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VNAA has long been an active participant in curbing waste, fraud and abuse and our ideas are regularly adopted by Congress, the Centers for Medicare and Medicaid Services and the Medicare Payment Advisory Commission. We have gathered significant member input with detailed suggestions for home health and hospice which we have captured in formal white papers that we have shared with policy makers, these papers are available below.

On May 2, six U.S. Senators reached out to the health care community through an open letter to solicit ideas from all interested stakeholders regarding solutions and suggestions for how to better prevent and combat the multi-billion dollar problem of waste, fraud and abuse in Medicare and Medicaid programs. You can view the letter on the U.S. Senate Committee on Finance Website.

VNAA created and distributed a comprehensive survey for members on issues of waste, fraud and abuse. Using the results VNAA crafted a response to the Senate Finance Committee’s request.


VNAA’s Response to Senate Finance Waste Fraud Abuse (June 2012)

VNAA Letter to Secretary of Health and Human Services on a Moratorium and CoPs (April 2012)


VNAA Home Health Fraud and Abuse Recommendations (September 2011)

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. The goals of the project were as follows:

  1. Illustrate that there is a large number of ethical home health agencies that wish to demonstrate that they are part of the solution and not part of the problem and VNAs are leading that group.
  2. Reduce the growth of unqualified agencies and stem the abusive conduct of those agencies already participating.
  3. Direct government intervention to strategies that target abusive agencies rather than misdirected efforts that create burdens on VNAs and other high quality and ethical home health agencies.

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