VNAA Met with CMS to Discuss Rebasing Issues
Monday, March 11, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On March 4, the VNAA staff and several members met with Laurence Wilson, Director of the Chronic Care Group and Randy Throndset, Director of the Home Health Division at the Centers for Medicare and Medicaid Services (CMS) to discuss the process for rebasing the home health prospective payment system. The Affordable Care Act (ACA) requires that home health payment rebasing be implemented beginning January 2014.
Also on the agenda were advocacy for appropriate reimbursement for short stay and other vulnerable patients under hospice payment reform and a push for both home health and hospice moratoriums to combat waste, fraud and abuse in the system.
Tracey Moorhead, VNAA’s new CEO and President, Lynn Jones, Chairman of the VNAA Board of Directors, Bob Rosati and Samuel Heller of the Visiting Nurse Services of New York (VNSNY), and Bob Wardwell, VNAA Senior Policy Advisor and former CMS official, represented VNAA concerns.

VNAA strongly advocated that rebasing should not harm access for vulnerable patients. Of concern is the fact that inaccurate cost reports could skew the rebasing process. In addition, cost reports do not accurately reflect expenses such as documentation for the face-to-face encounter and therapy or Health Information Technology (HIT) and telehealth. VNAA stressed the importance of including these costs in the rebasing process as well as account for other innovation in health care.
VNAA stressed the importance of including findings from the VNAA and VNSNY Vulnerable Patient Study, which highlight characteristics of vulnerable patients served by nonprofit home health agencies across the country. CMS is currently working on the Congressional mandated study of vulnerable patients and VNAA is pushing CMS to use our findings in rebasing.

To read VNAA’s recommendations on the rebasing of the Home Health Prospective Payment System approved by the Public Policy Council, please click here. VNAA is interested in additional put on these recommendations so please contact Katy Barnett, Advocacy and Grassroots Manager at
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