In this episode, we talk with Brian Harris about the Home Health Value-Based Purchasing model by the Centers for Medicare and Medicaid Services (CMS) and any changes that are currently happening or are expected.
Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Licensed Home Health (LHH), Licensed and Certified Home Health (L&CHH), Personal Assistance Services (PAS), Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 1.0000 contact hours.
What is Value-Based Purchasing (VBP) (00:00:58)
History and Background of VBP (00:01:31)
Goals of VBP (00:01:52)
Key Findings of the VBP Pilot (00:02:41)
How VBP Will Work (00:04:56)
Overall Financial and Strategic Planning (00:07:50)
The Proposed Rule Rate Cut (00:08:21)
The Return of Sequestration (00:09:11)
Opportunities Presented Through VBP (00:09:35)
OASIS-E is Coming (00:09:57)
Medicare Advantage Expansion and Growth (00:11:07)
The Importance of Data (00:12:27)
Take Action on the Data (00:14:41)
Use Data to Drive Targeted Education (00:17:24)
Updated Benchmarking/Baseline Year (00:18:55)
Key Components of Calculating TPS (00:20:39)
How to Factor VBP Into Budgeting (00:25:03)
Medicare Advantage is a Variable (00:30:09)
The Role of Medicare Advantage in Strategic Planning (00:31:41)
How Providers Should Feel Heading into VBP (00:38:50)
Anticipated Changes to the VBP Program (00:41:21)
Recommended Resources (00:46:54)
Subject Matter Expert: Brian Harris
Stephanie has over 17 years of clinical and teaching experience. Her areas of expertise are in neonatal intensive care, general pediatrics, home health, and children with medical complexities. She earned her Master's in nursing from Chamberlain University in 2022. Her professional practice is guided by Jean Watson's philosophy that, "Caring is the essence of nursing."Disclosure: Stephanie Whitfield, MSN, RN, CPN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Brian Harris has amassed eleven years of home health and hospice consulting experience, and utilizes his revenue cycle expertise to improve operations, reporting, and cash flow for agencies across the country. Brian has operated as a CFO and manager/director for various departments within provider organizations including Finance, Billing, Insurance Verification, Authorization, Intake, and Orders Tracking. Disclosure: Brian Harris has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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