Dombi - winter 2017

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Final Rule Federal Register 1/13/2017 (proposed 10/7/14) ◦ https://www.federalregister.gov/docume nts/2017/01/13/2017-00283/medicare-andmedicaid-program-conditions-ofparticipation-for-home-health-agencies
First major revision in CoPs in 3 decades Provides an outcome oriented, flexible, patientcentered focus $293M annual cost ◦ Accredited HHAs less since many have systems in place already Major changes ◦ QAPI ◦ Infection control ◦ Patient Rights
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 and 18: IMPACT Act driven New Measures ◦
Page 19 and 20: MA plans have begun auditing home h
Page 21 and 22: Suspension/rescission of pre-claim
Page 23: 2016 ◦ 4,976 HHA surveys ◦ 2.5%
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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