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Legislative

  • Health Care Reform: The Patient Protection and Affordable Care Act has many opportunities and challenges for nonprofit home health and hospice. Below is key information on its various provisions including new programs, demonstrations and pilots.

  • Hospice Cuts: The Medicare Hospice Protection Act was introduced in 2008 in the Senate.  

 

Regulatory

  • Home Health Proposed Rule for 2013: 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. 

  • Fraud and Abuse: 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.

  • 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.

  • Provider Enrollment, Chain and Ownership System (PECOS) - Members Only: Physicians must have a record in the Medicare PECOS database by July 6, 2010, as stipulated in the Patient Protection and Affordable Care Act (PPACA). This provision was included to better track physicians and ultimately reduce fraud and abuse in Medicare. However, many physicians need to enroll, re-enroll or officially opt-out of PECOS to be compliant with this rule.

  • Provider Enrollment, Chain and Ownership System (PECOS) - Limited Access: Physicians must have a record in the Medicare PECOS database by July 6, 2010, as stipulated in the Patient Protection and Affordable Care Act (PPACA). This provision was included to better track physicians and ultimately reduce fraud and abuse in Medicare. However, many physicians need to enroll, re-enroll or officially opt-out of PECOS to be compliant with this rule.

  • 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.

  •  Read VNAA's comments and analysis on proposed and finalized Hospice regulations Members Only Access | Limited Access