FHPC
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Transcript of FHPC
FHPCFHPC
PUBLIC POLICY CONVENINGPUBLIC POLICY CONVENING
OverviewOverview
• Welcome – TonyWelcome – Tony• Overview for Session – Mary and PatOverview for Session – Mary and Pat• Slide of Federal State Priorities – MarySlide of Federal State Priorities – Mary• Slide of Hierarchy of Public Policy Strategy –MarySlide of Hierarchy of Public Policy Strategy –Mary• Slide of Public Policy Interventions – MarySlide of Public Policy Interventions – Mary• Update of Federal Issue – RonUpdate of Federal Issue – Ron
BNAF/Productivity FactorBNAF/Productivity FactorMed-Pac/U-shaped curve/certificationsMed-Pac/U-shaped curve/certificationsConcurrent Care ModelConcurrent Care ModelTransitions Care ManagementTransitions Care Management
OverviewOverview
• Brief History of CON – MaryBrief History of CON – Mary• Florida vs. Nation – TonyFlorida vs. Nation – Tony
AHCA PresentationAHCA Presentation• Methodology Flaw/Revision – Pat LehotskyMethodology Flaw/Revision – Pat Lehotsky• Priority of CON – AllPriority of CON – All• Future of CON – AllFuture of CON – All• Potential Modifications – AllPotential Modifications – All• Strategy to Accomplish – AllStrategy to Accomplish – All• Setting the Stage for Tomorrow – Setting the Stage for Tomorrow –
The Process of Advancing Public PolicyThe Process of Advancing Public Policy
Public Policy TrendsPublic Policy Trends
STATESTATE* Medicaid – Eliminate Benefit* Medicaid – Eliminate Benefit
* Certificate of Need* Certificate of Need
* Hospice in Nursing Home* Hospice in Nursing Home
* Pediatric Palliative Care* Pediatric Palliative Care
* Medication Regulation* Medication Regulation
* Advance Directives* Advance Directives
FEDERALFEDERAL* BNAF – Rate Reduction
* MedPac-Revise Reimbursement
* Palliative Care Reimbursement
* Health Care Reform
Money to Fund
Replace Benefit – EOL
Bundling - Post Acute
* FDA-DEA – Use & availability of pain medication
* CAP
OPERATIONALOPERATIONAL – – Reviews/ADR’s/FMR/RACS/Margins
Public Policy InterventionsPublic Policy Interventions Strategic Influencing Strategic Influencing Relationship Cultivation/Legislators, Regulators, Relationship Cultivation/Legislators, Regulators,
InfluencersInfluencers ChampionsChampions Policy Briefs/Talking PointsPolicy Briefs/Talking Points Grass Roots MobilizationGrass Roots Mobilization Leadership in Hospice AssociationsLeadership in Hospice Associations Coalition BuildingCoalition Building
AARP, AAHSA, AHA, etc.AARP, AAHSA, AHA, etc.
Public Policy InterventionsPublic Policy Interventions LobbyingLobbying Op-eds/MediaOp-eds/Media Technology Mobilization/Opinion Technology Mobilization/Opinion
Shaping/Blogs/Web/CommunitiesShaping/Blogs/Web/Communities Public EngagementPublic Engagement
Forums/Town Hall MeetingsForums/Town Hall Meetings Data CollectionData Collection Research/Literature SearchesResearch/Literature Searches LitigationLitigation OtherOther
LARGER SCOPE OF HOSPICE IN HC REFORM
RETAIN BENEFIT
KEEP INTACT
STOP RATE REDUCTION
REDESIGN OF REIMBURSEMENT
DEMONSTRATIONS OF REVISON OF BENEFIT
HEALTH CARE REFORM NOT RE-INVENT EOL CARE
PUBLIC POLICY STRATEGY
Federal UpdateFederal Update
Rates Rates BNAF/Productivity FactorBNAF/Productivity Factor
Med-Pac RecommendationsMed-Pac Recommendations
Concurrent Care ModelConcurrent Care Model
Transitions Care ManagementTransitions Care Management
History of Hospice CONHistory of Hospice CON
1980 - Hospice became covered by Florida CON1980 - Hospice became covered by Florida CON
1983 - (and repeatedly since) Legislature recommended 1983 - (and repeatedly since) Legislature recommended repeal of CON for Hospice of the FL Suncoastrepeal of CON for Hospice of the FL Suncoast
1990 - Agency began process to amend rule1990 - Agency began process to amend rule
1994 - Rule change enacted1994 - Rule change enacted
2001 - Florida Certificate of Need Workgroup Report2001 - Florida Certificate of Need Workgroup Report
ClassicClassicHospiceHospice
Teaching/Teaching/ResearchResearchAcademic Academic Affiliation Affiliation HospiceHospice
Hospice ModelsHospice Models
Comprehensive Hospice/Palliative Care/Comprehensive Hospice/Palliative Care/Bereavement ContinuumBereavement Continuum
The Hospice of the Florida Suncoast
Community HospiceCommunity Hospice