In The News

Survey Offers Insights on Improving Hospice Referrals 

As Reported by Hospice News Network

Transcend Strategy Group conducted a national survey of office managers at physicians’ offices. The focus of the survey was to better understand the managers’ practice of referrals to home-based providers. Of all responders, 81% said “they see little to no difference among providers of hospice, home health and palliative care.” Those who refer patients for care, however, did share their preferences when making decisions about referring patients. According to “How to Resonate with Physicians’ Office and Grow Referrals,” the survey findings “can help you unlock messages to resonate with them [the office referral managers] and help you grow referrals.”

Interestingly, 73% of responders say they often refer to the same specialists. But, fewer than half say they have specific hospice and home health providers that they routinely refer to. The article asks, “Can you create a position for your agency that help physicians’ offices see you as a specialist?” The article encourages agencies to work to become the “specialists in pain and symptom management, specialists in end-of-life care,” etc. Making your agency a specialist in outcomes strengthens your agency’s value to referral sources.

“To build and promote this positioning, you probably will need to collect and mine data differently than you are currently doing.” For example, the article asks, can you offer data to show that patients under your care “have fewer ER visits, fewer hospital admissions, and higher satisfaction scores compared to no support at home or care from your competitors?” The same information will also be helpful when talking with general physicians and specialists. “Specialists frequently refer to other specialists!”

Two-thirds of responders say that a quick “time response to referrals as the first or second most important attribute of a provider.” The article suggests that you establish what a timely response is – an hour, a day? Determine whether your agency can monitor referrals 24/7. Consider offering a “‘guarantee’ of a time frame within which your team will respond.”

About half of respondents say in-service sessions are the best way “to educate or update their staff.” The article suggests that agencies “reevaluate and innovate on possible ways to conduct in-service education.” Would the referrers welcome a video? A collection of on-demand videos? Can you offer CE credits for these sessions? Again, the article notes, strong data is critical. Evidence-based processes are preferred. Building a “data study” will help do this.

Many providers note that it is increasingly difficult to get in-person meetings with physicians and office managers. So, the article suggests, be strategic and target those you will focus on engaging. Identify those who will more likely refer to you. Identify “specialties by disease state” and identify those who will be most receptive. 

The article and a link to the survey can be found through the following link: https://transcend-strategy.com/2021/08/03/how-to-resonate-with-physicians-offices-and-grow-referra

 

CMS Resumes Targeted Probe & Educate Program

CMS is restarting the Targeted Probe and Educate (TPE) program to help reduce future denials and appeals and help educate providers. If your Medicare Administrative Contractor audits you, take advantage of the TPE education, and get up to 3 rounds of educational claim review to help you bill accurately.

 

Senate takes first step toward crafting $3.5T package that includes new Medicare benefits, drug pricing reforms

Fierce Healthcare
 
Senate Democrats’ efforts to give Medicare drug pricing negotiation authority and add benefits to the program cleared a major hurdle on early Wednesday morning.
 
The Senate passed 50-49 with one senator not voting a budget resolution that sets up a $3.5 trillion infrastructure package expected to include key health priorities focusing on Medicare and the Affordable Care Act.
 
Democrats laid out their priorities in the $3.5 trillion package, including adding dental, hearing and vision benefits to Medicare. Democrats also hope to give Medicare the power to negotiate lower drug prices and make permanent enhanced subsidies for the Affordable Care Act that are currently going to expire after the 2022 coverage year.
 
Passing the budget resolution is a critical step for the procedural move called reconciliation, which allows budget bills to clear the Senate via a simple majority and bypass the 60 votes needed to clear a legislative filibuster.
 
The resolution gives Senate committees a topline number for them to meet when crafting legislation.
 
Now each committee will develop legislation for their part of the package, which will likely be considered in September.

HHAC Addendum

From the Senate Press Release re: Budget Resolution:

“We will ensure that people in an aging society can receive the health care they need in their own homes instead of expensive and inadequate nursing homes and that the workers who provide that care aren’t forced to live on starvation wages.

Read the Full Press Release

 

COVID-19 Updates (08/16/2021)

COVID-19 Vaccine Could See Full FDA Approval Within Weeks [As Reported by NHPCO]

In an article published on WebMD Health News, Carolyn Crist writes, “The FDA could fully approve Pfizer's COVID-19 vaccine by the end of August. The Biden administration has said that the federal government won't mandate vaccines beyond the federal workforce, according to The Associated Press, but White House officials have encouraged state and local governments and businesses to consider vaccine mandates.”

New COVID Cases Among Children Far Outpace Vaccinations [As Reported by NHPCO]

Richard Franki in Medscape Medical News writes, “New COVID-19 cases in children soared by almost 86% over the course of just 1 week, while the number of 12- to 17-year-old children who have received at least one dose of vaccine rose by 5.4%, according to two separate sources. Children represented 19.0% of the cases reported during the week of July 23-29, and they have made up 14.3% of all cases since the pandemic began, with the total number of cases in children now approaching 4.2 million, the AAP and CHA said in their weekly COVID report. About 22% of the US population is under the age of 18 years.”

Intranasal COVID-19 vaccine effective in animal studies

A nasal spray of the Oxford/AstraZeneca COVID-19 vaccine protected hamsters and monkeys against serious disease and reduced the amount of virus in the nose.

Read Full Article

 

Hospice Payment Rate Updates

CMS has posted CR12354, which contains the updates to the hospice payment rates, Aggregate Cap amount, and Hospice Wage Index and Hospice Pricer for FY2022.  CR12354 can be accessed HERE. The Medicaid rates are usually posted within a few weeks of the Medicare rates being finalized. If you want to check for updates to Medicaid rates on your own, they are usually posted HERE.

 
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