Aon/AHCA Report: Liability Costs Expected to Rise for Long Term Care Facilities

The cost of liability continues to increase for the long term care profession, according to the findings of an analysis released today by the American Health Care Association (AHCA) and Aon Global Risk Consulting, the risk consulting business of Aon plc (NYSE:AON). The overall national long term care loss rate is expected to grow by 5 percent annually, with claim frequency driving the increase at an expected 3 percent growth rate.

The 13th published edition of the Aon/AHCA 2015 Long Term Care General Liability and Professional Liability Actuarial Analysis provides estimates of loss rates, or the cost of liability to skilled nursing care centers on a per-bed basis. The projected national 2016 loss rate, which is a combination of claim severity and frequency, is expected to increase from $2,030 to $2,150 per occupied bed. This means that a nursing center with 100 occupied beds can expect approximately $215,000 in liability expenses in 2016.  You can read the full press release here.

Top Resources for Quality Award Applicants

The 2016 AHCA/NCAL National Quality Award Intent to Apply deadline has just passed. Most applicants have likely been working on their application for the past few months; but for those who haven’t started, the time to get started is now!

If you need a jump start, than you have come to the right place. The Quality Award website has a number of resources designed to help facilities with the application process. Whether you are writing a Bronze, Silver or Gold application this year; there is something for you!  Learn more by clicking here. 

 

Mark Your Calendars – AHCA’s 2016 ID/DD Hill Fly-In Date Set!

AHCA’s Intellectual and Developmental Disabilities (ID/DD) Residential Services Providers annual Hill Fly-In event will occur on Tuesday, March 1, 2016, at the AHCA offices in DC. This important event is free to attend.  Breakfast and a boxed lunch will be provided to registrants. Congressional speakers are being invited, a legislative update will be provided, and Hill visits will follow in the afternoon.  AHCA will provide one-pagers and talking points for registrants to take to the Hill.

If you would like to attend, please contact AHCA’s Senior Director of Not for Profit & Constituent Services, Dana Halvorson.  If you have any questions whatsoever, please don’t hesitate to let Dana know.  AHCA hopes to see you at this important event!

NFP Grassroots Advocacy

Steven Chies, AHCA’s NFP Council Chair, encourages AHCA’s NFP providers to participate in our grassroots advocacy efforts in 2015/2016.  AHCA would like to help you get facility tours and in-district meetings set up over future recess days.  Please provide your name, facility address, and email address and we will craft the invite and send it to you to send to the Congressional office.  The four brief steps for a successful facility tour visit can be found here.  Please feel free to contact Matthew Smyth and Dana Halvorson who can help you with all of the logistics.

AHCA’s NFP Council member, Van Moore (pictured to the right), meets with Rep. Greg Walden (R-OR-2, pictured on the left) at the Oregon Veterans’ Home in The Dalles.  Van discussed with the Congressman issues impacting AHCA/NCAL members, including the observation stays issue. 

NFPs Engaging in the Political Process

For more information on how NFPs can engage in the political process, please review this webinar and handout from Wiley Rein, LLP.  Both documents will give members of 501(c) 3 tax exempt organizations an overview of what they can and cannot do in regards to lobbying and political activity.  For issue briefs, talking points and more, visit AHCA’s advocacy page.

U.S. Congressional Calendars

As you are planning your visits with members of Congress and their staff in Washington, D.C., or in your district, the Congressional calendars will be of assistance to you.  The U.S. House of Representatives calendar for the 114^th Congress, second session, can be found here.  The U.S. Senate schedule for 2016 can be found here. The dates in blue reference the times the U.S. Senate is in session.  The red dates represent when the U.S. Senate is in recess.

AHCA/NCAL Advocacy App

If you haven’t already heard about it, then we wanted to alert you to a great app that allows you to keep abreast of AHCA advocacy efforts.  Among other things, it provides important talking points, issue briefs and features that allow you to take action.  It will be useful not only to you, but serves as a great way for providers to weigh in.  You can get the app by clicking on the appropriate black box below.

 

Download our advocacy app!

   

AHCA’s State of the States Clearinghouse

AHCA members have access to key Medicaid and Medicare information through the State of the States Clearinghouse.  The AHCA State of the States Clearinghouse is a one stop shop for key Medicaid and Medicare information impacting the long term care profession.   

This resource provides valuable data, including:

• Overview of the demographic landscape;
• State-specific nursing center occupancy and ownership breakouts; 
• Certificate of Need requirements for nursing centers and state licensure requirements; 
• State data on the cost of care for long term services and supports;  
• State data on the total number of Medicare enrollees; 
• Data on state Medicare Advantage plan enrollees and comparisons to the national average; 
• State and national Medicaid expenditure data;
• State Medicaid rates, costs and shortfalls;
• And other significant state-specific data related to payment structure, managed long term services and home and community based services coverage.

AHCA will continue to provide the most up-to-date information through the Clearinghouse and share new data/resources as they become available.  Also be sure to visit the AHCA Medicaid Page to learn more about the program and to access additional AHCA members-only Medicaid resources.

We’ve Got You Covered! AHCA/NCAL Insurance Solutions Website

The American Health Care Association (AHCA) and National Center for Assisted Living (NCAL) now offers a variety of comprehensive insurance programs to meet your business needs. Backed by the strength of our membership, AHCA/NCAL Insurance Solutions programs are designed with exclusive member savings and discounts for both the fully-insured or self-insured members.

The program offers health insurance options, group and voluntary benefit packages, an aggressive Stop-Loss insurance program as well as cloud based HR platforms that will help members achieve savings and greater efficiencies on HR services within your company, while also tracking and reporting on key Affordable Care Act (ACA) requirements.  For more information, please contact AHCA’s Dave Kyllo at dkyllo@AHCA.org and visit the AHCA/NCAL Insurance Solutions website.  

Articles and Resources of Interest

• Health Tip: You May Not Have to Give Up Dessert  - healthfinder.gov
• Health Tip: Enjoy Heart-Healthy Holiday Foods – healthfinder.gov
• Health Tip: Learn About Processed Foods – healthfinder.gov
• Too Much Sitting Hurts Heart Patients' Health – healthfinder.gov
• Health Tip: Who Gets Pneumonia? – healthfinder.gov
• Tips from IRS for Year-End Gifts to Charity – irs.gov
• Identity Theft Tax Tips Available; Special Series to Help Taxpayers Available Through January – irs.gov

Legislative and Agency Corner

• Bill To Help Improve Access, Availability of Rural Health Care Introduced in the House – longtermcareleader.com
• CMS Two-Midnight Rule and Comment Period – longtermcareleader.com
• Assisted Living Conversion Program – longtermcareleader.com
• Be Sure to Carefully Read New VA Contracts Before Signing Them – longtermcareleader.com

Webinars of Interest

Stay informed and tune in to AHCA/NCAL-hosted pre-recorded and live webinars on a number of topics impacting the long term care profession.

The Centers for Medicare and Medicaid Services (CMS) will also be hosting a webinar on Wednesday, December 16, entitled, “LTSS in Indian Country: The 2014 Survey of ACL Title VI Program Participants.”  You may register here.

Association Launches New Learning Management Website

AHCA/NCAL has recently launched a comprehensive online Learning Management System to support the training needs of its members. The website, known as ahcancalED, contains a wealth of information including educational programs, webinars, instructional videos, training courses, and other tools. It is available free to AHCA/NCAL members.

"We created ahcancalED for our members who do not have the time or budget to develop the newest in-service training," said Dr. David Gifford, AHCA/NCAL Senior Vice President of Quality and Regulatory Affairs. "Our objective also was to provide the best and latest educational tools, especially as CMS increases its regulatory requirements about staff training and competency in a number of areas. ahcancalED is designed to help individuals in our profession do a better job of caring for patients and residents and advance in their careers."

The information on ahcancalED is structured to make the online learning experience engaging, meaningful, and interactive for users. The fresh graphics and clearly defined sections within the site make it easy for users to navigate and find the information they need. The site also allows users to track their own learning progress.

Teams of experts from around the country working with AHCA/NCAL staff helped to create the content. "We will constantly be adding new programs and materials so that we can keep the site fresh and dynamic," said Gifford. "We'll continue to look for new ways the site can grow and serve our members. It's a great value-added benefit and a tangible example of our commitment to enhancing quality."

ahcancalED can be accessed at https://educate.ahcancal.org/. Suggestions for content or other site enhancements can be submitted to the ahcancalED team at educate@ahca.org. AHCA/NCAL welcomes ideas that will help improve quality and strengthen the knowledge, skills and attitudes of staff in the long term and post-acute care community.

The Professional’s Pledge

Dr. Bryan K. Williams states that, “From this day forth, I will be ashamed if I intentionally give anything less than my best. I have value, and was not put on this earth to begrudgingly exist. No, I was put here to make a meaningful and positive difference in the lives of others. Every book I’ve read, every class I’ve attended, and every lesson I’ve learned was not for me alone. I was blessed with such knowledge so I may use it to bless others. Otherwise, if I keep it to myself, I am being selfish. Yes, I am being unprofessional.” 

He goes on to note, “To be professional is what I am called to be. To take pride in my work is what I am called to do. Henceforth, I will always do more than is expected of me. I will not rely on my mood of the day to dictate how I go about my work. Like the wind, my mood will shift. Consistency can not…must not shift. And professionals are consistent.” To read the full blog posting, please click here.   

Dr. Williams is a consultant, trainer, and author, who focuses on the areas of service excellence and organizational effectiveness.  He has spoken at numerous AHCA/NCAL events, and his passion is to serve others so they may better serve the world.  Here is a link where you can see some of Dr. Williams’ book recommendations on service, leadership and personal development.

From the Blog of Josh Linkner

Noted on the Josh Linkner blog, “To Josh Linkner, creativity and innovation are the lifeblood of all human progress. As such, he’s spent his career harnessing the power of creative disruption.  His journey has been non-traditional at every step. As the founder and CEO of four tech companies, Josh built his businesses from a blank page into a combined value of over $200 million. As a hyper-growth CEO of over 20 years, he’s used innovative approaches to topple competitors, fight through adversity, and achieve at the highest levels.”  The bio section of Linkner’s blog goes on to include that, “Josh is an internationally-recognized thought leader and top-rated keynote speaker on innovation, creativity, reinvention, and hyper-growth leadership. His keynotes are focused on not only inspiring audiences, but also sharing actionable strategies to drive meaningful outcomes.”  Read some of Linkner’s blogs below.

• How To Be Attractive
• Trend Hunting
• Seeding Your Future

National Association of States United for Aging and Disabilities

The National Association of States United for Aging and Disabilities (NASUAD) holds a monthly call or webinar concerning topics of interest to those who work in the field of aging and disability.  One of the past calls focused on resources for people with Alzheimer’s and related dementias and their caregivers.  Information about future calls, and audio recording of previous ones, can be found here.

Upcoming 2016 Events

• AHCA/NCAL Quality Summit – February 9 – 11, 2016
• AHCA’s ID/DD Hill Fly-In Event – March 1, 2016
• AHCA/NCAL Independent Owner Leadership Conference – March 16 – 18, 2016

2015 and 2016 Health Care Observances

The 2015 AHCA/NCAL Health Care Observances Calendar can be found here, which includes observances for the month of December.  January 2016 marks, among other observances, Glaucoma Awareness Month, National Blood Donor Month, and Thyroid Awareness Month. 

Provider Agreements: A Measure Of Devotion….

November, 11, 2015, Washington, D.C.—Good morning, ProviderNation. It’s Veterans’ Day. You can be stoic about it, if you like, or even mournfully hostile to the day’s enterprise, but let us agree that the duty laid upon us by the mighty and humane 16^th president—“to bind up the nation’s wounds, to care for him who shall have borne the battle and for his widow and his orphan”—is one (subject to the occasional, and ambivalent, toggling between masculine and feminine pronouns) that each generation knows it can neither shirk nor ever discharge fully.

With that in mind, provider advocates can take some cheer in the fact that legislation that would make it easier for them to offer top-quality care to the nation’s vets is slowly working its way to becoming law. Senate bill 2000, the Veterans Access to Long Term Care and Health Services Act, has already had two readings and is now in the Committee on Veterans Affairs.

The bill would make it easier for the Department of Veterans Affairs to sign provider agreements with long term and post-acute care centers without all the baggage of making the care centers full-on government contractors.

To read the full blog posting by Provider’s senior editor, Bill Myers, please click here.

AHCA/NCAL Elects New Board of Governors, Directors at Annual Convention in San Antonio

On October 7, 2015, the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) elected AHCA’s Board of Governors and NCAL’s Board of Directors for the 2015-2016 term. Among the new officers, both boards selected new chairs for the coming year: Tom Coble of Oklahoma for the AHCA Board, and Christian (Chris) Mason of Oregon for the NCAL Board.

“We are proud to welcome this distinguished group of leaders to our respective Boards,” said AHCA/NCAL President and CEO Mark Parkinson. “With Tom and Chris at the helm, we are excited about the future and will continue to improve lives by providing solutions for quality care.”

You can click here to read the full news release from AHCA/NCAL.

AHCA Applauds CMS Action on Issuing Medicaid Final Rule

AHCA recently applauded the Centers for Medicare & Medicaid Services (CMS) for finalizing the rule “Medicaid Program; Methods for Assuring Access to Covered Medicaid Services.” The rule puts additional structures in place that are intended to make Medicaid fee-for-service payment rate development more data-driven and transparent to beneficiaries and providers.

“We applaud CMS for taking action on this long-awaited rule,” said Mark Parkinson, President and CEO of AHCA. “AHCA provided input, and we are pleased to see that CMS had like-minded ideas. This is a framework for more transparency and accountability in the state plan amendment process for both beneficiaries and providers.”

You can click here to read the full news release from AHCA. 

Mark Your Calendars – AHCA’s 2016 ID/DD Hill Fly-In Date Set!

AHCA’s Intellectual and Developmental Disabilities (ID/DD) Residential Services Providers annual Hill Fly-In event will occur on Tuesday, March 1, 2016, at the AHCA offices in DC. This important event is free to attend.  Breakfast and a boxed lunch will be provided to registrants. Congressional speakers are being invited, a legislative update will be provided, and Hill visits will follow in the afternoon.  AHCA will provide one-pagers and talking points for registrants to take to the Hill.

If you would like to attend, please contact AHCA’s Senior Director of Not for Profit & Constituent Services, Dana Halvorson.  If you have any questions whatsoever, please don’t hesitate to let Dana know.  AHCA hopes to see you at this important event!

NFP Grassroots Advocacy

Steven Chies, AHCA’s NFP Council Chair, encourages AHCA’s NFP providers to participate in our grassroots advocacy efforts in 2015.  AHCA would like to help you get facility tours and in-district meetings set up over future recess days.  Please provide your name, facility address, and email address and we will craft the invite and send it to you to send to the Congressional office.  The four brief steps for a successful facility tour visit can be found here.  Please feel free to contact Matthew Smyth and Dana Halvorson who can help you with all of the logistics.

AHCA’s NFP Council member, Van Moore (pictured to the right), meets with Rep. Greg Walden (R-OR-2, pictured on the left) at the Oregon Veterans’ Home in The Dalles.  Van discussed with the Congressman issues impacting AHCA/NCAL members, including the observation stays issue.

NFPs Engaging in the Political Process

For more information on how NFPs can engage in the political process, please review this webinar and handout from Wiley Rein, LLP.  Both documents will give members of 501(c) 3 tax exempt organizations an overview of what they can and cannot do in regards to lobbying and political activity.  For issue briefs, talking points and more, visit AHCA’s advocacy page.

U.S. Congressional Calendars

As you are planning your visits with members of Congress and their staff in Washington, D.C., or in your district, the Congressional calendars will be of assistance to you.  The U.S. House of Representatives calendar for the 114^th Congress, first session, can be found here.  The U.S. Senate schedule for 2015 can be found here. The dates in black reference the times the U.S. Senate is in session.  The red dates represent when the U.S. Senate is in recess.  

AHCA/NCAL Advocacy App

If you haven’t already heard about it, then we wanted to alert you to a great app that allows you to keep abreast of AHCA advocacy efforts.  Among other things, it provides important talking points, issue briefs and features that allow you to take action.  It will be useful not only to you, but serves as a great way for providers to weigh in.  You can get the app by clicking on the appropriate black box below.

 

Download our advocacy app!

   

AHCA’s State of the States Clearinghouse

AHCA members have access to key Medicaid and Medicare information through the State of the States Clearinghouse.  The AHCA State of the States Clearinghouse is a one stop shop for key Medicaid and Medicare information impacting the long term care profession.   

This resource provides valuable data, including:

·         Overview of the demographic landscape;

·         State-specific nursing center occupancy and ownership breakouts; 

·         Certificate of Need requirements for nursing centers and state licensure requirements; 

·         State data on the cost of care for long term services and supports;  

·         State data on the total number of Medicare enrollees; 

·         Data on state Medicare Advantage plan enrollees and comparisons to the national average; 

·         State and national Medicaid expenditure data;

·         State Medicaid rates, costs and shortfalls;

·         And other significant state-specific data related to payment structure, managed long term services and home and community based services coverage.

AHCA will continue to provide the most up-to-date information through the Clearinghouse and share new data/resources as they become available.  Also be sure to visit the AHCA Medicaid Page to learn more about the program and to access additional AHCA members-only Medicaid resources.

We’ve Got You Covered! AHCA/NCAL Insurance Solutions Website

The American Health Care Association (AHCA) and National Center for Assisted Living (NCAL) now offers a variety of comprehensive insurance programs to meet your business needs. Backed by the strength of our membership, AHCA/NCAL Insurance Solutions programs are designed with exclusive member savings and discounts for both the fully-insured or self-insured members.

The program offers health insurance options, group and voluntary benefit packages, an aggressive Stop-Loss insurance program as well as cloud based HR platforms that will help members achieve savings and greater efficiencies on HR services within your company, while also tracking and reporting on key Affordable Care Act (ACA) requirements.  For more information, please contact AHCA’s Dave Kyllo at dkyllo@AHCA.org and visit the AHCA/NCAL Insurance Solutions website.