Did You Miss It? Two Important Private Duty Webinars You Can Still Watch for Free!

NAHC aired two important webinars for private duty operators this week. If you missed them live, youc an still watch the recordings. They’re both free to NAHC members, so we encourage you to have a look.

Home Care Industry Update

Tuesday, March 30, 2021 ; 3:00-4:30pm Eastern

NAHC and Polsinelli have partnered with the goal of assisting home health, hospice, and private duty home care providers in navigating the complex and ever-changing legal landscape.

In this webinar, NAHC President Bill Dombi will give an overview of the latest home care and hospice legislative and regulatory news. Polsinelli’s Angelo Spinola will advise best practices on how to comply with anticipated legal changes while still running a successful home care business. They will also discuss industry-specific employment practices most likely to result in new lawsuits and explain the cost-effective steps you can take to minimize legal risk.

Faculty

  • William Dombi, President, National Association for Home Care & Hospice
  • Angelo Spinola, Shareholder, Polsinelli

To view a recording of this webinar, click here. 
To access an audio only version of this webinar, click here.

Creating a Best in Class Caregiver Culture

During this webinar, you will learn how Family & Nursing Care, a 53-year-old, $40M+ revenue home care company with over 1,300 caregivers, has earned its stellar reputation and what they’ve done to position themselves as the go-to home care agency.

REGISTER

They will discuss the following topics:

  • Recruitment
    • Why they’ve never experienced a caregiver shortage
    • Why caregivers want to work at Family & Nursing Care
    • Reducing cost to hire a caregiver
      • Advertising
      • Labor time to post the jobs, screening applications, phone screening, setting up interviews, interviewing, online testing, reference checking, background checks, data entry into software package and payroll, drug screening, orientation
  • Hiring processes
    • How they’ve evolved with the times, honing in most recently with COVID-19
    • Which changes they’ll continue when the pandemic ends
  • Retention/Reducing CG Turnover
  • KPIs for recruitment, hiring, and retention

Faculty

  • Neal Kursban, Family & Nursing Care

 

New NAHC Webinar: Home Care Industry Update

  • Tuesday, March 30, 2021
  • 3:00-4:30pm Eastern

REGISTER

Join Angelo Spinola for a high-level overview of the newest laws, rulings, and legal trends in the home care and hospice industries. Angelo will advise best practices on how to comply with anticipated legal changes while still running a successful home care business. He will also discuss industry-specific employment practices most likely to result in new lawsuits and explain the cost-effective steps you can take to minimize legal risk.

Faculty

  • William Dombi, President, National Association for Home Care & Hospice
  • Angelo Spinola, Shareholder, Polsinelli

The Event is Free, but Registration is Required!

REGISTER

New NAHC Webinar: Home Care Industry Update

  • Tuesday, March 30, 2021
  • 3:00-4:30pm Eastern

REGISTER

Join Angelo Spinola for a high-level overview of the newest laws, rulings, and legal trends in the home care and hospice industries. Angelo will advise best practices on how to comply with anticipated legal changes while still running a successful home care business. He will also discuss industry-specific employment practices most likely to result in new lawsuits and explain the cost-effective steps you can take to minimize legal risk.

Faculty

  • William Dombi, President, National Association for Home Care & Hospice
  • Angelo Spinola, Shareholder, Polsinelli

The Event is Free, but Registration is Required!

REGISTER

Biden Orders Review of Trump Admin Public Charge Rule

President Biden announced on Tueday, February 2, an executive order directing federal agencies to review the previous administration’s immigration policies, including the public charge rule, which was initially proposed by the Trump administration in September 2018 and finalized it August of 2019.

Under the public charge rule the Department of Homeland Security (DHS) expanded what criteria it considered to be a public charge when evaluating an immigrant’s application for citizenship. Under the previous standard applicants could be denied if they were expected to be “primarily dependent on the government for subsistence. In expanding the criteria, DHS specified a list of prior usage of common government benefits to be taken into account for evaluation, including: temporary assistance for needy families (TANF), section 8 housing, federal housing subsidies, and certain Medicaid benefits. In addition, DHS would evaluate an applicant’s likelihood of need of public assistance in the future. These points of criteria include age, health, family size, and financial means.

This rule proved to be controversial since its proposal with many labeling it a “wealth test” for immigrants, and as a means to limit immigrants to the United States. The rule was challenged in court, eventually rising to the Supreme Court, which ultimately ruled in favor of allowing the regulation to be implemented. However, in August 2020 a federal court issued a temporary injunction that in-effect blocked implementation of the public charge regulation due to the COVID-19 pandemic. Under the injunction, as long as there is a public health emergency related to the pandemic, the regulation was barred from application, implementation, and enforcement. (See NAHC Report for more information.)

The public health emergency remains in effect, having been renewed most recently in January 2021.  

The National Association for Home Care and Hospice filed comments with DHS on the proposal expressing concerns that the rule could prove damaging to the home care and hospice providers that often rely on immigrants to work as caregivers, an occupation notoriously facing workforce shortages. It is estimated that about 30 percent of the home care workforce is comprised of people born outside the United States.

“This proposal will result in fewer eligible home care workers, as immigrants tend to serve as a sizable proportion of the personal care and assistance aides workforce,” writes NAHC in its comments on the proposed rule. “These workers often qualify for public assistance through programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP). The typical annual income for these non-skilled workers falls below the guidelines for a two-member household as included in the proposed rule, and their eligibility for public assistance will also be counted as negative factors in determinations. Barring Immigrants on the basis of public assistance will only exacerbate an already prevalent workforce shortage leaving many employers unable to care for patients in need. This will cause patients to seek out more costly institutional settings for the same care they could have received in their home.”

“A reversal of this policy by the Biden Administration should help increase the home and community-based services workforce at a time when home care demand is rising,” said NAHC President Bill Dombi, in reaction to the news.

According to the best estimates, about 30 percent of the home care workforce is comprised of people born outside the United States, about evenly split between naturalized American citizens and non-citizen immigrants. “This is a strong indication that immigrants will play an important role in addressing the substantial workforce challenges home care will face in the coming years. According to the U.S. Bureau of Labor Statistics, home care workers rank in the top five fastest growing occupations. By 2026 the demand for home care workers is projected to increase by over one million.”

Due to low reimbursement rates offered by government programs like Medicaid or the Veterans Administration, compensation for home care workers is limited and a majority of them qualify for some form of public assistance. (About 30 percent qualify for SNAP and 30 percent qualify for Medicaid.)

The Biden executive order also rescinds a memorandum requiring family sponsors to repay the government if relatives receive public benefits. The order requires agencies to conduct a top-to-bottom review of recent regulations, policies, and guidance that have set up barriers to our legal immigration system.

Biden Orders Review of Trump admin Public Charge Rule

President Biden announced on Tueday, February 2, an executive order directing federal agencies to review the previous administration’s immigration policies, including the public charge rule, which was initially proposed by the Trump administration in September 2018 and finalized it August of 2019. Under the public charge rule the Department of Homeland Security (DHS) expanded what criteria it considered to…

Letter from Bill Dombi: Encouraging Your Employees to Take the COVID Vaccine

The COVID-19 vaccines hold the promise of a return to normality, as well as the safety of our home care and hospice patients and workforce. However, the vaccines will only be effective if the workforce agrees to take advantage of them and many workers are currently reluctant to do so. The National Association for Home…

NAHC Webinar: Home Care Industry Update: Year in Review and 2021 Projections

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Hospice in the Time of COVID-19: Findings from the NAHC National Survey

Strong majorities of hospices in the United States that responded to a survey by the National Association for Home Care & Hospice (NAHC) have admitted COVID-19-positive patients on to service, but also anticipate a decrease in annual revenues in 2020. Hospices from nearly every U.S. state and territory, including several multi-state providers, provided valuable insights…

COVID-19 Video Update from NAHC President Bill Dombi

NAHC President Bill Dombi provides a detailed policy briefing in this brief video update. Bill discusses the release of $30 billion to health care providers, the first distribution of a total of $100 billion going to providers as part of the CARES Act, and what this means for home care and hospice. Bill discusses: The…

2019 Financial Management Conference Opens with Timely Education and the Washington Update

The 2019 Financial Management Conference in Chicago, Illinois kicked off on Sunday with three pre-conference educational sessions — the home health and hospice summer camps, as well as Medicare Home Health PDGM: An In-Depth Primer, which lasted for 9:00 AM to 3:00 PM. One of the important things your correspondent took from the PDGM primer is…