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Legislative Issues Public Policy News A Weekly Publication Of HCA HCA HCA HCA HCA Home Care Association of New York State Helping New Yorkers Feel Right At Home A S AP Volume 21, No. 18 May 6, 2016 See CONFERENCE p. 3 See FLSA p. 2 New Innovations, Award Recognition, Learning and Networking at HCA Annual Conference HCA’s Annual Conference this week featured several new innovations, insights from political thought-leaders, a forecasting expert, sessions on home care marketing and value-based payments, an expert on tapping into ‘body intelligence,’ and in-depth workshops on everything from palliative care to health information technology, labor-law changes, grant opportunities, and more. If you didn’t attend, you missed out on some truly exceptional learning experiences – and lots of fun. Meeting Next Week Focused on FLSA Distribution Needs, Concerns Survey attestation shared HCA will be meeting with the state Department of Health (DOH) next week to discuss the issues that members have encountered with receiving monies from their contracted MLTC plans to address new costs under the Fair Labor Standards Act (FLSA). These issues include: not receiving money from some MLTC plans; receiving money from plans but no explanation on how the amounts were determined; receiving amounts that vary in Inside Inside Inside Inside Inside ASAP ASAP ASAP ASAP ASAP Robert Mechanic Robert Mechanic Robert Mechanic Robert Mechanic Robert Mechanic discusses value-based payments. New Innovations, Awards, Learning at HCA Annual Conference....1 Meeting Next Week Focused on FLSA Needs, Concerns..................1 HCC Members: Join us for May 18 Forum..........................................2 DOH Posts Final Physician Order Rule Championed by HCA..........7 Worker Wage Parity Certification Forms Due June 1.........................7 Learn More About Value Based Payment at 6/17 Program............. ..8 Minor Changes Proposed to ABN....................................................9 Publications................................................................................................10

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Page 1: New Innovations, Award Recognition, Learning and ...hca-nys.org/wp-content/uploads/2016/05/ASAP050616.pdfauthor of Superforecasting: the Art and Science of Prediction, explains how

Legislative Issues Public Policy News

A Weekly Publication Of HCAHCAHCAHCAHCAHome Care Association of New York State

Helping New YorkersFeel RightAt Home

ASAPVolume 21, No. 18 May 6, 2016

See CONFERENCE p. 3

See FLSA p. 2

New Innovations, Award Recognition,

Learning and Networking at HCA

Annual Conference

HCA’s Annual Conference this week featured several newinnovations, insights from political thought-leaders, a forecastingexpert, sessions on home care marketing and value-based payments,an expert on tapping into ‘body intelligence,’ and in-depthworkshops on everything from palliative care to health informationtechnology, labor-law changes, grant opportunities, and more.

If you didn’t attend, you missed out on some truly exceptionallearning experiences – and lots of fun.

Meeting Next Week Focused on FLSA Distribution Needs, ConcernsSurvey attestation shared

HCA will be meeting with the state Department of Health (DOH) next week to discuss the issues thatmembers have encountered with receiving monies from their contracted MLTC plans to address new costsunder the Fair Labor Standards Act (FLSA).

These issues include: not receiving money from some MLTC plans; receiving money from plans but noexplanation on how the amounts were determined; receiving amounts that vary in

Inside Inside Inside Inside Inside ASAPASAPASAPASAPASAP

Robert MechanicRobert MechanicRobert MechanicRobert MechanicRobert Mechanic discussesvalue-based payments.

New Innovations, Awards, Learning at HCA Annual Conference....1

Meeting Next Week Focused on FLSA Needs, Concerns..................1

HCC Members: Join us for May 18 Forum..........................................2

DOH Posts Final Physician Order Rule Championed by HCA..........7

Worker Wage Parity Certification Forms Due June 1.........................7

Learn More About Value Based Payment at 6/17 Program...............8

Minor Changes Proposed to ABN....................................................9

Publications................................................................................................10

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ASAP is a weekly publication of the Home Care Association of NewYork State (HCA). Unless otherwise noted, all articles appearing inASAP are the property of the Home Care Association of New YorkState. Reuse of any content within this newsletter requires permissionfrom HCA.

Joanne Cunningham, [email protected]

Roger L. Noyes, Director of Communications, [email protected]

Al Cardillo, Executive Vice President, Policy & Programs, [email protected]

Patrick Conole, Vice President, Finance & Management, [email protected]

Andrew Koski, Vice President, Program Policy and Services, [email protected]

Alexandra Blais, Director of Public Policy, [email protected]

Laura Constable, Senior Director, Membership & Operations, [email protected]

Celisia Street, Director of Education, [email protected]

Mercedes Teague, Finance Manager, [email protected]

Jenny Kerbein, Director of Governance and Special Projects, [email protected]

Billi Hoen, Manager, Meeting and Events, [email protected]

Teresa Brown, Administrative Assistant, [email protected]

President:

Editor:

388 Broadway, 4th Floor, Albany, NY 12207Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org

ASAP – a publication of the Home Care Association of New York State Volume 21, No. 18 May 6, 2016

FLSA from p. 1HCC Members: Join us for May

18 Forum Focused on Issues of

Importance to You

HCA reminds our Home Care Council (HCC) ofHCA members that we are holding a May 18 HCCMember Forum in New York City focused on issuesof direct importance to you.

The Forum will be held from 10 a.m. to 12:30 p.m.at the Hunter College Brookdale Campus in NewYork City (425 East 25th Street). Among otherissues, the May 18 Forum will focus on:

New York City Human ResourcesAdministration (HRA) updates;

Quality Incentive Vital Access ProviderPool (QIVAPP) final awards;

Fair Labor Standards Act funding;

The final 2016-17 State Budget, the impactof the minimum wage increase andappropriations for providers.

Please join us for this important session bycompleting the registration form at the back of thisweek’s ASAP.

the amount per hour of services; requirements todocument their overtime and travel costs by planwhen it is very difficult to do so as many aides workwith patients from different plans; and more.

HCA will discuss these issues with DOH andrequest information on the distribution methodsthat plans indicated to DOH, the amounts thateach plan gave their home care providers, and anupdate on the status of federal matching funds.

Survey

This week, DOH also shared with HCA theattestation that it plans to require of home careproviders in accompaniment to a soon-to-bereleased survey that will measure the actual FLSAcosts faced by agencies.

HCA gave feedback on the attestation, requestedthat DOH hold training on the survey when it isfinalized, and reiterated our request that the surveybe posted and submitted via the Health CommerceSystem.

HCA will update members on any new FLSAfunding developments after the DOH meeting.

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ASAP – a publication of the Home Care Association of New York State

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Volume 21, No. 18 May 6, 2016

Perhaps the biggest highlight,however, was our awards ceremony,where we recognized sixextraordinary caregivers and homecare leaders whose selections werepreviously announced to themembership. To read their stories,please see our press release at:http://hca-nys.org/wp-content/uploads/2016/05/ADVISORYHCAAwards.pdf.

These vignettes, however, providejust part of the story and power ofhearing from the award winners intheir own words: their heartfeltdevotion to the practice of homecare; the sacred duty of serving andcaring for patients at the end stagesof life and illness; and thecommitment of home care leadersto advancing the cause of home careat all levels.

Those who attended the programwill enjoy remembering theexperience through some of thephotographs featured in this week’sedition of ASAP, and we hope thatall readers of this week’s newsletterare inspired by what they’ve readalready about the award winnersand the joyous spirit of celebrationrevealed in our photos.

In her speech to the membership onThursday morning, HCAPresident Joanne Cunningham alsohighlighted several new initiativesat HCA designed to support homecare providers, position theindustry in the foreground of thepolitical process and strengthenyour internal processes for quality

Following our awardsceremony, awardeesgathered to sharesmiles with theirfamilies, colleaguesand leaders from theirorganizations.Featured on this pageare three of HCA’sCaring Award Winners.

Top photo (fourth fromright): Linda FraserLinda FraserLinda FraserLinda FraserLinda Fraser,RN, BSN, CHPN,Palliative Care Nurse,Visiting NurseAssociation of HudsonValley.

Middle photo (center):Patti GreggPatti GreggPatti GreggPatti GreggPatti Gregg, HomeHealth Aide, VisitingNurse Service ofRochester and MonroeCounties – FingerLakes Visiting NurseService.

Bottom photo (center):Jeffrey DuarteJeffrey DuarteJeffrey DuarteJeffrey DuarteJeffrey Duarte,Operations Manager,United Odd Fellows –Rebekah Long TermHome Health CareProgram and CertifiedHome Health Agency.

Continued on next page

CONFERENCE from p. 1

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ASAP – a publication of the Home Care Association of New York State Volume 21, No. 18 May 6, 2016

enhancement. These initiatives include:

The unveiling of HCA’s “BringThe Vote Home” campaign,which will equip home careproviders and caregivers withtools to help patients register tovote and vote from home if theyare homebound, elderly or sufferfrom life-limiting illness.Members can expect moreinformation on this importantcampaign, which will also utilizemedia outreach and othercommunications channels as asignal to lawmakers that homecare constituents are gettingvigorously engaged in theelectoral process. As a result, wehope to convey the power of NewYork’s home care votingconstituency so that electedofficials pay close attention totheir needs in the context of homecare, yielding benefits for patientsand system functionality. Learn

Top photo (at front): Caring Award Winner AngelaAngelaAngelaAngelaAngelaPinzonPinzonPinzonPinzonPinzon, Home Health Aide, Americare, Inc., withcolleagues and leaders at Americare.

Middle photo (fourth from right): Orael KeenanOrael KeenanOrael KeenanOrael KeenanOrael Keenan,Advocacy Award winner, Director of RegulatoryCompliance for Hospice Care Network, joined bycolleagues and associates.

Bottom photo (second from right): LaurLaurLaurLaurLaurie Neanderie Neanderie Neanderie Neanderie Neander, RuthF. Wilson Award winner, President and CEO, BassettHealthcare Network: At Home Care, with friends andcolleagues.

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ASAP – a publication of the Home Care Association of New York State Volume 21, No. 18 May 6, 2016

more at www.bringthevotehomeny.org, and expectadditional campaign materials coming soon.

HCA’s development of a Quality Management,Risk and Compliance Tool (HQMT), which weare shopping around to service vendors forpurposes of automating this product and making itavailable for members as a single-source, web-based quality improvement platform. Thatplatform will help providers track, benchmark andreport all of the various quality best-practices,outcome measures and regulatory requirements forhome care. This is a game-changer for home carequality improvement that is catching the attentionof payors and regulatory agencies across thecountry.

HCA’s sepsis screening tool, which is already beingapplied by IPRO as part of its federally supportedsepsis prevention and intervention project. Sepsis,a little-understood condition resulting from severeinfection, is the number one contributor to hospitalreadmissions in New York State. Its progressioncan be fatal, leading to organ failure and death, andit is common in all settings. This is why home careneeds to pay attention: to identify risks, prevent theescalation of sepsis-causing infections, and take asystematic approach to transition patients tohigher levels of care, when needed. Hospitalsnationwide are keeping a close eye on the issue, andHCA’s sepsis screening tool has even caught theattention of a national chain of hospitals (whichlearned about the tool through recent publicity onthe U.S. Centers for Disease Control andPrevention website). This hospital group wants toemploy HCA’s responsive tool to combat sepsisthroughout its system, and we hope that home careproviders and other partners in New York Statefind similar value in using this new tool. Much like

From Top: Reid WReid WReid WReid WReid Wilsonilsonilsonilsonilson explains some of the electoraland political trends; marketing guru Matt SeidenMatt SeidenMatt SeidenMatt SeidenMatt Seiden givestips for marketing in home care; and Dan GarDan GarDan GarDan GarDan Gardnerdnerdnerdnerdner, co-author of Superforecasting: the Art and Science ofPrediction, explains how leaders can get better atforecasting for their organizations.

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our HQMT platform, the HCA Sepsis Screening Tool isanother proactive measure to raise the status of home carein pre-hospital clinical interventions.

These are just a few of the initiatives that providers can expect tohear more about in the months to come as HCA continues to joinits responsive advocacy strategy with a parallel aim of supportingproviders in a proactive – and innovative – fashion to bestposition the industry and individual providers.

During our Board Meeting on Wednesday, HCA’s Board andmembers had an opportunity to engage in a constructivediscussion with Rebecca Fuller Gray, state Department of HealthDirector of the Division of Home and Community BasedServices, on a specific regulatory question concerning home care:scofflaw violations related to licensure issues. HCA used theopportunity – and our Board’s input, observations and experience– to put a finer point on the need for better guidance, educationand instructions to ensure that non-home care organizations donot commit scofflaw violations by initiating home-care-likebusiness lines which are not permitted under their licensure – anespecially urgent issue as provider partnerships function in lesstraditional roles under models like the Delivery System ReformIncentive Payment program and Value BasedPayments. In cases where a home careintervention is deemed of value to thedecision-makers in these models, these leadentities should turn to the existing home careinfrastructure to step in: because thatinfrastructure has the experience, the skill set,and the appropriate licensure to do so. HCAthanks Ms. Fuller Gray for further advancingthis important discussion.

These are just a few of the sessions featured atHCA’s Annual Conference this week, alongwith our annual Political Action Committeefundraiser, and time spent networking withdozens of solution-oriented vendors in theExhibit Hall. To learn more about ourexhibitors so you can follow up with them, please visit our annualconference website at www.hcaannualconference.com. Please alsogo to the site to learn more about our exceptional sponsors whohelped make this program possible. To them, HCA extends aspecial thanks.

Please also save the date NOW for next year’s conference: on May3 to 5, 2017, also at the Saratoga Hilton.

Joseph CardilloJoseph CardilloJoseph CardilloJoseph CardilloJoseph Cardillo, PhD., closes outthe program with insights from hisaward-winning book, BodyIntelligence: Harness Your Body’sEnergies for Your Best Life.

At right, Rebecca Fuller GrayRebecca Fuller GrayRebecca Fuller GrayRebecca Fuller GrayRebecca Fuller Gray,Director of the Division of Homeand Community Based Services,addresses the HCA Board aboutregulatory and licensure issues –specifically, scofflaw violations of

licensure status.

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DOH Posts Final Physician Order Rule Championed by HCA

The state Department of Health (DOH) has finalized the rule allowing for written physician orders forhome care within one year, extended from the previous deadline of 30 days. The final rule was reported inthe May 4 State Register and is the subject of a “Dear Administrator Letter” posted to the HealthCommerce System. HCA has posted the letter to our website at http://hca-nys.org/wp-content/uploads/2016/05/DAL_Physician-Orders-for-Home-Care_5-5-16.pdf.

The Department received three comments of support for the rule change during the public commentperiod, including statements of support from HCA; the Healthcare Association of New York State(HANYS); and Leading Age New York.

These proposed changes, initiated and drafted by HCA, have been a long time in the making, and HCAthis year succeeded in getting the Department of Health to consider these vitally needed changes. Theproposal would align the state’s deadlines with the broader timetables allowed under Medicare.(However, the DAL stresses that the timeframe change applies to written authorization based on verbalorders.) The proposed changes were further recommended and advanced by the Home and Community-Based Care Workgroup. They would apply to CHHAs, LHCSAs and LTHHCPs.

Prior to this rule change, providers had to obtain signed physician orders within 30 days of the start ofhome care. Meanwhile, state regulations require a provider to obtain these orders prior to billing, and thestate’s billing system itself does not allow for claims to be submitted after 90 days of the service date.

No exception code currently exists to allow for home care billing after the 90-day window in cases wherethe physician signature is obtained late, even with the due-diligence of the home care provider to get thesignatures timely.

DOH has indicated, however, that this rule change (allowing one year to obtain physician signatures) willbe joined by a separate, anticipated guidance for a new exception code allowing home care agencies to billafter 90 days when the physician signature is not obtained in that time.

HCA greatly appreciates the Department’s support for this now-final rule change, which was announcedin an update by Rebecca Fuller Gray, Director of the Division of Home and Community Based Services,during her presentation to the HCA Board of Directors this week at HCA’s Annual Conference.

For more information, contact a member of HCA’s Policy staff.

Worker Wage Parity Certification Forms Due June 1Different from FLSA attestation

The next round of state-required vendor Home Care Worker Wage Parity Law certification forms is dueJune 1 for LHCSAs and other entities that contract with CHHAs, LTHHCPs and/or managed careorganizations (MCOs) who serve New York City, Long Island and Westchester.

CHHAs, LTHHCPs and/or MCOs that contract with LHCSAs are required to obtain a writtencertification on a quarterly basis from the LHCSA or other entity which attests to the LHCSA’s or other

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Learn What Value Based Payment

Really Means for Your Organization

at June 17 HCA Program

HCA is holding a special must-attend, members-only program on value based payments on June 17in Nanuet. (A registration form is published at theback of this week’s ASAP.)

Both the state and federal governments arepushing ambitious agendas to promote “value”over “volume” in our health care system – and thestakes are high for home care. As one news articleproclaimed, the trip toward Value Based Payment(VBP) systems will, indeed, be a “bumpy ride.”

The Obama and Cuomo Administrations are bothmoving quickly on these initiatives, including: afederal VBP pilot program in nine states; thepaving of New York’s VBP Roadmap as a circuitextension of its Delivery System Reform IncentivePayment (DSRIP) program; continued emphasison Accountable Care Organizations and bundledpayment arrangements; and the ComprehensiveCare for Joint Replacement Model (CJR), whichbegan in parts of the state and nation on April 1.

These and other VBP policy constructs willchallenge home care providers, but they alsoprovide opportunities in an increasingly integratedhealth care environment. Providers must learnabout how VBP is structured, which quality andoutcome measures actually matter most underVBP, and how to position themselves for VBP bymaking clinical and operational changes.

This must-attend program will provide animportant table-setting for a series of drill-downworkshops that HCA is launching to helpagencies get ready for a VBP state and federalpolicy environment.

Complete the registration form at the back of thisweek’s ASAP or download it from our Educationand Events page at http://hca-nys.org/events-education/upcoming-events.

entity’s compliance with the state’s Home CareWorker Wage Parity Law for definedcertification periods and on a prospectivebasis.

The form due June 1 covers the period June 1,

2016 through August 31, 2016 and is sent tothe CHHA, LTHHCP and/or MCO, not thestate Department of Health (DOH).

The certification forms developed by DOHare available at http://www.health.ny.gov/health_care/medicaid/redesign/2016/docs/att4_lhcsa_wp_certification.pdf.

In completing the form, HCA recommendsadding a date after the signature and noting onthe form that the certification covers the June1, 2016 to August 31, 2016 period.

The required wage parity levels for New YorkCity, Long Island and Westchester are athttp://www.health.ny.gov/health_care/medicaid/redesign/mrt_61.htm.

The wage parity certification forms aredifferent from the Fair Labor Standards Act(FLSA) attestations that were required to besent to DOH by April 1; these forms are athttp://www.health.ny.gov/health_care/medicaid/redesign/fair_labor_standards_act.htm, and shouldstill be emailed to DOH if not already done.

Due to the recently passed increase in theminimum wage, the required wage levels foraides delivering services in the New York Citywage parity region and other parts of the statewill increase (see HCA’s state budget memo athttp://hca-nys.org/wp-content/uploads/2016/04/StateBudgetOutcome040816.pdf )starting December 31, 2016.

Throughout the discussions on a wageincrease, HCA has continuously advocated

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that the state provide funding to help home care providers meet these new wage costs.

These efforts resulted in partial funding and now HCA is working to ensure that the monies flow toproviders expeditiously to help them with the first phase of the minimum wage increase.

HCA has also been crunching the numbers to determine the total cost increases (including wage-relatedexpenses) that agencies will face due to the wage increase, and then will use those figures to advocate forsufficient state funds.

HCA has consistently advocated that the managed care plans receive rates that are sufficient enough forthem and their home care contractors to meet wage parity and other mandates and that Medicaid fee-for-service rates be increased to account for the wage requirements.

During this year’s state budget deliberations, HCA secured language in the Assembly one-house bill torequire vital rate adequacy for critical costs necessary under state payments to home care and managed careplans. While the final budget did not include this provision, it did include language that requires consistencywith federal guidelines in determining rate adequacy, and HCA will seek to further strengthen this throughadministrative and legislative refinements in the remaining weeks of this legislative session.

Minor Changes Proposed to ABN

The U.S. Centers for Medicare and Medicaid Services (CMS) has proposed minor changes to the AdvanceBeneficiary Notice of Noncoverage (ABN).

According to a notice in the May 2 Federal Register, minimal formatting changes were made, including theaddition of language informing beneficiaries of CMS’s nondiscrimination practices and the availability ofalternative forms of the ABN. Also, minor language and grammatical changes have been made to the form’sinstructions “to improve provider/supplier comprehension and decrease the probability of errors incompleting the ABN.”

Home health agencies must furnish the ABN prior to providing an item or service that is usually paid for byMedicare but may not be paid for in this particular case because:

It is not considered medically reasonable and necessary;

The care is custodial;

The individual is not confined to the home; or

The individual does not need intermittent skilled nursing care.

More information on the ABN is at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS-R-131.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending.

HCA will inform members once any final revisions are made to the ABN and when it should be used.

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Publications

“Implementing New York’s DSRIP Program: Implications for Medicaid Payment and DeliverySystem Reform,” by the Commonwealth Fund

http://www.commonwealthfund.org/~/media/files/publications/fund-report/2016/apr/1871_bachrach_implementing_new_york_dsrip_v4.pdf?la=en

“Spousal Impoverishment Protections for Married Couples where One Spouse is in a ManagedLong Term Care Plan – Pooled Trusts Allowed as an Option,” by the New York Legal AssistanceGroup

http://www.wnylc.com/health/entry/165/

For more information, contact Andrew Koski at (518) 810-0662 or [email protected].

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June 17, 2016 DoubleTree by Hilton Hotel Nanuet

425 State Route 59 Nanuet, NY 10954

Cut Through the Volume: Learn What Value Based Payment

Really Means for Your Organization

This is an HCA Members Only Program

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“This is the first time in the history of the Medicare program that HHS has set explicit goals for alternative payment models and value-based payments.”

-Press release (January 26, 2015) from the U.S. Department of Health and Human Services (HHS).

Ironically, the discussion about achieving “value over volume” has

been overwhelming in its abundance and sheer volume of information:

a cascade of technical design information from the state’s Roadmap

planning process … pages of analysis from Washington think-tanks …

and the clamor of top government officials giving word to this agenda

at every turn.

Both the state and federal governments are pushing ambitious agendas

to promote “value” over “volume” in our health care system – and the

stakes are high for home care. As one news article proclaimed, the trip

toward Value Based Payment (VBP) systems will, indeed, be a “bumpy

ride.”

The Obama and Cuomo Administrations are both moving quickly on

these initiatives, including: a federal VBP pilot program in nine

states; the paving of New York’s VBP Roadmap as a circuit

extension of its Delivery System Reform Incentive Payment (DSRIP)

program; continued emphasis on Accountable Care Organizations

and bundled payment arrangements; and the Comprehensive Care

for Joint Replacement Model (CJR), which began in parts of the

state and nation on April 1.

Cut Through the Volume: Learn What Value Based Payment Really Means for Your Organization

These and other VBP policy constructs will challenge home care

providers; but they also provide opportunities in an increasingly

integrated health care environment. Providers must learn about how

VBP is structured, which quality and outcome measures actually

matter most under VBP, and how to position themselves for VBP by

making clinical and operational changes.

This must-attend program will provide an important table-setting for

a series of drill-down workshops that HCA is launching to help

agencies get ready for a VBP state and federal policy environment.

“The problem with the majority of how health care is paid for today is that the more you do, the more you get paid, whether or not the patient got better … Really very little of our total payment in health care is actually tied to performance, and we need to change that … there is going to be consolidation, there’s going to have to be closure of certain services, and those services are going to have to be replaced with other services that better meet the needs of the community.” -State Medicaid Director Jason Helgerson, quoted in “The ‘Bumpy Ride’ to Value-Based Health Care,” City and State Magazine (May 27, 2015)

June 17, 2016 - DoubleTree by Hilton Hotel Nanuet - 425 State Route 59 - Nanuet, NY 10954

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8:30 am Registration and Breakfast 9:00 am Welcome – HCA 9:15 – 10:15 am New York State’s VBP Health Care Policy Priority New York State is moving quickly toward a VBP environment for the entire state Medicaid Program. Hear from one of the principal state policymakers overseeing the state’s vision about how to move Medicaid into a payment structure that: rewards and incentivizes quality; is patient-centered; and focuses on outcomes for patients. 10:15 – 11:30 am The Federal VBP Landscape, Priority VBP Initiatives and How Home Care Can Best Participate Allen Dobson, PhD, Co-Founder, Dobson and Davanzo The U.S. Centers for Medicare and Medicaid Services (CMS) has begun to roll out several payment policy initiatives that focus on VBP. These initiatives inspire innovation in payment through the creation of Accountable Care Organizations, bundling demonstrations and other creative payment changes. This session will provide an overview of VBP initiatives at the federal level. It will also focus on one specific payment innovation – the Comprehensive Care for Joint Replacement (CJR) model, which is currently functioning in many areas of the nation. The post-acute role of home care makes providers especially well positioned to deliver on the CJR initiative, as its target outcomes and goals get broadened to other regions. 11:30 – 12:45 pm VBP Focus on Clinical Outcomes and Targets Arnie Cisneros, President, Home Health Strategic Management Arnie Cisneros is one of home health’s most innovative strategists, and he has unique knowledge about the experience of providers participating in the federal government’s nine-state VBP demonstration. Cisneros is an expert who can speak to clinical issues as well as the broader strokes of health care policy, providing insights on how to retool your clinical assessment protocols and other internal clinical decision-making practices to maximize opportunities in a VBP environment.

12:45 – 1:30 pm Networking Lunch 1:30 – 2:45 pm Developing Your Home Health Team for Success with Value Based Purchasing Kim Skehan, RN, MSN, Senior Manager Mark Tsiames, Principal Simione Healthcare Consultants Does your team have a clear understanding of what VBP means, and its potential impact on your clinical and financial operations? All employees, no matter what their roles, have the capacity to advance your agency’s capabilities for measuring and improving performance in an environment that rewards value over volume. In this session, you’ll learn key components to develop staff for a successful VBP model, including steps to enhance your QAPI program, OASIS review and CAHPS survey activities in ways that promote better outcomes and support your bottom line. Learn how to make your team ready, willing and able to take this important step. 3:00 – 4:15 pm VBP Data and Dashboards Diane Link RN, MHA BlackTree Healthcare Consulting Data is critical to an agency’s success in a home care VBP environment. This presentation will reveal which data is the most important, how to create benchmarks that work most effectively, how to utilize data to track your most problematic agency inefficiencies, how to prioritize improvement based on data, and how to develop dashboards to track trends and promote decision-making. 4:15 pm Closing Comments

AGENDA

Cut Through the Volume: Learn What Value Based Payment Really Means for Your Organization

June 17, 2016

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REGISTRANT INFORMATION – Please register by June 3. Name: __________________________________________________________________________ Title:____________________________________________________________________________ Agency:_________________________________________________________________________ Address:_________________________________________________________________________ City/State/Zip:____________________________________________________________________ Phone:________________________________ Ext._________ Fax: _________________________ Email: ___________________________________________________________________________ (Required) Additional Registrants Name:____________________________________ Title:__________________________________ Name:____________________________________ Title:__________________________________

PAYMENT – Please check method of payment:

________MasterCard _______VISA ______American Express ______Check*

*Make checks payable to: HCA Education and Research and mail to 388 Broadway, 4th Floor, Albany, NY 12207. Checks must be received by June 17.

______________________________________________________________________________ Card Number _______________________________________ _______________________________________ Expiration Date Security Code

______________________________________________________________________________ Mailing Address of Card Holder

______________________________________________________________________________ City, State, Zip

______________________________________________________________________________ Name on Card

______________________________________________________________________________ Authorized Signature

HCA REGISTRATION FEE

HCA Members Only $219 per person $________

Additional Members from same organization $170 per person x ____ = $________

Total: $________

HCA Cancellation

Policy HCA registration cancellations

received by June 3 are

refundable less a 25%

administrative fee. No refunds

will be issued after this date.

Cancellations must be received

in writing at [email protected].

Substitutions are permitted.

Please note DoubleTree’s

cancellation policy when making

your reservation.

Special Needs In accordance with the

Americans with Disabilities Act,

or special dietary needs, please

let us know how we can

accommodate you:

_______________________

_______________________

_______________________

_______________________

_______________________

_______________________

_______________________

Cut Through the Volume: Learn What Value Based Payment Really Means for Your Organization

FAX completed form to HCA at (518) 426-8788 For more information on this or other HCA Educational Programs – call (518) 426-8764.

June 17, 2016 DoubleTree by Hilton Hotel Nanuet

425 State Route 59 Nanuet, NY 10954

Hotel Information DoubleTree by Hilton Hotel Nanuet 425 State Route 59

Nanuet, NY 10954

(845) 623-6000

There are a limited number of

rooms available for the evening

of June 16th at a group rate of

$125. Please call the hotel by

May 16, 2016 to reserve your

room, be sure to mention our

group code: HC2.

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Please join the staff of HCA and member colleagues from the Association and the home care community for the next Home Care Council of HCA MEMBER Forum. Participation in HCA Member Forums gives you an opportunity to interact with HCA staff and members, and exchange valuable information with your colleagues.

Some of the vital issues to be covered include: • HRA Update; • Quality Incentive Vital Access Provider Pool

(QIVAPP) final awards; • Fair Labor Standards Act (FLSA) funding

mechanism. • Final State Budget 2016-17; • Minimum wage increase; • Other policy changes.

FAX TO: (518) 426-8788 For more information, contact Andrew Koski at (518) 810-0662 or at [email protected]

Home Care Council of HCA Member Forum

Wednesday, May 18, 2016 10:00am to 12:30pm

Hunter College Brookdale Campus 425 East 25th Street

(between 1st Ave. and FDR Drive) The Osborn Room (Mezzanine Level)

New York, New York 10010

A continental breakfast will be served.

Registration Name: ________________________________________________________ Title: _________________________________________________________ Organization:___________________________________________________ _______________________________________________________________ Mailing Address City/State/Zip:__________________________________________________ Email:_________________________________________________________ Phone:_________________________________________________________ (Required for registration)

Forum Notice HCC MEMBER

Payment of $25 per person

Please check method of payment:

____MasterCard ____VISA ____Am Exp ____Check*

*Make checks payable to: HCA and mail to 388 Broadway, 4th Floor, Albany, NY 12207. Checks must be received by May 11.

______________________________________________________ Card Number _________________________________ _________________ Expiration Date Security Code ______________________________________________________ Billing Address of Card Holder ______________________________________________________ City, State, Zip ______________________________________________________ Name on Card ______________________________________________________ Authorized Signature

Cancellation Policy Cancellations received by May 11 will receive a full refund less 25% of total due as an administrative fee. Cancellations received on January22 or later will forfeit their registration fee along with those who register and do not attend. Substitutions are permitted. Please contact Teresa Brown at (518) 426-8764 or [email protected] to cancel.