encourage all relevant stakeholders to read the report carefully. over 1,000 agency sites represented, and we had the largest and most comprehensive study in the history of home care and hospice to date.  And now NAHC members can access the complimentary study report.

Download the report to gain perspective on best practices for:

  • Operational, clinical, and financial processes
  • Staffing recruitment and retention
  • Technology
  • Palliative Care
  • And much more!

Co-sponsors joining NAHC in sponsoring the study include National Hospice and Palliative Care Organization (NHPCO), NAHC Forum of State Associations, LeadingAge, Home Care Association of America (HCAOA), and Council of State Home Care Associations.   The study was conducted by BerryDunn, with AlayaCare and HealthPivots as technology and data partners.

Participate in the Home Care Salary & Benefits Studies

Hospital & Healthcare Compensation Service (HCS) announced the 2022‑2023 Home Care and Hospice Salary & Benefits studies are now underway.  The studies are published by HCS in cooperation with the National Association for Home Care & Hospice (NAHC).

The Reports are recognized as the authoritative source for comprehensive marketplace data for home health + hospice agencies. Last year’s Home Care Report contained data from 1,011 home health agencies. The Hospice Report had data from 734 hospice agencies.

New to both studies–Questions on staffing issues, nursing vacancy + turnover rates, and how sign-on bonuses are being used by agencies to attract new employees. The results cover job data by salary, hourly, and per visit rates with job data breakouts by auspice, revenue size, region, state, and CBSA. Regional data for 21 fringe benefits, planned salary increases, productivity, caseload, and shift differential data are also covered.

Directions to Participate in the HCS Home Care or Hospice Salary & Benefits Study:

  1. Download the questionnaire from the HCS website: https://www.hhcsinc.com
  2. Select either the single site or multi-site questionnaire for the Home Care or Hospice study
  3. Email Rosanne Zabka, HCSRZabka@hhcsinc.com to confirm your planned participation
  4. Email your completed questionnaire to HCS by August 8th

There is no cost to participate.  Participants save over 50% off the Report price.

Participant Pricing Home Care Hospice
Prepaid Price (due by 8/31/21) $185 $160
Billed Price $205 $180
Non-participant price $375 $325

As always, all individual data will be kept strictly confidential.  Study results are reported as aggregated percentiles per job–No information will be released to any person or organization which will identify individual participants.

The Home Care results cover marketplace data for 59 jobs; the Hospice results cover 62 jobs.  The 32nd annual Home Care Report will be published in October; the 31st annual Hospice Report will be published in November. HCS, founded in 1971, is recognized as the leader in national healthcare salary and benefits research.

The Private Duty Benefits of NAHC Membership

As a member of NAHC, you already know that membership has its privileges. From complimentary webinars to up-to-the-minute news announcements related to our industry, NAHC prides itself on bringing the very best in class to our members. But, are you aware of all of the benefits available for NAHC’s Private Duty members? Here’s a look:

  1. Expert advice and regulatory guidance just a phone call or email away;
  2. Policy advocates fighting on your behalf year-round before agencies like the Department of Labor, the IRS, and Health & Human Services;
  3. The opportunity to participate in NAHC’s Private Duty Home Care Certification program, the only national certification created by private duty leaders, exclusively for the private duty community;
  4. Inclusion in the NAHC Communities, our online vibrant and respected community of home care, home health and hospice professionals that allows for networking, sharing of information and best practices, plus up-to-the-minute updates about news that affects your business. Sign up to be part of one or all!
  5. World-class educational programming offered free or at the lowest cost to members, including our Annual Conference and Expo, held each fall, the Financial Managers’ Conference each summer and the Private Duty at NAHC Leadership Summits in the spring, along with various meetings, workshops and webinars year-round;
  6. Exposure to potential referrals via an Enhanced Listing on our Agency Locator, an online searchable database used by consumers;
  7. Subscription to the Private Duty Source, a members-only newsletter delivering weekly updates on the latest news affecting private pay home care;
  8. Two complimentary job postings per month on the NAHC Home Care & Hospice Career Center;
  9. Tools and resources, including model forms, policies and procedures, and other documents, plus links to various States’ regulatory websites and State Associations;
  10. Exclusive discounts on products and services through NAHC affinity partnerships, including savings on translation services, insurance, and more, in the Business Partner Marketplace; and,
  11. Demonstrate your integrity and commitment to the home care industry on your website and in marketing materials with the NAHC member seal.

Have questions or thoughts about other benefits you’d like to see? Contact Kristen Wheeler, Executive Director of Private Duty Home Care at NAHC, at kwheeler@nahc.org or (305) 849-1300.

FMC 2022 is for Thought Leaders and Innovators – People Like You!

“FMC is my favorite conference I attend all year. The NAHC staff does a fantastic job of running the 2.5-day program and the quality of the home health and hospice sessions are terrific. I would highly recommend any home health or hospice financial manager to attend this event! And the locations of the events are always Top Notch!”
Patrick Conole, Vice President of Finance & Management, Home Care Association of NYS

The 2022 Financial Management Conference from July 24-26 at Caesars Palace in Las Vegas, Nevada is going to be one of the best and most important industry events of the year. Excitement is running high for the conference, as demonstrated by the fact that every booth in the Expo has been sold! (Contact Christopher Adams at CTA@nahc.org if you’re interested in sponsorships or exhibiting at the Home Care and Hospice Conference and Expo in October.) The most important companies, innovators and thought leaders will be at FMC. If you fit that description, you should be at FMC. Register now to save money over on-site registration.

FMC is essential to those that manage, supervise, or collaborate with the financial arm of your organization. Attendees will walk away with new ideas, connections, and opportunities.

One of the best reasons to attend FMC every year are the general sessions, which feature a strong mix of legal, policy, and market information and analysis, along with insights from industry professionals and experts who have been ahead of the curve for decades. These sessions are when you get the big picture, as well as your specific questions answered by some of the smartest and most informed people in home care and hospice.

Washington Update: Congress, Regulators, Policymakers, and the Marketplace Landscape

Health care continues its bewildering spin under the pressures of COVID-19, workforce shortages, and cost inflation. At the same time, the accelerated learning triggered by the pandemic continues to provide new opportunities for the expansion and refinement for health care at home. No longer is the continuum of care a set of steps based on care setting as acute, pre- and post-acute, and end-of-life care are all now provided in the home setting.

This annual FMC opening general session brings attendees up-to-the-minute information on advocacy priorities, legislative and regulatory updates, and a forecast for upcoming action. The topics this year include PDGM in home health services, VBID and increased oversight activity in hospice, and workforce stresses in all care at home settings, as well as a multitude of opportunities and threats along the care spectrum.

This year, the session also includes a deep look at the national survey results from an unprecedented, unified collaborative in home care. You will not want to miss a minute of this program.

Home Care and Hospice Leadership Panel: A Practical View from Outside of Washington

One of the most popular events at FMC, the leadership panel, brings together a diverse group of leaders in health care, including providers of health care at home, managed care organizations, and investors, to explore the most pressing issues of the day. These business and thought leaders bring deep experiences and insights on the direction of health care and the place of health care at home.

There is a notable expansion of health care services in the home setting, combining patient-centered, holistic care approaches with advances in technologies and a new recognition of the value of care at home. growing opportunities for health care at home. While the pandemic may have accelerated the movement to the home, it is not the root cause, as these developments have been underway for years. Are they within our grasp today? The panel will provide their views on where we are headed in the broadening world of health care at home.

Panelists include Kenneth Albert, Marcylle Combs, Mary Myers, Billy Simione, and Rod Windley.

Financial Management Open Forum

The Open Forum is your chance to discuss your ideas and concerns with HHFMA experts and conference attendees. No subject within our world of health care at home is off limits! The 2022 Open Forum will focus on topics like changes within the home care community business landscape and workforce challenges. Anything else of interest to attendees is also fair game. Bring your ideas, concerns, advice, thought leadership to this special closing program.

FMC is centered on delivering value to your organization, focusing on efficiency, budgeting, benchmarking, operations, ROI, and more. Comprehensive educational sessions will cover the industry’s most pressing topics and issues, so you’ll leave equipped to contribute to your organization immediately. We’re bringing you the best experts and practitioners in the industry to present you with new insights that will answer your burning questions

This event is an investment for you and your organization. Make those valuable connections needed to take your career and organization to the next level.

We look forward to seeing you in Las Vegas this July!

What About Private Duty/Homecare Services and Fraud?

Written by Elizabeth E. Hogue, Esq. and presented here with the authors permission.

There seems to be a myth among providers of private duty or homecare services that the federal anti-kickback statute applies to Medicare certified providers only. On the contrary, the anti-kickback statute applies to providers who receive funds from any state or federal healthcare program; including the Medicaid Program, VA, TRICARE, etc. Private duty providers: This means many of you!

Four companies in Pennsylvania, for example, contracted with the Medicaid Program to provide services to qualified recipients, including personal assistance services (PAS), coordination of services and non-medical transportation, among others. Between January, 2011, and April, 2017, the companies received more than $87M in payments from the Medicaid Program. PAS payments accounted for more than $80M of this amount.  Sixteen defendants in this case admitted to participation in a wide-ranging conspiracy to defraud the Medicaid Program to obtain millions of dollars in illegal payments through submission of claims for services that were never provided or for which there was insufficient or fabricated documentation to support claims submitted.

The defendants engaged in a number of fraudulent activities, including fabrication of time sheets to reflect the provision of care that was never provided to recipients. Participants in the conspiracy also paid kickbacks to recipients in exchange for their participation in fraudulent activities, including to the son-in-law of an owner. Claims were also submitted for services allegedly provided by “ghost” employees of the companies. Some of the defendants also admitted that they submitted claims for so-called “unused” hours, i.e., excess hours of care that recipients had not needed.

Finally, defendants admitted during the course of audits of the companies that they directed the fabrication of various documents for submission to state authorities in an effort to conceal fraudulent conduct. Fabricated documents included time sheets required by the PAS program, criminal history checks, child abuse clearance forms and required consumer affidavits.

Defendants were required to pay approximately $54 million in restitution.

Fraud and abuse enforcers have repeatedly urged and, in some cases required, private duty providers to develop internal compliance programs. How do compliance programs help providers avoid enforcement action?

First, as a practical matter, when providers establish and maintain Compliance Programs, they discourage regulators from pursuing allegations of fraud and abuse violations. Technically speaking, the Federal Sentencing Guidelines make it clear that establishment and implementation of Compliance Programs is considered to be a mitigating factor. That is, if accusations of criminal conduct are made, the consequences may be substantially less severe as a result of a properly implemented Compliance Plans.

Providers with Compliance Plans are more likely to avoid fraud and abuse. This is because Plans routinely establish an obligation on the part of employees to prevent fraud and abuse. Compliance Plans also make it clear that employees have an obligation to bring any potential fraud and abuse issues to the attention of their employers first.

Compliance Plans may also help to prevent qui tam, or so-called “whistleblower” lawsuits by private individuals who believe that they have identified instances of fraud and abuse. There are significant incentives to bring these legal actions since “whistleblowers” receive a share of monies recovered as a result of their efforts. Some whistleblowers have received millions of dollars.

Finally, the Deficit Reduction Act (DRA) requires providers who receive more than $5 million from Medicaid Programs per year to implement policies and procedures, provide education to employees, and put information in their employee handbooks about fraud and abuse compliance. These requirements can be met through implementation of a Fraud and Abuse Compliance Program.

In view of the above, providers of private duty services should implement and maintain effective compliance plans.

©2022 Elizabeth E. Hogue, Esq. All rights reserved.

No portion of this material may be reproduced in any form without the advance written permission of the author.

National Healthcare at Home Best Practices and Future Insights Study

The National Association for Home Care & Hospice (NAHC) is pleased to sponsor the National Healthcare at Home Best Practices and Future Insights Study and we encourage all relevant stakeholders to read the report carefully. over 1,000 agency sites represented, and we had the largest and most comprehensive study in the history of home care and hospice to date.  And now NAHC members can access the complimentary study report.

Download the report to gain perspective on best practices for:

  • Operational, clinical, and financial processes
  • Staffing recruitment and retention
  • Technology
  • Palliative Care
  • And much more!

Co-sponsors joining NAHC in sponsoring the study include National Hospice and Palliative Care Organization (NHPCO), NAHC Forum of State Associations, LeadingAge, Home Care Association of America (HCAOA), and Council of State Home Care Associations.   The study was conducted by BerryDunn, with AlayaCare and HealthPivots as technology and data partners.

Participate in the Home Care Salary & Benefits Studies

Hospital & Healthcare Compensation Service (HCS) announced the 2022‑2023 Home Care and Hospice Salary & Benefits studies are now underway.  The studies are published by HCS in cooperation with the National Association for Home Care & Hospice (NAHC).

The Reports are recognized as the authoritative source for comprehensive marketplace data for home health + hospice agencies. Last year’s Home Care Report contained data from 1,011 home health agencies. The Hospice Report had data from 734 hospice agencies.

New to both studies–Questions on staffing issues, nursing vacancy + turnover rates, and how sign-on bonuses are being used by agencies to attract new employees. The results cover job data by salary, hourly, and per visit rates with job data breakouts by auspice, revenue size, region, state, and CBSA. Regional data for 21 fringe benefits, planned salary increases, productivity, caseload, and shift differential data are also covered.

Directions to Participate in the HCS Home Care or Hospice Salary & Benefits Study:

  1. Download the questionnaire from the HCS website: https://www.hhcsinc.com
  2. Select either the single site or multi-site questionnaire for the Home Care or Hospice study
  3. Email Rosanne Zabka, HCSRZabka@hhcsinc.com to confirm your planned participation
  4. Email your completed questionnaire to HCS by August 8th

There is no cost to participate.  Participants save over 50% off the Report price.

Participant Pricing Home Care Hospice
Prepaid Price (due by 8/31/21) $185 $160
Billed Price $205 $180
Non-participant price $375 $325

As always, all individual data will be kept strictly confidential.  Study results are reported as aggregated percentiles per job–No information will be released to any person or organization which will identify individual participants.

The Home Care results cover marketplace data for 59 jobs; the Hospice results cover 62 jobs.  The 32nd annual Home Care Report will be published in October; the 31st annual Hospice Report will be published in November. HCS, founded in 1971, is recognized as the leader in national healthcare salary and benefits research.

You Didn’t Get Where You Are By Missing Deadlines

“FMC is THE conference to ensure I am keeping up to date on the details – finance, regulatory compliance, innovation, and networking. This conference supplies the meat and substance of the industry. Always valuable!”
Tammy Sue Veldkamp, Executive Director, Faith Hospice

The early bird deadline to register for the 2022 Financial Management Conference (FMC) is coming up on June 21, 2022. Leave with new insights and ready to add value to your organization with educational sessions on efficiency, budgeting, benchmarking, operations, ROI, and more.

This conference will unite financial management professionals at all levels to learn about the latest in financial health and growth and share their secrets to success.

Get the best available rates at Caesars Place Las Vegas, one of Las Vegas’s largest and best-known landmarks. So secure your spot by June 22, 2022, to experience the convenience of accessing the conference just steps away from your room.

It is a critical time for us to spark fresh ideas for the growth of our industry. The educational sessions will not disappoint, covering everything from workforce and retention, analytics, quality in care, revenue cycles, and much more.

Just Some of the Highlights 

  • Amplify your experience with our pre-conferences! These one-day mini-conferences will give you an inside look at specific industry interests. Separate registration required.
  • Networking with 500 financial management pros, nearly 67% of past attendees reported they were the financial decision-makers
  • Browse our curated expo designed to provide you with the best industry solutions.
  • Then, explore Las Vegas, one of the country’s most prominent entertainment capitals.

We look forward to seeing you in Las Vegas this July!

Thank You to Our Sponsors

Platinum Sponsors
WellSky

Gold Sponsors
Forvis | MAC Legacy | MatrixCare

Silver
Axxess | Complia Health | Element5 | Homecare Homebase | Kantime | SimiTree

Bronze
Arena Analytics | BerryDunn | Healthcare Provider Solutions Inc | McKesson Medical-Surgical | Provident Healthcare Partners LLC

Networker
Arnall Golden Gregory, LLP | Careficient | Citus Health | Health Recovery Solutions | HomeFree Pharmacy Services | IntellaTriage

Media Sponsor 
HomeCare Magazine | McKnights Home Care

The Private Duty Benefits of NAHC Membership

As a member of NAHC, you already know that membership has its privileges. From complimentary webinars to up-to-the-minute news announcements related to our industry, NAHC prides itself on bringing the very best in class to our members. But, are you aware of all of the benefits available for NAHC’s Private Duty members? Here’s a look:

  1. Expert advice and regulatory guidance just a phone call or email away;
  2. Policy advocates fighting on your behalf year-round before agencies like the Department of Labor, the IRS, and Health & Human Services;
  3. The opportunity to participate in NAHC’s Private Duty Home Care Certification program, the only national certification created by private duty leaders, exclusively for the private duty community;
  4. Inclusion in the NAHC Communities, our online vibrant and respected community of home care, home health and hospice professionals that allows for networking, sharing of information and best practices, plus up-to-the-minute updates about news that affects your business. Sign up to be part of one or all!
  5. World-class educational programming offered free or at the lowest cost to members, including our Annual Conference and Expo, held each fall, the Financial Managers’ Conference each summer and the Private Duty at NAHC Leadership Summits in the spring, along with various meetings, workshops and webinars year-round;
  6. Exposure to potential referrals via an Enhanced Listing on our Agency Locator, an online searchable database used by consumers;
  7. Subscription to the Private Duty Source, a members-only newsletter delivering weekly updates on the latest news affecting private pay home care;
  8. Two complimentary job postings per month on the NAHC Home Care & Hospice Career Center;
  9. Tools and resources, including model forms, policies and procedures, and other documents, plus links to various States’ regulatory websites and State Associations;
  10. Exclusive discounts on products and services through NAHC affinity partnerships, including savings on translation services, insurance, and more, in the Business Partner Marketplace; and,
  11. Demonstrate your integrity and commitment to the home care industry on your website and in marketing materials with the NAHC member seal.

Have questions or thoughts about other benefits you’d like to see? Contact Kristen Wheeler, Executive Director of Private Duty Home Care at NAHC, at kwheeler@nahc.org or (305) 849-1300.

The Case for Contract Labor in Home-Based Care

Home-based care agencies have bemoaned contract labor over the past couple of years, especially as COVID-related staffing shortages have forced them to tap into these talent pools.

New info commissioned by Boston-based health care staffing solutions platform IntelyCare paints contract labor in a different light, however.

According to research put together by Oliver Wyman and Mercer, contract labor may balance out costs in the long run when compared to full-time staff. The study found that a full-time nursing employee can cost a facility up to 33% more on an hourly basis than a contract worker.

Read more @ Home Health Care News