FHPC PUBLIC POLICY CONVENING Overview

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FHPC PUBLIC POLICY CONVENING

Overview • • • Welcome – Tony Overview for Session – Mary and Pat Slide of Federal State Priorities – Mary Slide of Hierarchy of Public Policy Strategy –Mary Slide of Public Policy Interventions – Mary Update of Federal Issue – Ron BNAF/Productivity Factor Med-Pac/U-shaped curve/certifications Concurrent Care Model Transitions Care Management

Overview • • Brief History of CON – Mary Florida vs. Nation – Tony AHCA Presentation Methodology Flaw/Revision – Pat Lehotsky Priority of CON – All Future of CON – All Potential Modifications – All Strategy to Accomplish – All Setting the Stage for Tomorrow – The Process of Advancing Public Policy

Public Policy Trends STATE FEDERAL * Medicaid – Eliminate Benefit * Certificate of Need * Hospice in Nursing Home * Pediatric Palliative Care * Medication Regulation * Advance Directives * BNAF – Rate Reduction * Med. Pac-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 OPERATIONAL – Reviews/ADR’s/FMR/RACS/Margins

Public Policy Interventions Strategic Influencing Ø Relationship Cultivation/Legislators, Regulators, Influencers Ø Champions Ø Policy Briefs/Talking Points Ø Grass Roots Mobilization Ø Leadership in Hospice Associations Ø Coalition Building Ø l AARP, AAHSA, AHA, etc.

Public Policy Interventions Lobbying Ø Op-eds/Media Ø Technology Mobilization/Opinion Shaping/Blogs/Web/Communities Ø Public Engagement Ø l Forums/Town Hall Meetings Data Collection Ø Research/Literature Searches Ø Litigation Ø Other Ø

PUBLIC POLICY STRATEGY LARGER SCOPE OF HOSPICE IN HC REFORM HEALTH CARE REFORM NOT RE -INVENT EOL CARE DEMONSTRATIONS OF REVISON OF BENEFIT REDESIGN OF REIMBURSEMENT STOP RATE REDUCTION KEEP INTACT RETAIN BENEFIT

Federal Update Ø Rates BNAF/Productivity Factor Ø Med-Pac Recommendations Ø Concurrent Care Model Ø Transitions Care Management

History of Hospice CON 1980 - Hospice became covered by Florida CON 1983 - (and repeatedly since) Legislature recommended repeal of CON for Hospice of the FL Suncoast 1990 - Agency began process to amend rule 1994 - Rule change enacted 2001 - Florida Certificate of Need Workgroup Report

Hospice Models Community Hospice Classic Hospice Teaching/Research Academic Affiliation Hospice Comprehensive Hospice/Palliative Care/ Bereavement Continuum The Hospice of the Florida Suncoast

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