Dombi - winter 2017

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Combines outcome measures and process measures from Home Health Care Compare into a single score https://www.cms.gov/Medicare/Quality-Initiatives- Patient-Assessmentinstruments/HomeHealthQualityInits/HHQIHomeHea lthStarRatings.html Star Rating Concerns Focus on Improvement measures Formula pushes scores to the middle Most HHAs with 3 Stars Consumer impression that 3 Stars is mediocre Patient experience (HHCAHPS) Star rating a different model More traditional design Consumer familiarity with model
MA plans have begun auditing home health claims on a post-pay basis, including MI Some using a contractor: SCIO Focus on technical compliance issues ◦ Signed physician orders ◦ F2F requirements ◦ Pre-2015 therapy needs assessments ◦ OASIS HHAs not aware that MA plans required compliance with technical Medicare FFS standards Significant back liabilities Costly appeals processes
Page 1 and 2: February 6-8, 2017 Loews Madison Ho
Page 3 and 4: Post-Acute Care Value-Based Purchas
Page 5 and 6: Permit Non-physician Practitioners
Page 7 and 8: HHPPS 2017 Final rule Rates Value-B
Page 9 and 10: New model intended to address: ◦
Page 11 and 12: Timing of implementation TBD ◦ Ne
Page 13 and 14: Generally supportive of VBP as a pa
Page 15 and 16: Combined PAC VBP Controversial fir
Page 17: IMPACT Act driven New Measures ◦
Page 21 and 22: Suspension/rescission of pre-claim
Page 23 and 24: 2016 ◦ 4,976 HHA surveys ◦ 2.5%
Page 25 and 26: First major revision in CoPs in 3 d
Page 27 and 28: Request that CMS withdraw CoPs or e
Page 29 and 30: Rule changes directly and indirectl
Page 31: Election results raise speculation

Dombi - winter 2017

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