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