Dombi - winter 2017

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CMMI pilots/demos continuing ◦ 2100 participating providers in 360 demo agreements – Limited home health participation; virtually no risk taking – ACO experience shows some home health gains in use – CMS Joint Replacement Bundling – Home health impact: mixed, but mostly positive in the aggregate
Rule changes directly and indirectly targeting home care ◦ “companionship services” exemption ◦ Live-in domestic services ◦ Professional, executive, and administrative salaried employees Policy positions informed through home care ◦ Joint employer ◦ Independent contractor DoL Sleep Time Guidance DoL New Audit Focus on mileage reimbursement
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 and 24: 2016 ◦ 4,976 HHA surveys ◦ 2.5%
Page 25 and 26: First major revision in CoPs in 3 d
Page 27: Request that CMS withdraw CoPs or e
Page 31: Election results raise speculation

Dombi - winter 2017

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