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TRANSCRIPT
Legislative Issues Public Policy News
A Weekly Publication Of HCAHCAHCAHCAHCAHome Care Association of New York State
Helping New YorkersFeel RightAt Home
ASAPVolume 20, No. 34 October 2, 2015
Inside Inside Inside Inside Inside ASAPASAPASAPASAPASAP
Emergency Preparedness
Alert: Hurricane JoaquinDOH Activates HERDS emergency response survey State emergency preparedness officials are tracking theprogress of Hurricane Joaquin and have begun sendingimportant alerts to providers throughout the state. Thepath of the storm remains uncertain, with the greatest threatto downstate regions. State Department of Health (DOH)officials warn, however, that numerous parts of the statemay be impacted (akin to storms Irene and Lee in 2011).
HCA Symposium to Demo Vanguard
Quality Risk Tool, Wound Care Apps,
with Focus on Your Quality Imperative
HCA’s Quality Symposium, “The Quality Imperative: Raisingthe Bar in Home Health Care,” is ready to receive yourregistrations, online, or by fax/mail using the brochure atthe back of this week’s ASAP.
See VANGUARD p. 2
See JOAQUIN p. 3
Emergency Preparedness Alert: Hurricane Joaquin...........................1HCA Symposium to Focus on Your Quality Imperative.......................1DOH Activates Full CHHA Rebasing Adjustment..............................1Member Hiring Announcement..........................................................4HCA President Cunningham Meets with Schumer on Federal Issues....5DOH Posts Nursing Home Transition Materials...............................6eMed NY Posts Updated MEVS/DVS Provider Manual......................6Supervision Plus Change of Venue, HCA Meet-ups, Provider Forums.....7HCA to Hold Free Member Call on Companionship Exemption......7HCA, Associations, DOH Meet on Payment and Other Issues............8Value Based Payment Committees Further Detail Methodology......10CMS Contractor Aims F2F-focused Probe & Education Reviews.....11HCA, Medical Society Partner to Address Health Care Disparities..11Influenza Not Yet Prevalent in New York.............................................12DSRIP Updates...................................................................12FIDA News........................................................................................13Conference on Health Care Competition & Consolidation..............14DOH Holds Long Term Care Meeting...............................................14NGS Education Programs.................................................................15Publ i ca t ions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DOH Activates Full CHHA EPS
Rebasing Adjustment The state Department of Health (DOH) thisweek had eMedNY activate the revised EpisodicPayment System (EPS) rates for CHHAseffective Thursday, October 1. In response,HCA Executive Vice President Al
Cardillo today wrote again to State Medicaid
HCA President Joanne Cunningham metthis week with U.S. Senator CharlesSchumer. See the story on page 5.
See REBASING p. 6
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ASAP is a weekly publication of the Home Care Association of NewYork State (HCA). Unless otherwise noted, all articles appearing inASAP are the property of the Home Care Association of New YorkState. Reuse of any content within this newsletter requires permissionfrom HCA.
Joanne Cunningham, [email protected]
Roger L. Noyes, Director of Communications, [email protected]
Al Cardillo, Executive Vice President, Policy & Programs, [email protected]
Patrick Conole, Vice President, Finance & Management, [email protected]
Andrew Koski, Vice President, Program Policy and Services, [email protected]
Alexandra Blais, Director of Public Policy, [email protected]
Laura Constable, Senior Director, Membership & Operations, [email protected]
Celisia Street, Director of Education, [email protected]
Mercedes Teague, Finance Manager, [email protected]
Jenny Kerbein, Director of Governance and Special Projects, [email protected]
Billi Hoen, Manager, Meeting and Events, [email protected]
Teresa Brown, Administrative Assistant, [email protected]
President:
Editor:
388 Broadway, 4th Floor, Albany, NY 12207Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org
ASAP – a publication of the Home Care Association of New York State
VANGUARD from p. 1
Volume 20, No. 34 October 2, 2015
This two-day program, on November 17
and 18 near Albany, is chock full ofinformation to help you meet the changingquality imperative in home health.
As we note in the conference brochure,CAHPS surveys, Home Health Compare,HQRP, OASIS remain importantconcerns; but today “home care is faced withnew and even bigger machinery for inducingquality enhancements” under new models ofcare. It doesn’t matter whether you are aCHHA, LTHHCP or LHCSA: you needto focus your “energies, resources andintellectual capital” to meet a vigorous newquality imperative under DSRIP, MLTCand value-based payments.
One item that will soon offer major help isHCA’s Quality Risk Tool, now in the RFPstage of development for statewide use by2016. It offers a methodical roadmap formeasuring risk areas in clinical, financialand operational quality oversight. Theconference will give you the latestdemonstration and developments of this
first-of-its-kind initiative, created by HCA’s QualityCommittee and a subgroup of members working withHCA staff.
We’ll also provide broad updates from state officials andquality of care experts; a look at federal Star Ratings andways to improve your scores; an exciting demo on a newtechnological app that will help you reduce costs andchallenges associated with wound care; and a major focuson the quality imperative for LHCSAs, CHHAs andLTHHCPs operating in contract relationships with otherproviders, managed care plans and in new models.
You’ll hear directly from successful Licensed Agency fieldexperts to assist your LHCSA’s own quality enhancementactivities. Plus, representatives from managed care planswill show your CHHA, LHCSA or LTHHCP what itneeds to do to meet the quality imperative under MLTCand other managed care arrangements.
This Quality Symposium is HCA’s most ambitious yet, andwe urge you to check out the incredible lineup of presentersin our PDF brochure at the back of ASAP.
You can also register online at https://www.eventville.com/Catalog/EventRegistration1.asp?EventId=1011709.
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JOAQUIN from p. 1 Depending on the storm’s track, high force winds could hit on Monday, October 5, with potential heavyrainfall, flooding and loss of power in the Metro New York City region, Long Island and Hudson Valley,especially. DOH’s most recent storm guidance urges all provider administrators and managers to review their emergencyresponse and evacuation plans; and make sure that all staff contact information is up to date, especially throughthe Health Commerce System (HCS), which is a key directory for DOH to reach your preparednessteams. Instructions for ensuring accurate communications, through HCS, eFinds, and the Health ElectronicResponse Data System (HERDS), are in the DOH guidance at http://hca-nys.org/wp-content/uploads/2015/10/ctrlaccamstmpNotification_19234.pdf.
HERDS survey
Earlier today, DOH sent an alert informing providers that it has activated its HERDS survey at https://commerce.health.state.ny.us/hpn/ctrldocs/alrtview/postings/Notification_19244.txt. The alert says thesurvey is due by 4 p.m., after ASAP press time, but HCA is reminding providers to complete it as soon aspossible if you have not yet done so.
All CHHAs, hospices and LHCSAs in New York City, Long Island and the lower Hudson Valley are requiredto fill it out through the HCS. At this time only the first two forms of this survey – HCEMRAGENCY HomeCare Emergency Agency Form and HCEMRCAPACITY Home Care Emergency Capacity Form – need befilled out. Providers may disregard the questions concerning Transportation Assistance Levels (TALs).
General preparations
To prepare for the storm, your activities should also include the following: notifying and alerting staff; adjustmentof shifts and management of staffing shortages due to potential transportation impacts; securing needed suppliesand preparations for staff that remain on site if roadways are not passable; and determining what to do if youragency’s communications are impacted. These protocols should already be spelled out in your agency-specific
emergency preparedness plan.
Facilities, in particular, should ensure they have enough general supplies to last a period of at least 72 hoursafter the storm begins without expectation of delivery from suppliers. New York City providers in need ofsupplies should contact New York City Emergency Management. Long Island and Westchester facilities (orother parts of the state) should contact their County Emergency Operations Centers (EOCs), or CountyOffices of Emergency Management if your district’s EOC is not activated, DOH says. In a separate notice, Nassau County has reported that its EOC is currently activated. It can be reached at (516)573-9649 or (516) 573-9635, or the main Office of Emergency Management number at (516) 573-0636. Home care and hospice instructions Home care and hospice providers should especially heed the following specific guidance that DOH included inits most recent communication to the provider community:
• Home care agencies and hospices are encouraged to review patient care needs and consider adjustmentof visits to ensure that Level 1 patients are visited prior to the start of the storm. These, and all
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Volume 20, No. 34 October 2, 2015
VP Chief Financial Officer at Strong Home Care GroupLeads and manages operations that drive the financial performance for Strong Home Care Group (SHCG), includingVisiting Nurse Service of Rochester and Monroe County (VNS), Community Care of Rochester (CCR) – dba Signature Care,Finger Lakes Visiting Nurse Service (FLVNS) and Finger Lakes Home Care (FLHC). Proactively provides oversight andleadership to all financial activities of the combined agency that maximizes reimbursement, controls costs, and fullyutilizes agency resources. Additionally provides executive management oversight for Information Technology Servicesand selected support operations as assigned by the CEO.
“PLEASE VISIT www.vnsnet.com FOR A FULL DESCRIPTION”
Qualified candidates please send résumé to: Human Resources, 2180 Empire Blvd., Webster, NY 14580Fax: 585-787-8369; Email: [email protected].
VNS values diversity and encourages minorities to apply. E.O.E.
HIRING
patients, should be reminded of how to call for assistance if they lose their power or have a medicalemergency.
• Make plans for adjusting staff schedules/prioritizing patient visits in the days immediately following thestorm, particularly if travel is still impeded, with a focus on reassigning staff based on proximity topatients so as to limit travel and reduce staff exposure to hazardous conditions.
• Agencies should also ensure that staff and their patients have enough supplies to cover a period of at least72 hours following the start of the storm.
• Agencies should be ready to contact staffing services if a large proportion of their regular staff are unableto travel and perform any of their normal visits for a period of time following the storm.
• Agencies should also be ready to communicate with their patients during and immediately following thestorm to perform checks on their safety and condition of their health.
• During emergencies, if agencies are in need of services or supplies, they should contact their local EmergencyManager through the county EOC.
HCA will continue to alert you of further guidance. Please be sure to record any specific structural hindrances toyour care of patients amid the storm, so that HCA can act on your behalf to mitigate these impacts during or afterthe emergency.
Chief Financial OfficerThe Visiting Nurse Service of Northeastern New York is a dynamic, progressive home health organization dedicated todelivering the highest quality level of care through industry best practice. The 195 employees of VNS deliver skilled healthcarein the Capital District. The CFO reports to the CEO and serves as an integral member of the senior management team. Theright candidate will provide the leadership, management and vision necessary to ensure that the agency has the properoperational controls, administrative and reporting procedures, and people systems in place to effectively grow the organizationand to ensure financial strength and operating efficiency. This position will provide useful financial insights to help makebetter decisions about formulating and executing strategy.
Requirements: Bachelor’s degree from an accredited university or college; Finance background, Federal Governmentreimbursement experience and an MBA in Accounting, Finance or Business are preferred; Minimum of 10+ years of experiencein senior level finance management; Progressive knowledge of current financial and accounting computer applications;Excellent verbal, analytical, organizational and written skills.
Send résumé and cover letter to: Fax: 518-382-5699; E-mail: [email protected] Resource VNS, 108 Erie Blvd. Schenectady, NY 12305.
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HCA President Cunningham Meets with Schumer on Federal IssuesHouse considers F2F bill
HCA President Joanne Cunningham met with U.S. Senator Charles Schumer this week as part of HCA’scontinued efforts to press the case for a fix to the U.S. Centers for Medicare and Medicaid Services (CMS)rebasing cuts to home care.
As reported last week, Senator Schumer has led a Senate letter to seek CMS’s reconsideration of the currentregime of rebasing cuts, following a similar letter being sent in the U.S. House. (See p. 1 story, last week’sASAP).
Ms. Cunningham also discussed other burning federal home care issues, like the need for major changes to theMedicare home health face-to-face (F2F) requirement that has been crippling providers with complicateddocumentation standards and the risk of recoupments for technical reasons outside their control.
On this matter, the House Energy & Commerce Subcommittee on Health held a hearing yesterday toconsider legislation that would modify the F2F documentation requirement. This particular bill is beingdrafted by Congressman Greg Walden of Oregon.
The bill, called the “Home Health Documentation and Program Improvement Act of 2015,” would streamlinethe process of home health admission. It seeks to eliminate superfluous paperwork and remove a “one-size-fits-all” approach, recognizing that the need for face-to-face documentation is most critical in cases wherepatients are not well connected with physicians, as is often the case for patients admitted to home healthservices following a hospital stay.
This bill would also demand that CMS repay home health providers for valid claims that have previously beendenied based on their assessment of an insufficient physician narrative.
The National Association for Home Care and Hospice (NAHC) submitted testimony for this hearing whereit detailed the obstacles that this requirement presents to home health providers, as echoed by witnesses whoalso spoke to the confusion and complication of the current process.
Several subcommittee members supported the proposed F2F modifications. While a complete repeal of theface-to-face requirement may be ideal, NAHC, and HCA, recognize that this bill would provide relief andcompromise that may be more manageable for agencies than the current requirement. The bill language hasnot been finalized and HCA will examine it at that time.
NAHC has urged further action around the F2F requirement outside of this piece of legislation, including asuggestion that exceptions should exist, perhaps by way of a waiver process. They have also pressed for theinclusion of a telehealth provision to complete the F2F encounter requirement. Meanwhile, as extensivelyreported in past editions of ASAP, NAHC has filed a lawsuit against CMS’s F2F rule that is pending in thecourts.
HCA continues to advocate for similar action and, as always, will consistently put forth these concerns toNew York’s Congressional Delegation, as we did in meetings with Senator Schumer this week.
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Director Jason Helgerson seeking his action to suspendthe new rebased rates, especially as the action is totallycontradictory to DOH reforms dependent upon homecare, completely adverse to home care delivery, and iscontrary to a remedial bill that had unanimouslypassed the Legislature earlier this year, awaitingdelivery to the Governor, to hold the rebasingadjustments to the level included in the state fiscal plan.This follows an intensive meeting last week with thegovernor’s secretary for health Paul Francis presentinga comprehensive case for suspending any further ratecuts to home care and for signing the HCA-developedEPS legislation.
Given this development, it is vital for agencies tocontinue writing the Governor’s office seeking hissignature of S.5878/A.8171, a safety-net measure thataligns the rebasing process with forecasts assumed inthe state budget, preventing a harmful drain on agencyresources at a time when home care stability is neededto meet the state’s own policy goals. An advocacycampaign on this bill is at http://p2a.co/6snbQwL. The new rates are calculated in accordance with Article3614.13 of the Public Health Law and Part 86-1.44 ofthe Commissioner’s Administrative Rules andRegulations to reflect a full rebasing of the EPS. Based on this statutory requirement, the Departmenthas determined that the latest complete base year dataavailable for rebasing is calendar year 2013 and hasnow finalized the data for implementation of therequired rebasing utilizing 2013 claims data andcorresponding 2013 OASIS assessment data.
eMedNY Posts Updated MEVS/DVS
Provider Manual
eMedNY has posted an updated Medicaid EligibilityVerification System (MEVS) and DispensingValidation System (DVS) Provider manual. Please seehttps://www.emedny.org/ProviderManuals/5010/MEVS/MEVS_DVS_Provider_Manual_(5010).pdf.
The CHHA rebasing includes changes in theEPS grouper logic and other updated valueswhich will require adjustments to provider billingsoftware. The revised grouper and related rateswill be effective for claims with an episode begindate of October 1, 2015 or later. HCA members can access the revised rates andrelated information regarding the EPS at thefollowing DOH website: http://www.health.ny.gov/facilities/long_term_care/reimbursement/chha/. The schedule of rates effective October 1, 2015reflects full implementation of the 2013 base yearfor the 108 case-mix-adjusted payment rates foryour agency for providing services to patients 18years of age and older under the episodic paymentsystem. Two additional rates are provided forassessments and non-OASIS maternity patients.These rates have replaced the current interimrebasing adjustment rates which were effectiveApril 1, through September 30, 2015. It is important to note that these CHHA EPSrate revisions do not include any adjustment tothe rates for pediatric patients, who continue tobe reimbursed on a historical fee-for-service perunit basis in accordance with Part 86-1.13. HCA will keep the membership apprised of anyresponse regarding the status of these rates as wecontinue to press the Governor’s office for itscommitment to act in support of the rebasinglimits embodied in S.5878/A.8171.
DOH Posts Nursing Home
Transition Materials
The state Department of Health (DOH) hasposted materials from a webinar entitled:“Transition of Nursing Home Populations andBenefits to Medicaid Managed Care,” which washeld on September 22, 2015. Materials are athttp://www.health.ny.gov/health_care/medicaid/redesign/docs/2015-09-22_nh_transition.pdf.
REBASING from p. 1
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Supervision Plus Change of Venue, HCA Meet-ups,
Provider Forums and More All Coming Up!
HCA’s fall education and member engagement agenda is crowded with new ways to reach and educate you. Makesure you aren’t missing all of these important opportunities.
On a housekeeping note, we’ve changed the venue for the October 20 Supervision Plus program, Dr. RobertFazzi’s acclaimed training in home care management methods, which is now being held in New York City. Providersfrom any region are invited to attend. To learn more, see the registration form on our “Education and Events”page at http://hca-nys.org/events-education/upcoming-events.
There, you will also find registration for several upcoming HCA Regional Meet-Ups in every part of the state todiscuss local experiences and concerns with big policies like the Delivery System Reform Incentive Payment(DSRIP) program, as well as technical issues specific to your locale. A list of Meet-Up locations is in the flyer atthe back of this week’s ASAP.
You’ll also see information about our upcoming Member Forums for LTHHCPs, LHCSAs and MLTCs whichwill provide entity-specific updates and discussion for further advocacy and assistance related to your provideror plan type.
We have a number of other exceptional programs ready for you, including our Corporate Compliance Symposiumand newly announced Quality Symposium (see related p. 1 story), our next signature HCA conferences, and aBootcamp on labor law issues.
HCA to Hold Free Member Call on Companionship Exemption
HCA will hold a free members-only call on October 9 from 1 to 2 p.m. to provide an update on implementationof the U.S. Department of Labor’s (U.S. DOL) final rule that eliminates the “companionship exemption” for aidesemployed by home care agencies.
To register, please complete the online form at https://www.surveymonkey.com/r/KRH2J2B. You will receive aconfirmation and call-in number prior to the call.
The National Association for Home Care and Hospice (NAHC) and other parties have requested that the U.S.Supreme Court issue a “stay” of the U.S. Court of Appeals’ August 21 decision that upheld U.S. DOL’s final rule.NAHC expects the Supreme Court to make a decision on the stay request prior to October 13 – the anticipateddate of implementation.
On this members-only call, Frank Fanshawe, HCA’s counsel and Partner at Wilson Elser Moskowitz Edelmanand Dicker, LLP, will provide a legal update and discuss ways for agencies to prepare for the upcoming changes.
As mentioned in many communications and programs, the major changes for New York are that aides, under thisrule, will have to be paid at time-and-a-half of their regular rate of pay instead of time-and-a-half of minimumwage, and agencies will have to keep much more detailed records for their 24-hour live-in cases.
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HCA also surveying impact on providers
As a reminder, following an alert sent to you earlier this week, HCA is also asking all of our members to completea very short survey to ascertain the impact of the DOL rule if it goes into effect. The survey is here:https://www.surveymonkey.com/r/FVG89PH.
HCA, along with LeadingAge New York and the New York State Association of Health Care Providers, hasdeveloped this seven-question survey so that we have data for our advocacy on your behalf. We are specificallyadvocating that the state provide additional Medicaid funding via Medicaid fee-for-service rates and managed carecapitated premium rates to help home care providers meet new overtime costs.
Your completion of the survey is vitally important in our efforts to get the state to address the effects of thesechanges. If you receive the survey from multiple associations, please complete it only once.
Please complete the survey by Friday, October 16.
If you have any questions, contact Andrew Koski at (518) 810-0662 or [email protected].
HCA, Associations, DOH Meet on Payment and Other Issues
This week, HCA and other provider associations met with the state Department of Health (DOH) as part of newregularly scheduled meetings to discuss vital payment, reimbursement and other issues that affect home careproviders and their patients.
Some of the topics covered included: pending reimbursement cuts to CHHAs as a result of rebasing (those cuts,as reported on p. 1, have since been implemented); the Qualified Incentive Vital Access Provider Pool (QIVAPP);retroactive payment adjustments due to providers for the period of April 1, 2014 through March 31, 2015, basedon the elimination of the 2 percent Medicaid fee-for-service across-the-board reduction in the 2014-15 statebudget; new costs for overtime and other changes related to the elimination of the companionship exemption; thelive-in policy for MLTC enrollees; recent wage and overtime decisions in the courts; managed care plan financialinstability; and others.
In all the above issues, HCA and the other provider associations emphasized the fragile economic condition ofhome care agencies as they face increased wage and related employee costs; payment reductions; new regulatoryrequirements; and the need to change their operations – and invest – to participate in new models of care.
CHHA Episodic Payment System (EPS) Rebasing
HCA told DOH that we met last week with the Governor’s Health Cabinet to discuss the October 1 CHHA EPSrebasing that will result in significant payment reductions to CHHAs. We had requested that the Governor’soffice put a hold on the full rebasing that will take upwards of $100 million out of the system, instead of the $30million that was in the state budget fiscal plan. (See p. 1 story for the latest information on this issue.)
DOH staff at the meeting indicated that the issue remains under the aegis of other department staff, but theassociations used the meeting as a means to emphasize the crippling effect that pending EPS reductions would
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Continued on next page
have amid other DOH payment policies in collectively harming patient care and agency stability. HCA remindsmembers to continue pressing for the Governor to sign HCA legislation that would scale back these cuts. Furtherinformation and an online advocacy campaign are posted to our Legislative Action Center, at http://p2a.co/6snbQwL, where you can send a message to Governor Cuomo directly with a push of the button.
Companionship Exemption Changes
DOH said it plans to survey managed care plans this week to ascertain the estimated new costs stemming fromexpected changes in overtime rules. These changes are a result of the soon anticipated implementation of a federalrule that eliminates the companionship exemption for agencies. Managed care plans will be reaching out to theirhome care network providers for such data. (see related p. 7 story.)
Once DOH obtains survey results, it will decide how to address the new costs in possible adjustments to bothMedicaid fee-for-service rates and managed care capitated premium rates.
HCA, LeadingAge NY and the New York State Association of Health Care Providers (HCP) are also surveyingour own members to assess the financial and other impacts of the expected change in calculating overtime. HCAsent members an Alert this week with a link to our survey. (See separate p. 7 story.) We are also holding a freemember conference call to update you on the issue. The call will be held on October 9, from 1 to 2 p.m., in advanceof the anticipated October 13 implementation of the rule, pending actions in the courts where home care plaintiffshave challenged the federal regulation.
QIVAPP
DOH reported that IPRO will be sending a letter to about 100 providers who have been identified as being eligiblefor the second round of QIVAPP monies ($35 million in federal funding). The home care providers will be askedto verify that they meet the QIVAPP requirements. IPRO will also conduct desk audits and/or site visits relatedto this initiative aimed at reconciling awarded funds based on a determination of eligibility. The entire process,from audit to reconciliation, will take about three months. Meanwhile, the state is expected soon to requestapproval from the U.S. Centers for Medicare and Medicaid Services (CMS) for the QIVAPP federal funding.
Live-in Cases
DOH has sent a survey to MLTC plans that asks them if they are in compliance with MLTC Policy 14.08: “Payingfor Live-In 24 Hour Care for Personal Care Services and Consumer Directed Personal Assistance Services” (http://www.health.ny.gov/health_care/medicaid/redesign/docs/mltc_policy_14-08_paying_for_live_in_cases.pdf ).
Under this policy, plans are required to provide a rate of payment for live-in cases that is based on at least 13 hoursof care, and this policy is retroactive to April 1, 2014. Based on the plans’ responses to the survey, DOH will decideany further action.
Fiscal Intermediary Services
After the meeting, HCA sought further information on the state’s policy for entities that want to provide fiscalintermediary (FI) services to managed care plans. DOH had earlier released guidance (http://www.health.ny.gov/health_care/medicaid/redesign/docs/mltc_policy_15-05.pdf ) which seemed to indicate that such entities had toobtain a separate Medicaid provider identification number even if they already had one.
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DOH had told HCA that this interpretation was not correct and a separate Medicaid provider number is not
needed if the organization already has one. DOH hopes to soon release further guidance.
Meanwhile, entities without a provider number who want to provide FI services should submit a Medicaid providerapplication as soon as possible since the Department’s approval process can be lengthy. For more information, contact Andrew Koski at (518) 810-0662 or [email protected] or Patrick Conole at (518)810-0661 or [email protected].
Value Based Payment Committees Further Detailing Methodology
The subcommittees of the state’s Value Based Payment (VBP) initiative continued their meetings this week,further focusing on intensive design details and issues for VBP implementation.
State Department of Health/KPMG slides for the VBP Technical Design I and II subcommittee meetings can beviewed at http://hca-nys.org/wp-content/uploads/2015/10/TD-II-Meeting-3_Presentation-Slides_Draft_FINAL.pdf and http://hca-nys.org/wp-content/uploads/2015/10/NYS-VBP_Technical-Design-I-SC_Meeting-3_Presentation_FINAL.pdf.
The subcommittees have moved toward discussion and early drafts of options for recommendations on sharedsavings/risk levels, attribution, advanced VBP innovator programs, and related issues. A major overall focuscontinues to be on whether and what criteria should be established as “guidance,” and whether and what should beconsidered as “requirements/standards.”
As one of many components discussed in subcommittee, the Technical Design II group examined concepts forattribution of patients to VBP contractors. Two of the possible draft recommendations include:
• Attribution to the primary care physician/practitioner for “Total Care for Total Population” VBParrangements, as well as for “Integrated Primary Care” and “Chronic Care” bundles.
• Attribution to home care provider or nursing home (depending on the residential status of the beneficiary)for the MLTC subpopulation.
The draft concept would also permit a managed care organization and VBP contractor to agree on a differentapproach to attribution, upon notification to the state.
These and other critical points of discussion are captured in the meeting slides and will be further detailed to themembership by HCA as the drafts continue to evolve. HCA is developing multi-tier plans to assist providers withinformational and technical aspects of VBP; further information will be forthcoming. We brought the issue tomembers during HCA’s Senior and Financial Manager’s Conference in mid-September, and we have steadily coveredVBP developments and mechanics in HCA communications. We strongly urge providers to continue reviewingall of the available materials on VBP and to proactively consider and strategically plan your approaches forpotential involvement.
For further information, contact Al Cardillo at [email protected].
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CMS Contractor Aims F2F-focused Home Health Probe and Education Reviews
Beginning This Week
In May 2015, the U.S. Centers for Medicare and Medicaid Services (CMS) announced its plans to conduct a‘Probe and Educate’ review on home health claims to ensure agencies understand the new certificationrequirements, specifically the revised face-to-face (F2F) encounter requirements, effective January 1, 2015.
CMS’s May announcement can be found at: https://www.cms.gov/Research-Statistics-Data-and-Systems/M o n i t o r i n g - P r o g r a m s / M e d i c a r e - F F S - C o m p l i a n c e - P r o g r a m s / M e d i c a l - R e v i e w /Home_Health_Medical_Review_Update.html.
According to the announcement, reviews started on October 1 for claims with episodes that begin on or afterAugust 1, 2015. The specifics of the review (number of claims, length of review, education methods, etc.) haveyet to be published.
CMS has indicated to our colleagues at the National Association for Home Care and Hospice (NAHC) thatclaims reviewed during the ‘Probe and Educate’ period will be denied by the Medicare Administrative Contractors(MACs) if the certification requirements are not met. CMS maintains they have no authority to pay claimswhere the criteria for Medicare coverage are not evident.
CMS stated in its original announcement that it plans to post additional details and information online regardingthe ‘Probe and Educate’ review process, yet it has not done so to date. Whether this will delay the ‘Probe andEducate’ review process is unclear, but agencies should expect to see increased medical review activity on homehealth claims over the next several months. Please see related p. 5 story on F2F legislation and advocacy efforts.
For further information, contact HCA’s Patrick Conole at (518) 810-0661 or at [email protected].
HCA, Medical Society Partner to Address Health Care Disparities
Building off of continuing discussions and partnership possibilities on this issue, HCA and representatives ofthe Medical Society of the State of New York (MSSNY) met this week with state legislative representatives onjoint concepts for addressing disparities in health care.
Last year, HCA was invited to present to MSSNY’s Committee on Health Disparities regarding home care’sunique potential as a partner in addressing population health. HCA and several providers teamed up todemonstrate unique aspects of the home care model which lend themselves to addressing disparities. We alsoshowcased specific approaches/initiatives successfully implemented by providers.
HCA and MSSNY have since discussed opportunities for securing state support on care collaboration. Thisweek HCA and MSSNY jointly met with the director of the legislative commission that focuses on issues ofparticular impact/concern to the state’s minority populations. HCA and MSSNY discussed the concept ofgarnering legislative and/or budgetary support for initiatives that would partner our associations as well asproviders in multiple possibilities for addressing disparities, whether broad-based focusing on underservedcommunities, or condition-specific endeavors such as cardiac, diabetes, high-risk pregnancy, sickle cell, andother conditions known to be more prevalent in particular subpopulations.
Next steps will involve HCA and MSSNY moving to specific proposal development. HCA will be reaching outfurther within the membership to invite input into this process. This initiative is well aligned not only to state
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and national public health priorities, but also to the emerging state models of care and coverage, includingDSRIP, VBP (see related p. 10 story), and others.
For further information, please contact Al Cardillo at [email protected].
Influenza Not Yet Prevalent in New YorkFlu mask requirement not in effect now
The state Department of Health (DOH) has posted a notice that influenza is not prevalent in New York at thistime and, thus, home care and other health care providers are not yet required to meet the state’s flu-mask andreporting mandate. This mandate requires certain personnel to wear a surgical or procedure mask while inareas where patients or residents are typically present if the personnel have not been vaccinated against influenzafor the current influenza season.
HCA gave a similar status update in last week’s ASAP based on communications with DOH, but now DOHhas publicly reported that the mandate is not yet in effect. Please see: http://www.health.ny.gov/diseases/communicable/influenza/seasonal/providers/prevention_of_influenza_transmission/.
Last year, DOH declared influenza prevalent from December 11, 2014 to May 14, 2015. HCA membersshould prepare now to meet the influenza mask requirement once DOH declares that influenza is prevalent.
For more information, contact Andrew Koski at (518) 810-0662 or [email protected].
DSRIP Updates
The state Department of Health (DOH) has posted the presentations from the first Annual PPS (PerformingProvider System) Learning Symposium held on September 17 and 18. Please see http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/providers_professionals.htm.
According to DOH, the Symposium was designed to:
• Develop partnerships across PPSs who have received Delivery System Reform Incentive Payments(DSRIP), as well as mechanisms to share emerging best practices and evidence-based approaches tosuccessfully complete project deliverables.
• Highlight promising efforts across the state (and nationally) to transform current care delivery practicesand improve care transitions.
• Promote further dialogue between PPSs and DOH about current key issues impacting PPS capacityto achieve DSRIP goals.
DOH has also posted the latest DSRIP White Board Video. The video features state Medicaid Director JasonHelgerson discussing key DSRIP updates, the PPS shift from planning to implementation, value based paymentpilot opportunities, PPS network additions, and the DSRIP midpoint assessment. The video can be viewed athttps://youtu.be/Ngt30esw_z8.
Continued on next page
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Other resources
DOH hosted a webinar on September 22 covering data security and it released additional supporting guidanceto assist PPSs in understanding and completing their Systems Security Plans. Resources are at the links below:
• https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/data_security/docs/2015-09-22_faqs_systems_security_plans.xlsx
• https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/data_security/docs/2015-09-22_ohip_system_security_plan_wrkb_instr.docx
Data sharing and opt-out
On October 6 from 10 to 11:30 a.m., DOH will host a webinar to discuss its mailings to Medicaid recipientsoffering explanations of DSRIP and data-sharing. The presentation will cover DSRIP, the consumer letter,data-sharing, the timetable and call center support. Registration is at https://attendee.gotowebinar.com/register/4634813515553763074.
Project Approval and Oversight Panel Meeting
On November 9 and 10, the DSRIP Project Approval and Oversight Panel (PAOP) will meet with the upstate-based DSRIP PPSs in Albany. The meeting is open to the public, but there will be no public comment period. No pre-registration is required.
November 9 will be a full-day meeting, structured as an update session for the panel members, and an opportunityfor the panel members to check in with each of the PPSs. November 10 is half-day. The meetings will be webcastat http://www.health.ny.gov/events/webcasts/.
A full agenda and more details will be sent out next month.
Any questions may be directed to [email protected].
FIDA News
DOH has posted materials from its September 9 webinar on the Fully Integrated Duals Advantage Program(FIDA) at https://www.health.ny.gov/health_care/medicaid/redesign/fida/docs/2015-09-09_fida_stakeholders.pdf.
Some important information includes:
• Westchester and Suffolk Counties will begin in 2016.
• DOH has submitted a request for extension and, if approved by CMS, the program would run throughDecember 2019.
Continued from p. 12
Continued on next page
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• DOH and CMS are in the process of updating the Interdisciplinary Team (IDT) Policy to provide flexibilityto both plans and providers.
• Some of the proposed IDT changes relate to greater flexibility for IDT participation; timeframes formeetings and communications; and acceptance of electronic signatures and verbal approvals of care plan.
• Some challenges include: lower than expected enrollment numbers; IDT logistics; provider participationin the IDT; and training requirements.
See separate story below on possible changes to FIDA and other MLTC products.
Conference to be Held on Health Care Competition and Consolidation
The New York State Health Foundation (NYSHealth) will hold a conference entitled Competition andConsolidation in Health Care: Can We Get the Balance Right? in New York City on November 4, from 8:30a.m. to 12:30 p.m.
The agenda and registration information are at http://tinyurl.com/qgdskao. The program announcement states:
Spurred by federal and state policies, a wave of consolidation is sweeping across health care. Providers aremerging, affiliating, and entering into new partnership arrangements that create large organizations withenhanced market power. Similarly, health insurers are merging at a rapid pace and gaining market share.
As New York State embarks on ambitious efforts to transform its health care system, it will be crucial tostrike a careful balance between competition and consolidation. NYSHealth is sponsoring a publicforum to explore these issues featuring keynote speaker Martha Coakley, former Attorney General ofMassachusetts; a panel featuring senior New York State officials; and a panel focused on the perspectivesof consumers, providers, insurers, and employers.
DOH Holds Long Term Care Meeting
On Tuesday, HCA participated in a Long Term Care Forum held by the state Department of Health (DOH) inNew York City. The purpose of the forum was for DOH to provide updates about the future of various MLTCproducts (partial caps, Medicaid Advantage/MA, PACE) and the Fully Integrated Duals Advantage (FIDA)program, as well as to open the floor for discussion and feedback. The meeting centered on recommendations made in a DOH-developed draft White Paper which is posted, alongwith forum slides, at https://www.health.ny.gov/health_care/medicaid/redesign/. The draft proposes options for possible MLTC model enhancements under a so-called “MLTC Plus” designation.DOH proposes that such enhancements could better align MLTC with DSRIP (Delivery System Reform IncentivePayment) program goals, including value-based payment; integrate behavioral and physical health; enhance caretransitions, and incentivize primary care physicians to meet certain patient-centered care and oversight metrics. DOH also proposes modifications to FIDA, including an effort to make changes to the Interdisciplinary Team(IDT) policy, such as providing bonus payments for primary care participation in the IDT. Other modifications
Continued from p. 13
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Continued from p. 14
include changes to the network and/or enrollment requirements, enhancing and/or eliminating services fromthe benefit package, or allowing plans to market FIDA, and more. There was also a proposal to freeze newMLTC partial plan enrollment by December 2016 for companies that have a FIDA plan but do not have atleast 25 percent of total members in some type of integrated plan (FIDA, MAP or PACE). Forum participants included HCA and other provider associations, managed care plan representatives, andconsumer advocates who all provided feedback on the proposals. State Medicaid Director Jason Helgerson;the Director of the Division of Long Term Care, Mark Kissinger; and other representatives from DOH andthe U.S. Centers for Medicare and Medicaid Services (CMS) were present.
HCA’s comments included urging DOH to consider home and community based providers’ existing strengths,involvement and achievements as they relate to the White Paper’s proposals for expanded MLTC duties. HCAurged that DOH reformat the proposals to build upon the existing base via MLTC-provider collaboration,rather than “reinventing the wheel.” HCA asserted that this approach would optimize what is already working,promote efficiency and smart use of existing investments, promote existing provider partnerships (e.g., homecare and hospital), and avoid imposition of new/duplicative costs and administrative burden on MLTCs.
Additionally, HCA urged that any expansion of duties and service jurisdiction for MLTC-home care includestreamlining and alignment of potential additional layers of regulation, and avoid compounding an alreadyoverburdened regulatory structure for providers and plans. HCA also stressed that expansion of services andduties must be accompanied by adequate premiums for MLTCs and rate payments for providers. Finally,HCA suggested that DOH explore Medicare shared savings potential for MLTCs and providers via acollaborative model between MLTC and Medicare-certified providers and their subcontracting agencies. Points raised by others included the need for health information technology investment for long term careproviders and sustainable managed care rates if responsibilities and services are increased. Plans also called forimmediate changes to FIDA, noting that otherwise some of them will be forced to stop offering a FIDA plan. Many also commented that the IDT requirements were too stringent and must be modified significantly if theywere to remain, citing concern over lack of provider buy-in. Also, a DOH proposal to freeze new MLTCpartial capitation enrollment was opposed by plan representatives.
HCA will be providing further feedback on DOH’s White Paper. We encourage members to review it and sendus any comments they may have. Members who want to submit comments should send them [email protected] with the subject header “LTC forum” by close of business on October 9. For more information, contact HCA Policy staff.
NGS Education Programs
National Government Services (NGS), New York’s Medicare Administrative Contractor (MAC), has recentlyposted the following educational webinars.
Certifying Home Health Care (Monday, October 5, from 12:30 to 2 p.m.)
This webinar will provide a greater understanding of patient/beneficiary eligibility, face-to-face encountersand certification requirements as per the 2015 Medicare home health benefit regulations. Attendees will be
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Volume 20, No. 34 October 2, 2015
provided with resources and references and a question and answer period will follow this session.Registration is at https://attendee.gotowebinar.com/register/1165221008344812034.
How to Correct and Avoid the Top Home Health Claim Errors (October 13, from 2 to 3:30 p.m.)
This webinar is designed to educate home health providers on the top rejection and returned-to-provider(RTP) reason codes and how to review, resolve and prevent them in the future. Registration is at: https://attendee.gotowebinar.com/register/8409136766767972353.
For further information, contact Patrick Conole at (518) 810-0661 or [email protected].
Publications
• “2016 Part D and Medicare Advantage plan landscape information,” by the New York LegalAssistance Grouphttp://www.wnylc.com/health/entry/192/
• “ICD-10 Conversion/Coding Infrastructure Revisions to National CoverageDeterminations (NCDs) – 3rd Maintenance CR,” by the U.S. Centers for Medicare and MedicaidServiceshttps://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9252.pdf
• “New York Consumer Guide to Health Insurance Companies,” by the state Department of FinancialServiceshttp://www.dfs.ny.gov/consumer/health/cg_health_2015.pdf
For more information, contact Andrew Koski at (518) 810-0662 or [email protected].
November 17 & 18, 2015
Hilton Garden Inn
235 Hoosick Street
Troy, NY 12180
The Quality Imperative: Raising the Bar in Home Health Care
Register Online at www.eventville.com/hcanys
November 17 & 18, 2015 Hilton Garden Inn
235 Hoosick Street Troy, NY 12180
Quality outcomes have always driven your work in home care. But today’s environment is making quality deliverables a more commanding imperative, and a linchpin for the success of your agency. CAHPS surveys, Home Health Compare, HQRP, OASIS … in many respects, these are the first legacy of quality improvement leverage points. They remain important concerns. But today, home care is faced with new and even bigger machinery for inducing quality enhancement that demand an equally vigorous response from CHHAs, LTHHCPs, and LHCSAs alike. All home care providers must focus their energies, resources and intellectual capital to understand and retool their organizations for the new quality imperative. HCA’s Quality Symposium presents an opportunity to learn the broad strokes and inner workings of New York State’s quality home care imperative. You’ll hear about concrete tools, resources and information that will arm agencies to effectively compete in this environment. You’ll also learn about interventions for specific clinical areas that align with the demands of MLTC, DSRIP, Value Based Payments and other new care models.
AGENDA Tuesday, November 17 – Day 1
8:30am Registration Opens with Light Breakfast
9:00am HCA Welcome
9:00 – 10:00am State Update on Quality & Payment Innovation Patrick Roohan, Director, Office of Quality and Patient Safety, NYS Department of Health
Hear from one of New York State’s most influential and thoughtful policymakers about the plans and vision of the State in designing state policy to encourage and promote quality health care. Mr. Roohan will discuss the State’s vision for quality innovation and improvement through policy changes that will affect how all health care providers (including home care) participate in the Medicaid marketplace.
10:00 – 10:45am HCA Quality Risk Tool Laurie Neander, Chief Executive Officer, Bassett Healthcare Network: At Home Care Al Cardillo, Executive Vice President, HCA
HCA, working with key home care leaders across New York State, has formulated and developed a quality of care risk tool that is currently in the RFP stages of development. This session will offer a look at this unique HCA quality risk tool that will be available to members in 2016. It will arm agencies with a thorough, methodical tool to measure risk areas in clinical, financial and operational quality oversight.
The Quality Imperative: Raising the Bar in Home Health Care
10:45 – 11:00am Break
11:00am – Noon Wound Care: There’s an App for that Nathan Ie, CEO, Co-Founder, Healogram Lorraine Poliey RN, WCC, DAPWCA, Wound Care Program Manager, Montefiore Home Care This session will offer insights on a new App designed to help providers reduce the cost of and challenges associated with wound care. Healogram enables providers to more effectively and efficiently measure, monitor, and manage wound patients. Healogram Co-Founder Nathan Ie and wound care program manager Lorraine Poliey, RN of Montefiore Home Care will outline details on Healogram’s functionality and share practical insights on ease of implementation, impact on care delivery and potential for enhanced patient outcomes.
Noon – 12:45pm Lunch
12:45 – 1:45pm Promotion of Quality in Managed Long-Term Care Tracy Langlais, Vice President, Medical Affairs Operations, CDPHP As New York’s health care system evolves, health plans, including MLTCs and MCOs, feel enormous pressure to meet the highest quality outcomes and benchmarks. Aligning home care’s emphasis and priorities on quality innovations and outcomes with the benchmarks that are of utmost importance to managed care plans can lower cost and improve care for patients. Learn from one of the state’s most innovative managed care plans about its priorities for quality innovation and alignment with home care partners.
1:45 – 2:45pm VBP Clinical Spotlight: TBA
2:45 – 3:00pm Break
3:00 – 4:30pm CMS Star Rating System and NYS Home Care Quality Indicators Sara Butterfield, RN, BSN, CPHQ, CCM, Director, Upstate Health Care Quality Improvement, IPRO
Learn from one of New York State’s most knowledgeable quality innovation experts about the impact the Star Rating System has had on New York’s home care provider community, and steps that can be taken by agencies to improve their scores.
4:30 pm Wrap Up and Adjourn Day 1
November 17 & 18, 2015 Hilton Garden Inn
235 Hoosick Street Troy, NY 12180
The Quality Imperative: Raising the Bar in Home Health Care
Tuesday, November 17 – Day 1 - continued
Hotel Information Hilton Garden Inn 235 Hoosick Street Troy, NY 12180 HCA has reserved a limited block of rooms at
the rate of $129 per
night. To make a reservation for the evening of Monday, November 16 or Tuesday, November 17, please call (877) 782-9444 before November 2, and ask for the HCA Quality Symposium group rate.
Day 2 Agenda continued on next page…
The Quality Imperative: Raising the Bar in Home Health Care
Wednesday, November 18 – Day 2
8:00am Registration and Light Breakfast 8:30-10:00am Quality Care Values in Contracted Home Health Care Services
Marki Flannery, Executive Vice President and Chief of Provider Operations, Visiting Nurse Service of New York Maureen Forster, Empire Blue Cross Blue Shield Health Plus
This session will offer insights, tools, and innovative program models for enhancing the quality of your home health care services in areas valued by health plans and contracting agencies. Learn from health plan and contracting agency representatives about their current quality initiatives and the quality related indicators/ measures they are seeking in an optimal contracted Licensed Home Care Service Agency to inform your strategic planning toward sustainability and growth in an increasingly competitive service delivery environment. Attendees will have an opportunity for questions and answers with panelists.
10am – 10:15am Break
10:15am – 11am Quality Care Innovations in LHCSA Delivery James P. Rolla, Vice President, People Care, Inc. Michelle Mazzacco, Vice President/Director, Eddy Visiting Nurse Association/St. Peter’s Health Partners (invited)
An executive panel from agencies providing licensed home care services will outline their quality care innovation efforts and provide guidance, tools and tips for planning and implementing quality initiatives. Attendees will have an opportunity for question and answers with panelists.
11:00am – Noon Common Areas of Quality Risk (and Remedy) Identified in Surveillance
Rebecca Fuller Gray, Director, Division of Home and Community Based Services, NYS Department of Health (Invited)
This session will provide invaluable insights from the state surveillance of home care agencies and proactive opportunity for quality promotion/risk mitigation from the State’s Director for home care services. In this presentation, Ms. Fuller-Gray will examine areas of quality risk and/or deficiency identified in DOH surveys and present recommendations for remedy, and most importantly, prevention/mitigation of these risk areas and overall quality promotion.
Noon Wrap Up and Adjourn
REGISTRATION FORM Registration Deadline is November 2.
Name: _____________________________________________ Title:_______________________________________________ Agency:____________________________________________ Address:____________________________________________ City/State/Zip:_______________________________________ Phone:_____________________________ Ext._____________ Email: ______________________________________________ (Required)
Full Symposium (Nov 17 & 18)
HCA Member Rate Per Person $259 □
HCA Member Group Rate (3 or more) $239 □
Non-Member Rate $339 □ November 17 Only
HCA Member Rate $199 □
Non-Member Rate $279 □ November 18 Only
HCA Member Rate $ 89 □
Non-Member Rate $159 □
TOTAL: $___________
PAYMENT Please check method of payment: (Checks must be received by date of program).
____MC ____VISA ____ AM EXP ____ Check*
*Make checks payable to : HCA Education and Research and mail to: 388 Broadway, 4th Floor, Albany, NY 12207
Credit Card #: _________________________________
Exp. Date:______________ Security Code: _________ ______________________________________________Name and/or Company Name on Card
______________________________________________ Billing Address of card (including City, State and Zip Code)
______________________________________________Authorized Signature
Cancellations received in writing via email to [email protected] by November 2, are refundable less a 25% administrative fee. No refunds after this date or for no shows. Substitutions are permitted.
Please fax to: (518) 426-8788
FEE SCHEDULE
November 17 & 18, 2015 Hilton Garden Inn
235 Hoosick Street Troy, NY 12180
Register Online at
www.eventville.com/hcanys
+ Add me
HCA Regional Meet-Ups: Help Us Help You!
• •
Registration Once complete, please fax to (518) 426-8788.
You must provide us with an email address in order to receive your confirmation. ______________________________________________________
Name
______________________________________________________ Title
______________________________________________________ Agency
______________________________________________________ Address
______________________________________________________ City/State/Zip
______________________________________________________ Phone/Ext.
______________________________________________________ Email (Required)
Second Registrant from same organization:
______________________________________________________ Name
______________________________________________________ Title
______________________________________________________ Email (Required)
MLTC forum October 30 11am – 2pm
HealthPlus/Amerigroup
9 Pine Street
14th Floor
(AKA 14 Wall Street)
New York, NY 10005
LTHHCP forum November 13 10:30am – 2:30pm
Hilton Albany
40 Lodge Street
Albany, New York 12207
Downstate LHCSA forum November 23 10am – 2pm
Selfhelp Family Home Care
Boardroom
530 Eighth Avenue
5th Floor
New York, NY 10018
Payment of $40 per person
_______ VISA _________ MC _______ AM EXP
Credit Card No.________________________________________
Expiration Date:______________ Sec. Code:_______________
Card Billing Address:____________________________________
________________________________________________________
Name on Card:_________________________________________
Signature:______________________________________________ Or, make checks payable to: HCA E&R and mail to 388 Broadway, 4th Floor, Albany, NY 12207
Total $________
HCA is continuing our series of Member Forums for specific segments of the HCA membership. These Forums provide a custom-tailored focus on issues affecting LHCSAs, LTHHCPs, MLTCs, and HCA’s Home Care Council (HCC) of New York City members. We've designed these forums recognizing that each subset of our membership has a unique scope of issue and advocacy needs that demand attention. Please register today to attend one of these important sessions.
Lunch will be provided at each of the Forums. Please let us know if you have any dietary restrictions so that we can try to accommodate you.
Cancellation Policy: Cancellations received one week prior to the forum will receive a full refund, less 25% of total due as an administrative fee. Cancellations received within one week of the forum will forfeit their registration fee, along with those who register and do not attend. Substitutions are permitted. Please contact Teresa Brown at (518) 426-8764 or [email protected] to cancel.
October 8 Hilton Albany 40 Lodge Street 8:30am – 4:30pm Right
PROTOCOLS Right
TIME
The
The
Register today at www.eventville.com/hcanys
LEAR
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CONNECT
Meet and hear From OMIG’s New Chief, Dennis Rosen!
Question? AL
BANY
Gain an understanding of the
complicated structures
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go
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ns
Epic Health Care Changes = Big Regulatory
QUESTIONS
NEW
AUDIT
Challenges
&
October EIGHT
?
Corporate Compliance Symposium
October 8 Hilton Albany 40 Lodge Street 8:30am – 4:30pm
Corporate Compliance Symposium
Leadership
OMIG
Priorities Tran
sitio
n
Regulatory Alignment
Complex Systems
CHANGE
October 8 Hilton Albany 40 Lodge Street 8:30am – 4:30pm
Corporate Compliance Symposium
Providers partnerships
ne
go
tiatio
ns
INFO
RM
ATIO
N
Legal CYBER SECURITY
October 8 Hilton Albany 40 Lodge Street 8:30am – 4:30pm
Hotel Information
$159
Sept. 7
REGISTRATION
□ □ □ □
SPECIAL NEEDS In accordance with the Americans with Disabilities Act, or special dietary needs, please let us know how we can accommodate you: _______________________________________________________________
Corporate Compliance Symposium