Current Issues in Home Health and Hospice Advocacy

Home Health

  • VNAA Summary of Proposed Rule for Medicare Home Health for Calendar Year (CY) 2015: On July 7, 2014, CMS published in the Federal Register its Proposed Rule for Medicare Home Health for Calendar Year (CY) 2015. The rule proposes multiple changes to the home health payment rates as well as significant changes in other home health policies including face-to-face documentation, therapy assessment schedules, and requirements for OASIS data submission. The proposed rule also introduces CMS’ preliminary plan for a value based purchasing pilot in 2016 and requests industry input on the approach being considered.
Face-to-Face Encounter Documentation ToolkitNew

Below are links to a toolkit created by VNAA to help your agency address face encounter documentation issues to your local member of Congress. The toolkit includes a sample press release template for your customization and a sample letter to the editor or blog posting. If you need further assistance or have questions on communicating with the media, please feel free to contact VNAA.

Hospice and Palliative


  • VNAA Comments to the Senate Commission on Long-Term Care: In a letter to the Commission on Long-Term Care on Aug. 27, 2013, VNAA shared its guiding principles to reform the delivery of long term supports and services today and for future generations. The Commission was established under Section 643 of the American Taxpayer Relief Act of 2012 (P.L. 112-240), signed into law on Jan. 2, 2013.
  • Program Integrity: VNAA in conjunction with its members developed a white paper consisting of proposals to reduce the incidence of abuse in the Medicare program and enhance the quality of care agencies provide. VNAA began this project anticipating that the growth in reported abuse of the Medicare home health benefit would require action and that VNAA could and should take a leadership position.
  • Rural Issues: VNAA has been very active on rural and underserved health issues over the past year and will continue to be active in the coming year through the formation of a new interest group focused on helping rural home health and hospice members’ access opportunities through agencies like the Health Resources and Services Administration (HRSA) as well as network with each other.
  • VNAA Vulnerable Patient Study: VNAA, in collaboration with the Center for Home Care Policy and Research of Visiting Nurse Services of New York, has completed a study that analyzed data on a range of patients that VNAA members treat and the costs associated with providing care to these patients