Is a lack of interoperability holding back the homecare system?

April 11, 2017| Homecare, Media Coverage
HomeCare Magazine:
by Greg Strobel

The health care technology industry is innovative; intelligent tools are coming to market all the time. Even the homecare industry, which has been slower to implement new technologies than other areas of health care, has introduced many new technologies during the past several years that already or have the potential to improve how care is delivered into the home. Innovations such as electronic visit verification (EVV), customer relationship management (CRM) and even wearables—though not specifically developed for the homecare space—are in the very early stages of in-home data collection.

Continue Reading... Go To Article

Why Payers should go beyond traditional EVV in Florida

March 24, 2017| Blog, Health Care, Homecare, Payer, Technology

Late last year, Congress passed the 21st Century CURES Act which, among other things, requires that all fifty states must choose a form of electronic visit verification (EVV) to verify in-home visits for both home care and personal care appointments. While EVV systems work to combat fraud and abuse to ensure members are receiving proper care and caregivers are held accountability, it is only the first step in a truly effective home care program.

While EVV is an effective monitoring tool for tracking arrivals and departures – thereby reducing false claims of time spent with a member – it only goes so far. Capturing and tracking data from an EVV solution won’t help Medicaid payers reduce readmissions and monitor other quality measures unless they actively manage the process and consider a collaborative and transparent home care platform. Read More

Will the proposed Medicaid cuts affect N.Y.’s 365K in-home patients?

March 23, 2017| Homecare, Media Coverage
NY Business Journal:

These days, health care is being scrutinized more than ever before. Combating widespread fraud and waste within the system is a daunting task.

Here in New York, health care expert Tom Meyer is stepping up.

The former New York Medicaid Inspector General has 30-plus years of experience in two intertwined sectors, technology and health care. Now he’s the chief program integrity officer at HHAeXchange (HHAX), a New York City tech company that connects patients with home care providers.

Continue Reading... Go To Article

New survey data reveals State of Home Care surprises

February 28, 2017| Blog, Homecare, Survey

The home care industry is complex. The American healthcare system is struggling to serve an aging population, a challenge that home care can help address. But with just five percent (150.4 million USD) of the 3 trillion USD national healthcare budget, home care players are struggling to keep up, let alone innovate.

We recently surveyed 250 individuals who were directly involved in the home care process, either through their own experience or a loved one’s. Our questions sought to identify the benefits and challenges associated with home care, and reveal the trajectory of the industry moving forward.

The survey was divided into three sections to better identify trends within the whole of the industry: the shifting home care paradigm, the home care experience and the future of home care. Our results revealed some surprising trends; a lack of communication among payers and providers; instances of fraud, waste and abuse; and an increasing role of technology in the industry.

Specifically, we found that: Read More

Home Health Care News: Addressing OIG’s Characteristics of Home Health Fraud — Without Toppling the Whole System

January 9, 2017| Blog, Health Care, Homecare, Payer, Provider
Posted by Home Health Care News; contributed by Tom Meyer, HHAeXchange

The numbers don’t lie.

After more than 10 years serving in the New York Office of the Medicaid Inspector General, including as the Acting Inspector General, I can attest firsthand to the unfortunate instances of fraud, waste and abuse that occur with too much regularity in home health care and home care.

Between 2011 and 2015 alone, investigations from the national Office of the Inspector General (OIG) resulted in more than 350 criminal and civil actions and $975 million in receivables. In fact, the OIG estimates more than $10 billion in improper payments in the 2015 fiscal year.

In spite of the numbers that point to the need for improvements, home health and home care play a vital role in the broader healthcare ecosystem, and increasingly, states are relying on managed care organizations (MCOs) to deliver efficient and effective Medicaid programs. For MCOs and state Medicaid programs alike, the balance between preventing fraud and continuing to provide quality care is a delicate one.

ReadMore

CURES Act’s EVV Mandate for Home Care is the First Step

December 16, 2016| Blog, Compliance, EVV Bill, HR Bill 2446, Homecare, Payer

In an industry where issues of mistrust and system abuse often rule the headlines, family and friends want reassurance that their loved ones are being provided with proper care. Government programs, like Medicaid, need accountability for the money they pay out, and proof positive that members are receiving proper care and caregivers are being held accountable. Electronic visit verification (EVV) alone doesn’t solve all problems, but implementing an EVV system is the first step to combatting fraud and abuse to ensure program integrity.

Signed into law this week by President Obama, the 21st Century CURES Act mandates, among other actions, that EVV be used for in-home visits for home care and personal care visits.

While EVV is an effective monitoring tool for tracking arrivals and departures – thereby reducing false claims of time spent with a member – it only goes so far. Capturing and tracking data from an EVV solution won’t help Medicaid payers reduce readmissions unless they actively manage the process and consider a collaborative and transparent home care platform.

Read More

HHAeXchange Adds Former Acting Medicaid Inspector General to Executive Team

November 15, 2016| Homecare, Press Release

Tom Meyer brings decades of public sector experience to lead program integrity for HHAX

NEW YORK, November 15, 2016 – In a move that continues to raise the bar in enabling the most effective homecare outcomes, HHAeXchange (HHAX) today announced that Tom Meyer would be joining the company as Chief Program Integrity Officer.

Meyer, who recently served as New York State’s Acting Medicaid Inspector General, offers more than 30 years of experience in information technology and more than ten years of experience in the New York State Office of the Medicaid Inspector General. In his role as Acting Medicaid Inspector General, he was responsible for monitoring fraud, waste and abuse in the healthcare system, with a specific focus on home care.

HHAX is simplifying the complex homecare industry and changing the game for payers and providers. In addition to offering the industry’s leading electronic visit verification (EVV) technology, HHAX’s platform goes further to seamlessly connect payers, providers and members to minimize risk, increase accountability and improve outcomes for homecare members. Read More

HHAeXchange to Open New Pennsylvania Office

September 9, 2016| Homecare, Pennsylvania, Press Release, Provider

Announces Vice President of Solutions Delivery 

Long Island City, New York, September 9th, 2016 –  HHAeXchange (HHAX), a leader in homecare software solutions, announced today that Sree Turlapati will join the HHAX executive team as Vice President of Solutions Delivery. Mr. Turlapati will also lead the opening of the new remote office in Pittsburgh, PA.

“I’m pleased to welcome Mr. Turlapati to the team.” Stated HHAX Owner and CEO, Raphael Nadel. “He brings an extensive amount of experience in solution and software development. His familiarity with the healthcare IT industry and specifically government sponsored health plans make him an invaluable resource to our continued growth.”

Mr. Turlapati will oversee all customer facing software development and delivery activities from the Pittsburgh remote office. The Pittsburgh office will be opening in the near future and will include development teams and serve as a remote office for Pennsylvania Account Executive, Tucker Feltz. Read More

Inc. Magazine Unveils 35th Annual List of America’s Fastest-Growing Private Companies—the Inc. 5000

August 17, 2016| Health Care, Homecare, Press Release, Technology

For the 2nd Time, HHAeXchange Appears on the Inc. 5000 list, Ranking No. 2467 with Three-Year Sales Growth of 145% 

NEW YORK, August 17, 2016Inc. magazine today ranked HHAeXchange (HHAX) NO. 2467 on its 35th annual Inc. 5000, the most prestigious ranking of the nation’s fastest-growing private companies. The list represents a unique look at the most successful companies within the American economy’s most dynamic segment— its independent small businesses. Companies such as Microsoft, Dell, Domino’s Pizza, Pandora, Timberland, LinkedIn, Yelp, Zillow, and many other well-known names gained their first national exposure as honorees of the Inc. 5000.

“We’re honored to have made The Inc. 5000 list for the second year in a row,” said HHAX Founder and Chief Executive Officer Raphael Nadel. “HHAX’s continued growth is because of our on-going commitment to develop new and innovated solutions for the market place that are both effective and efficient. We’re grateful to be apart of this growing industry and more so that we’re able to fill such an important need for the homecare community.”

Read More