Nov. 2015
The CMS Home Health Final Rule: Key Points and Financial Implications

On Thursday, October 29, 2015 the Centers for Medicare and Medicaid (CMS) issued the final rule, (CMS-1625-F): CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting.   Simione Healthcare Consultants offers this summary of the major components of the rule, which impact home health agency operations.  The following sections include:
  • CY 2016 Home Health Rate Update
  • Case Mix Creep Adjustment
  • Home Health Value Based Purchasing (VBP) Pilot Program
  • Provisions of the Home Health Care Quality Reporting Program (HHQRP) and IMPACT Act
  • OASIS Submission Requirements
  • CAHPS Home Health Survey and Star Ratings
We will provide further detail regarding the implications of this rule, and specifically about VBP, proposed quality measures, discharge planning and the IMPACT Act, in an upcoming newsletter.  
Simione Healthcare Consultants Appoints Senior Managers
Rachel Hawkins
Kit Hughes

in Mergers & Acquisitions and Clinical Operations

Simione Healthcare Consultants has announced the appointments of Rachel Hawkins, RN, BSN, and Kathleen (Kit) Hughes, RN, BS, MHAas Senior Managers focused on clinical consulting. 

Hawkins joins the Clinical Mergers & Acquisitions team to support clinical quality and integration activities. She has nearly 20 years of health care 
and home care management experience, including oversight of multiple branches and corporate departments ranging from field operations to
corporate leadership functions. Her expertise includes operations, financial management, clinical care, and training and program development in home care and critical care.  Most recently, she was corporate director of clinical affairs with Almost Family, Inc., since 2012, where she led compliance for 250 home health agencies in 15 U.S. states, served as the regulatory liaison, and spearheaded accreditation and training initiatives.  

An experienced home care nursing operations leader, Hughes will focus on Clinical Operations initiatives, following progressive leadership roles in home care and hospice organizations since 1994. She has a proven track record of successful leadership in regional operations, patient outcomes, financial performance and employee relations initiatives with post-acute organizations. Prior to her joining the Simione team, she served as regional director of operations for Intrepid USA Health Care, Dallas, TX, where she oversaw home health and hospice operations for the company in a four-state region, since 2013. 

Simione Healthcare Consultants Announces Business Partnership with Connecticut Home Care Leader Richard J. Corcoran  

Richard J. Corcoran
Simione Healthcare Consultants is pleased to announce its association with Richard J. Corcoran, CPA, CHCE, a highly experienced and respected leader in Connecticut's home care and healthcare industry. Drawing on their collective resources and expertise in health care consulting and operations, the leading home care and hospice national consulting firm and Corcoran will collaborate on a variety of initiatives to achieve the financial and business development goals of home care and hospice organizations seeking support for performance improvement.

Upcoming Educational Opportunities 

December 10, 2015 @ 3-4 PM Eastern
A Corporate Integrity Agreement May Be Good Medicine: But Is This What You Need for Your Agency's Health?
Presenter: Karen Bommelje, RN, BSN, HCS-D, CHC, Senior Manager, Simione Healthcare Consultants
Register Now Button
Save the date for new and improved training to accelerate your results in sales and sales management. 

Day 1 - 8:30 am-5:30 pm
Day 2 - 8:30 am-3:30 pm

1-2 attendees $849 per student
3 or more attendees $749 per student

We also offer on-site training for 6 or more students at $749 per student, plus travel and expenses.

For more information, call 800-949-0388.
Square One Boot Camp and 
Sales Management Workshop will be held:

February 9-10, 2016 
Springhill Suites - Las Vegas Convention Center, 
Las Vegas, NV

March 8-9, 2016
Hyatt Place - Southpoint, Durham, NC

May 2016 (TBA)
Nashville, TN

   Registration will open soon. 


Nov 16-18Texas Association for Home Care & Hospice Administrator Conference, Westin Galleria, Houston, TX   Keynote: Karen Bommelje, BSN, HCS-D, CHC, Senior Manager
Nov 17-18Virginia Association for Home Care & Hospice Annual Conference, The Double Tree by Hilton, Charlottesville, VA      Keynote: Robert J. Simione, Managing Principal
Dec 2-4
New England Healthcare Internal Auditor Conference, Mystic Marriott, Groton, CT

Financial Monitor New Logo
Leading Industry Benchmarks
Quarterly cost analysis and agency comparisons to guide decision-making and help increase profitability
Billing, Coding &
OASIS Review

Outsourced services to accelerate the revenue cycle and help agencies focus on patient care 
Interim Management Services
Seasoned executives to support smooth transitions in operations and at your leadership table

Founded in 1966, Simione™ Healthcare Consultants provides comprehensive business solutions for home health and hospice in the areas of finance, operations, cost reporting, compliance and risk,  sales and marketing, information technology, and mergers and acquisitions.  Simione's experts and tools support performance improvement across the healthcare continuum, engaging hospitals, health networks and agencies to improve quality, reduce costs, and minimize risk for more effective delivery of patient care.