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Where the Director of the Center for Medicare Wants to See Care Go
Home Health Care News / By Patrick Filbin
One of the most important Centers for Medicare & Medicaid Services (CMS) leaders – Dr. Meena Seshamani – is optimistic about the future of the home health care industry.
She detailed why last month at Home Health Care News’ Capital+Strategy event, pointing to more care taking place outside of traditional facilities, innovative care models and the shift to value-based care in general.
“We in Medicare are looking to increase our footprint in value-based care and in holistic care models where you’re really encouraging that team-based approach to care,” Seshamani said. “You’re enabling providers to come together to take accountability for cost and quality.”
Seshamani is the deputy administrator at CMS and the director of the Center for Medicare. In a value-based-care model, the shared goal of keeping patients healthy and out of the hospital drives smarter spending, she said. More importantly, it will ideally put providers, payers and other stakeholders in a position where they’re all “rowing in the same direction.”
“When something works in innovation, we have data, we have transparency,” she said. “As you align the various models that are out there, as you grow those models, that enables some of the flexibility to be able to address the needs of people that you are caring for.”
Once the data is there and innovative projects and alignments prove successful, Seshamani said the next step is to scale it.
An example of a successful pilot model is the Home Health Value-Based Purchasing (HHVBP) Model. A Center for Medicare and Medicaid Innovation (CMMI) creation, the model is being expanded nationwide next year.
According to Seshamani, there are two questions that CMS has to ask before it launches any model: whether it improves quality and whether it saves Medicare money.
HHVBP is one that met both of those criteria. Seshamani said CMS is now scaling it in order to bring it to more people.
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Congress is Back from Recess – What’s Next?
Congress is returning from a two week recess, with the Senate reconvening today, and the House reconvening tomorrow. Axios reported that Sen. Kyrsten Sinema (D-AZ) told donors that advancement of a Build Back Better (BBB) reconciliation package is unlikely given other policy priorities at the forefront of the Congressional agenda. Although it could be revisited as soon as this Spring, there is not a current plan to revive BBB.
Policymakers are expected to focus their efforts on advancing a $10 billion supplemental COVID-19 funding bill, resolving the differences between the House and Senate China competition bills, and considering an insulin drug pricing bill in the Senate.
Earlier this month, Rep. Fred Upton (R-MI) announced his retirement from Congress. The Congressman is the lead Republican sponsor of the Cures 2.0 Act, and his departure could give momentum to the legislation or its key components. The homecare industry is lobbying to change the EVV provision in the Act that would prohibit the use of global positioning systems (GPS) and biometrics within electronic visit verification (EVV) systems. |
President's Message
Posted: April 20, 2022
What can Orange do for you? (Apologies to UPS)
Our new primary color is a shade of orange. It’s definitely a red-orange, but it’s officially orange. The color itself is academic. The important question is: What can APTA Home Health do for you, our members? We got some great suggestions in our Virtual Town Hall last month. Oh, you missed that? Don’t worry—we’re planning another one for May or June with some content on Home Health Value Based Purchasing. We will also have time for your questions, concerns, and suggestions. Keep an eye out for the date and time!
Sincerely,
Phil Goldsmith
President
APTA Home Health
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Digital Health Technology and Physical Therapy
A statement from APTA President Roger Herr, PT, MPA
Increasingly we are seeing media reports and company announcements about the use of digital platforms and technologies to provide physical therapy.
The advancement of care delivery models that embrace technology has great potential to increase consumer access to care, promote consistent evidence-based treatment, and reduce unnecessary, costly, or riskier treatment.
APTA maintains that "physical therapy," whether provided in person or virtually, is performed or directed by licensed physical therapists.
Physical therapist treatment and technology can and should coexist with the health and experience of the consumer in mind. APTA stands ready to collaborate with digital platforms and partners to ensure these care models are consistent with existing laws and regulations, uphold consumer protections, and advance quality practice provided by licensed health professionals in accordance with their professional obligations and state defined scope of practice.
APTA will continue to advocate for consumer transparency and appropriate use of protected terminology when digital technologies are used to augment physical therapist practice. |
PTAs: Advanced Proficiency Pathways Enrollment Deadline May 31
Prioritize your career development and enrich your knowledge in a specific area of care through APTA’s innovative program.
Ready to deepen your PTA knowledge and skills, and be nationally recognized for your career development? APTA's PTA Advanced Proficiency Pathways program can help you do just that.
APTA’s Advanced Proficiency Pathways program is open through May 31 for the next quarterly enrollment period. It's a unique opportunity for PTAs from across the country to grow their understanding in a specific area of care through a combination of in-person or online coursework, mentored clinical experiences, and clinical work hours.
Click here to learn more. |
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