Everywhere one looks in-home care, it is apparent that transformational reform is underway. January 1st is the start of a new frontier in-home care that will have a significant impact on your business. Medicare is beginning a completely transformed payment model, Medicaid is moving nationally to managed care, Medicare Advantage can now offer expanded home care services, regulators are initiating new pilot programs and requirements and Private Pay home care is seeing record growth and demand. This panel of State and National Home Care Leaders will discuss these unprecedented reforms, how the home care industry can capitalize on these changes to optimize home care advocacy and review the positive home care landscape of the future that through effective influence and advocacy can become the first choice in the new frontier of health care at home.
Speakers: Hans Rickhoff, Esq., Senior Counsel, Akin Gump Strauss Hauer & Feld LLP; Rachel Hammon, BSN, RN, Executive Director, TAHC&H (1.00 clock hours continuing education for Administrators/Alternates)
The Texas Medicaid Star+Plus program, is a managed care program worth nearly $10 billion in premium revenue for managed care organizations and serves nearly 525,000 seniors and people who are blind and disabled. In October 2019, Texas Health and Human Services Commission (HHSC) announced that after a competitive procurement, HHSC intends to award new contracts 13 different service areas for the STAR+PLUS product.
Don’t miss your opportunity to hear directly from HHSC staff who will provide an update for all of Texas Managed Care products, give you a preview of any changes related to the re-procurement and report on any upcoming legislative and policy initiatives. Invited Managed Care Organizations (MCOs) including Superior, Molina, United, Amerigroup have also confirmed to participate in a panel discussion to talk through changes and respond to your questions!
HIPAA – OCR will be providing an overview of key elements of the Privacy, Security, and Breach Notification Rules. OCR will focus on the general requirements for protecting and securing health information in a time when covered entities adopt new technologies to improve the quality and efficiency of patient care. In addition, OCR will provide a brief summary of enforcement activities.
What is the UMCC? The UMCC is the Uniform Managed Care Contract that governs Texas Medicaid and CHIP Managed Care Services. In this session providers will learn why it’s so important to understand the States’ contract which sets forth the terms and conditions for Health Plans participating in Texas Medicaid Managed Care, administered by HHSC. Don’t miss this opportunity to hear HHSC staff discuss key sections of the UMCC, its standards and MCO responsibilities so that you know what standards the MCO’s must meet and why they may require certain processes for providers. Speakers: Sylvia Salvato, HHSC, Manager, Policy & Program Development, Medicaid and CHIP Services Department (1.5 clock hours continuing education for Administrators/Alternates)
Increasing private duty market share requires agencies to demonstrate value to multiple referral sources to include patients and families! By training caregivers on specialty programs, agencies are able to grow revenue streams while at the same time providing career ladders for caregivers- thus creating a win- win for private duty! This presentation will discuss seven private duty specialty programs with associated marketing plans. Attendees will walk away with actionable items to grow their private duty business! Speaker: Tammy Ross, Senior VP of Professional Services, AXXESS
Continuing Education: 1.50 clock hours continuing education for Administrators/Alternates
HHSC will present a colorful presentation on Civil Rights including an overview of the civil rights obligations of covered entities regarding the nondiscrimination laws enforced by the HHS-Office for Civil Rights. There will be home care specific discussion in regards to laws that prohibit discrimination on the bases of race, color, national origin, disability, age, sex, religion, and the exercise of conscience by recipients of Federal financial assistance from HHS. Speakers: Valerie Montoya, Equal Opportunity Specialist-Investigator, OCR-DHHS/OS
MEDICARE TRACK 8:30-10:00am 5a. RCD Countdown - Solidify Your Agency Operations
The RCD Countdown is coming to a close and Texas is next in line with implementation on March 2nd, 2020. With Illinois and Ohio already started, Texas is in a better position to benefit from those that have gone before us. TAHC&H has partnered with Palmetto GBA to ensure you get the latest information related to RCD transition and implementation requirements before agencies must “go live”. Learn how to make this transition a smooth one as Palmetto GBA will review navigating the eServices system, provide education on RCD within the agency’s operations, including policy and procedure changes, documentation tips and highlighting a timetable on what to expect and when. Don’t miss your opportunity to ensure you are fully prepared before RCD rolls out!Speaker: Charles Canaan, Provider Outreach and Education, Palmetto GBA (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)10:15-11:45am6a. Implementation Strategies for RCD in the New World of PDGM
With the implementation of RCD March 2nd, providers in Texas must be able to adapt quickly and move from implementing PDGM in January to implementing RCD in March. Illinois and Ohio have gone before us and have valuable experience to share with Texas agencies. This session will feature Executive Director, Sara Ratcliffe, from the Illinois Homecare and Hospice Council, who has been on the front line of advocacy with CMS and Palmetto GBA, who will discuss their ongoing advocacy and problem solving around RCD along with Cheryl Adams, RN, BSN, MBA, Administrator, At-Home HealthCare of Sparta Community Hospital, who will share her agency’s techniques that have helped her to achieve a better than 100% affirmation rate. Don’t miss this opportunity to learn from experience and ensure your success.
Speakers: Cheryl Adams, RN, BSN, MBA, Administrator, At-Home HealthCare of Sparta Community Hospital; Sara Ratcliffe, Executive Director, Illinois Home Care & Hospice Council (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)11:45am-1:00pm Lunch1:00-2:30pm7a. Anatomy of the Cash Crunch; Solutions for Home Health Challenges with PDGM – Part 1The new cash reality under PDGM has home health agencies eager to determine if their well-laid plans have created effective change to strengthen clinical and financial operations. Gain insight on the vital parts and pieces to improve performance with the new payment requirements. From revenue validation to organizational processes, Ron Barrera will diagnose and provide a treatment plan to manage cash flow and achieve greater efficiency. Speaker: Ron Barrera, Managing Director, Simione Healthcare Consultants (1.50 clock hours continuing education for Administrators/Alternates; 1.50 hours Continuing Nursing Education)2:45-4:30pm8a. Anatomy of the Cash Crunch; Solutions for Home Health Challenges with PDGM – Part 2
The new financial realities under PDGM require home health agencies to look closely at clinical operations and make accommodations that will uphold quality, including care alternatives that add value to the equation. Laura Wilson will share insights for teams, team leaders and case managers based on the findings of gap analyses to help organizations make a successful transition under the new requirements. Speaker: Laura Wilson, RN, BSN, COS-C, Senior Manager, Operations Consultant, Simione Healthcare Consultants LLC (1.75 clock hours continuing education for Administrators/Alternates; 1.75 contact hours Continuing Nursing Education)TECH TRACK 8:30-10:00am 5b. Using Technology to Optimize Home Care Staffing ResourcesMany Texas home health agencies are currently dealing with a staffing shortage and also anticipating a greater health workforce shortage in the coming years. Employee churn – which can lead to canceled/rescheduled appointments and undermine an agency’s ability to take on new patients – can lead to a breakdown in the continuum of care, weaker overall outcomes, and an increased risk of readmissions. Learn how implementing a virtual care platform can help your agency better utilize in-demand specialists and available staff while being able to provide better – meaning, more timely and higher quality – care to their patients. Speaker: AnnaMaria Turano,VP Marketing, SYNZI; Dave I. Davis, RN-BC, BSN, MA, ACRN, Chief Clinical Innovation Officer, AccentCare (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)10:15-11:45am6b. Cyber Related Threats and Managing the RisksIn the new reality of quickly evolving technology, risks are on the rise. Cyber breaches in the last nine years have resulted in over 2,500 healthcare data breaches involving 500 or more records. Data breaches and the resulting regulatory and legal actions have escalated in healthcare with penalties reaching in the multi-millions. Learn about the common areas of vulnerability, the impact of data loss, and risk mitigation strategies to help protect your organization Speakers: Ricky Smith, Innovative Business Technologies (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)11:45am-1:00pm Lunch1:00-2:30pm7b. Data Vs. Insights: How Business Intelligence (BI) Tools Improve Outcomes and Operational EfficienciesThe shift to electronic medical records, digital systems, and cloud computing has made capturing and compiling large amounts of data much easier. However, despite having large amounts of data, providers are generally faced with the challenge of not knowing how to leverage the data beyond basic reporting. Moreover, in the home and community care sector in particular, visit, operational information, and clinical data is often stored in paper format -- or if is it digital, resides in siloed databases. These system deficiencies make it near impossible to gain a holistic view of operations and eliminates the ability to “pivot” data. The catalyst for this change is to be obsessed about data-driven decision making. The rise of business intelligence (BI) is unlocking actionable insights that will dramatically improve home and community care organizations. Speaker: Brady Murphy, Sales & Marketing, AlayaCare (1.50 clock hours continuing education for Administrators/Alternates)2:45-4:30pm8b. Connected Home – The Artificial Intelligence Revolution
Since the dawn of the new millennium, nearly every aspect of our lives has been transformed by technology. Emerging developments in patient support technologies – from dedicated devices to applications that transform phones and other commonplace items in the home and community into interconnected systems – are transforming the way that patients are beginning to think about healthcare. This session will introduce you to some of these options and how to use to your benefit. Harnessing the power of new technology and supporting data-powered insights will be critical to powering a 21st-century healthcare system that responds to the desires and expectations of patients and their caregivers and delivers on optimal health care outcomes.
Speakers: Sherl Brand, RN, BSN, Senior VP Strategic Solutions, CareCentrix; Jon Terenzetti (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)
Texas Association for Home Care and Hospice
9390 Research Blvd, Bldg. I, Suite 300,
Austin, TX 78759
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