Page 3 - 2018HomeHealthHighlights
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FINGER ON THE PULSE:
PHA at Work for YOU!
n Our Radar in 2019 • Forum of States, National
Association for Home
Health & Hospice Care
(NAHC)
Advocating for Improvements to PDGM – • Partnership for Quality
Congressional advocacy will continue into the Home Healthcare,
new year as Congress starts a new legislative representing agencies
session in January. PHA is working closely nationwide
with our national partners to pass legislation • Partnership for Medicaid
to eliminate CMS’ 6.5% cut in reimbursement Home-Based Care,
to account for anticipated provider behaviors representing agencies,
in reaction to PDGM. The legislation would vendors and health
require CMS to use observed evidence of insurers nationwide
provider behaviors, such as upcoding, to • Strong relationships with
adjust payments accordingly over time. Medicare Advantage plans
and Medicaid managed
Preparing Members for PDGM care organizations
Implementation – Even as these advoca cy • Medical Assistance
efforts continue, PHA’s educational calendar Advisory Committee
and member resources will focus strongly on (MAAC) of Pennsylvania,
preparation for this new payment model so including Long-Term Care,
that members have the financial, clinical and Managed Long-Term
administrative tools to prepare their staff . Services & Supports, and
Managed Care Delivery
Regulatory Reforms to be Finalized and System Subcommittees
Implemented – CMS is expected to finalize a • Quarterly Meetings with
proposed rule early in 2019 that would refine Department of Health
the Medicare emergency preparedness surveyor team in
requirements and ease the regulatory Harrisburg
burden on providers’ compliance with annual
emergency drills, training and more.
