Legislative/Policy

Netsmart Responds to SAMHSA’s 42 CFR Part 2 Listening Session

In January 2018, the Substance Abuse and Mental Health Services Administration (SAMHSA) held a public listening session to request information concerning 42 CFR Part 2. The listening session provided an opportunity for the public to offer feedback to SAMHSA regarding Part 2’s influence on patient care, health outcomes and privacy. Currently, 42 CFR Part 2 obliges providers to set aside substance use treatment information from a person’s health record to prevent it from being disclosed to other providers not in…

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Netsmart Talks Post-Acute Legislative and Policy Advocacy with Home Care and Long-Term Care Associations

Fast-evolving convergence in healthcare was the common theme of recent Netsmart public policy advocacy meetings with key national home care and long-term care (senior living) associations in Washington. Netsmart Executive Vice President Kevin Scalia, Industry Relations Strategist Dave Kishler and Post-acute Strategy and Solutions Team Members Teresa Craig, Jeremy Mercer and Robert Love met with five key associations representing post-acute providers: the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO), LeadingAge, ElevatingHOME and…

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People With Addiction Issues Should Be Able to Control Their Own Health Data

In case you missed it, our own Executive Vice President Kevin Scalia and The Kennedy Forum Founder Patrick J. Kennedy were featured in The Hill over the weekend. Together, they collaborate on why it is important and fair to give individuals with a history of substance use equal control over their health information as those with other conditions. Click here to read the full article.

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November White House Opioid Commission Report

The White House Opioid Commission has released its first official report to the Trump administration. There are four main categories of recommendations in the report: federal funding and programs; opioid addiction prevention; opioid addiction treatment, overdose reversal and recovery; and research and development. You can click here to read the full report, but we wanted to highlight the portion of the report describing 42 CFR Part 2 privacy regulations in their current form as a “particular hindrance to comprehensive healthcare.”…

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Home Health Groupings Model: The Future of Home Health

In our previous installments of this CareThreads blog series, we examined the Home Health Groupings Model and the reaction it’s currently getting from the home health industry. Today, we’ll get a glimpse of what it means for home health going forward. The rule modifies the way home health agencies would be reimbursed for care, categorizing patients into six groups based on diagnosis. It also proposes moving from the current 60-day episode of care to 30-days, which is expected to create…

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Home Health Groupings Model: Industry Reaction

In the first blog of our series, we’ve discussed, at a high-level, upcoming payment changes for CY 2018 and beyond. The biggest, most talked about change is the Home Health Groupings Model, or HHGM. In a nutshell, the model proposed by Centers for Medicare and Medicaid Services (CMS) would end the impact to reimbursement based on the number of therapy visits. Reimbursement would then be based on newly modified mix of patient and case characteristics, such as episode timing, admission…

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Home Health Groupings Model: What is it?

If you’ve been keeping up with the latest in the home health industry this year, you’ve most definitely heard the term Home Health Groupings Model (HHGM) floating around at one point or another. Since the introduction of the home health prospective payment reimbursement model, the HHGM is a significant and controversial proposal, shaking up the home health industry. So what does this new payment model proposal mean for you, your organization and the industry? In this three-part blog series, we’ll…

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White House Commission on Combating Drug Addiction and the Opioid Crisis July 2017 Report: Executive Summary

The White House Commission on Combating Drug Addiction and the Opioid Crisis has presented its interim report to President Trump. Among the highlights, the Commission calls for better alignment of patient privacy laws to enable easier sharing of health information for patients with a history of substance use disorders (SUD). Netsmart has been engaged in ongoing legislative and regulatory advocacy on this issue. The current complicated consent processes make it difficult for people with opioid addiction or other SUDs to…

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Home Health Rule Will Bring Big Changes in 2018 and 2019

Recently the Centers for Medicare & Medicaid Services proposed a new rule that would update payment rates and the wage index for home health agencies that serve Medicare beneficiaries. This proposed rule will apply to those with home health episodes of care on or after January 1, 2018, with a plan to redesign the payment system in 2019. Read more about this new proposed rule and its guidelines here.

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House Bill Proposes Pilot Program with Incentives for Use of EHRs and Care Coordination

For decades, human services providers have received significantly lower levels of funding and reimbursement rates vs. their primary/acute care counterparts. This lack of parity is exacerbated by the substantial increase in demand for services placed on behavioral health and addiction treatment providers, largely driven by the broad-based impact of the nationwide opioid crisis. Netsmart’s mantra, “cause connected, passionate about opportunity and obligation,” extends to advocacy on behalf of our clients for funding at the federal level. We have long advocated…

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