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- VNAA Letter in Support of the Telehealth Enhancement Act of 2013 (HR 3306)
- Rebasing Dear Colleague Letters (Senate | House): On Sept. 25, members of the U.S. Senate and House of Representatives sent a letter to Marilyn B. Tavenner, Administrator of the Centers for Medicare and Medicaid Services, regarding the 2014 Home Health Perspective Payment System (HHPPS) and its proposed implementation of the rebasing provision.
- Congressional Post-Acute Letter: On August 19, VNAA submitted comments in response to a request for information issued by the joint Congressional committees of health care jurisdiction. The letter, released June 19, invited VNAA and other post-acute providers and stakeholders to submit comments on ways to address substantial variations in Medicare spending, utilization, quality and profit margins within the post-acute care (PAC) sector.
- Home Health Co-Payment: Co-payment proposals are short-sighted and will result in cost shifting to patients or increased institutional care. Compared to alternative care such as skilled nursing or a hospital stay, home health is a third of the cost. Without necessary home healthcare, patients will require healthcare in costly institutional settings - at much greater expense to government and families.
- CMS: Proposed Rule on Emergency Preparedness Standards for Medicare and Medicaid Facilities For Home Health and Hospices : On December 27, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to create consistent emergency preparedness requirements for most health care providers participating in Medicare and Medicaid.
- Final Home Health Rule for CY 2014: On November 22, the Centers for Medicare and Medicaid Services (CMS) released its final home health rule.
- Home Health Proposed Rule for CY 2014: On July 6, the Centers for Medicare and Medicaid Services (CMS) released its proposed home health rule that would take effect for calendar year 2013. Consistent with practice over the past few years, this proposed rule includes both the usual payment update proposals and an assortment of other changes to home health and hospice rules, ranging from trivial to very significant.
Fiscal Year 2014 Proposed Rule for Medicare Hospice Wage Index, Payment and Quality Measures: On April 29, the Centers for Medicare and Medicaid Services (CMS) posted its proposed rule governing wage index and quality measures provisions for Medicare Hospice for FY 2014 beginning on October 1, 2013. The rule was published in the Federal Register on May 10.
Program Integrity: VNAA in conjunction with its members developed a white paper consisting of proposals to reduce the incidence of abuse in the Medicare program and enhance the quality of care agencies provide. VNAA began this project anticipating that the growth in reported abuse of the Medicare home health benefit would require action and that VNAA could and should take a leadership position.
Rural Issues: VNAA has been very active on rural and underserved health issues over the past year and will continue to be active in the coming year through the formation of a new interest group focused on helping rural home health and hospice members’ access opportunities through agencies like the Health Resources and Services Administration (HRSA) as well as network with each other.
Hospice Payment Reform: Congress, the Medicare Payment Advisory Commission (MedPAC), the Centers for Medicare and Medicaid Services (CMS) and Congress are currently exploring reforms to the Medicare hospice payment methodology. Nonprofits have a unique mission-driven perspective to offer that focuses on quality and access for vulnerable patients.
- VNAA Vulnerable Patient Study: VNAA, in collaboration with the Center for Home Care Policy and Research of Visiting Nurse Services of New York, has completed a study that analyzed data on a range of patients that VNAA members treat and the costs associated with providing care to these patients
- VNAA Comments to the Senate Commission on Long-Term Care: In a letter to the Commission on Long-Term Care on Aug. 27, 2013, VNAA shared its guiding principles to reform the delivery of long term supports and services today and for future generations. The Commission was established under Section 643 of the American Taxpayer Relief Act of 2012 (P.L. 112-240), signed into law on Jan. 2, 2013.