How Medicaid Payers can achieve greater visibility with consumer directed services

July 24, 2017| Blog, CDS, Homecare, Payer

In the United States, Consumer Directed Services (CDS) continues to grow as states prepare to address a looming shortage of home care workers. A recently proposed bill calls for reimbursement increases for personal support (11 percent) and self-directed services, as well as an increase for some home aide and registered nurse services (14 percent). In other countries, CDS is even becoming more prevalent. For example, Australia recently rolled out a Consumer Directed Care program that provides members more control over the types of care and services they access and the delivery of those services, including who delivers the services and when. Read More

HHAeXchange and McCarthy Capital Reposition Leadership Team to Support Continued Growth

July 20, 2017| Homecare, Payer, Press Release, Provider, Technology

Home care leader names President Greg Strobel as CEO

NEW YORK – July 20, 2017 HHAeXchange, the home care leader in provider home care technology solutions in combination with strategic partner McCarthy Capital, today announced that current President Greg Strobel has assumed the role of president and chief executive officer. The company’s Founder, Raphael Nadel, who previously held the CEO role, has moved into the position of Chief Innovation and Strategy Officer. The shift comes as the company moves into a high growth phase driven by an increased need for home care technology in the U.S.

In his new role, Strobel will drive strategy and operations for the growing company. The average age in the U.S. continues to rise, and home care will be a critical factor in reducing hospital admissions, lowering overall healthcare costs and allowing the most vulnerable populations to stay in their homes longer. HHAeXchange has already seen the demand for its software, which connects payers, providers and patients in home care, rise dramatically – growth that is predicted to continue.

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Upcoming webinar: Are you 21st Century CURES Act compliant?

April 25, 2017| Blog, EVV Bill, HR Bill 2446, Payer

The 21st Century CURES Act enforces the use of electronic visit verification (EVV) to combat fraud, waste and abuse in home care, but that’s not all. The benefits can go well beyond simply tracking arrivals and departures and include financial, operational and clinical benefits organizations may want to consider.

There are only a few seats left for our webinar on Thursday titled “EVV is Mandatory: A Roadmap for Optimizing your Strategies.” During this free webinar, you’ll get a detailed look at everything Medicaid payers and State Medicaid organizations need to know about the mandate and how to optimize the active management of home care. The discussion will include:

  • An overview of the CURES Act, including the funding match from the federal government
  • The strategic position of EVV and what it enables
  • Specific concepts for optimizing EVV implementations
  • A pros and cons discussion of different models that have been pursued
  • HHAeXchange’s recommended Golden Rules for EVV strategy
  • What you can do to influence model adoption

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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

Inaugural ‘State of Home Care’ Survey Reveals Industry Hurdles, Opportunities

February 28, 2017| Payer, Press Release, Provider, Technology, Uncategorized

Primary data from HHAeXchange highlights transparency, fraud and technology in home care

 Key findings:

  • 5 percent of respondents indicated that their home care provider didn’t always proactively address or seek care for potential medical issues or ailments.
  • Less than 30 percent (27.9) of respondents indicated that their home care provider showed up on time and stayed the hours they were expected to work 100 percent of the time.
  • 5 percent of respondents indicated that wearables will be an important part of home care in the future.

NEW YORK – Feb. 28, 2017 Today, HHAeXchange, the home care leader in connecting payers, providers and members, released its inaugural State of Home Care 2017 survey results. This benchmark survey examines the current home care experience, shedding light on how members are impacted and how states, payers and providers can make efforts to improve the industry.

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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.

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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.

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Ensuring Compliance

September 29, 2016| Blog, Compliance, Payer, Provider

Solving the Most Common Compliance Problems

HHAeXchange’s web-based software platform dynamically links payers and providers — creating a shared environment to effectively interact in real-time allowing increased operational efficiency.

Benefits include: Read More