U.S. Senate Aging Committee Staff Spends Day with BAYADA

Submitted by Laura Ness, Director, Government Affairs (GAO)

Recently, Samantha Koehler, policy aide to the U.S. Senate Special Committee on Aging for ranking member U.S. Senator Bob Casey, and Vicki Hoak, Executive Director of the Pennsylvania Homecare Association, spent the day in Philadelphia with BAYADA Home Health Care.  During her time with us, Samantha spent time learning about the inner workings of our service office and went on two home visits, one to an assistive care state programs client and another to a hospice client.

During Samantha’s visit, we discussed the most recent issues to impact home care in Pennsylvania including the institutional bias that still exists, the challenges with the recent proposal to block grant or institute per-capita caps to Medicaid, and the harmful proposed home health groupings rule.

Samantha loved getting to spend some time with Ms. Lenora E. and her aide Kimyatta J. Ms. E has been a BAYADA client for over a year and gets nine hours of care a day.  She is served by the Philadelphia Corporation of Aging (PCA) office. She also met Florence G., a 101-year-old heart patient who can remain at home with her daughter because of the care we deliver. She loves her Clinical Manager Faith Brown almost as much as she loves her children, grandchildren, great-grandchildren, and great-great grandchildren. Grace is served out of the Pennsylvania Media Hospice (PMH) office.

A big thank you to the PCA and PMH staff for hosting Samantha!

Executive Director of PHA Vicki Hoak, BAYADA Aide Kimyatta J., BAYADA Client Lenora E. and Policy Aide Samantha Koehler sit and discuss home care.

Progress on Transforming Medicaid

Submitted by Lee Dobson, Area Director, Government Affairs (GAO)

Ten months into her new job Secretary of Health & Human Services, Dr. Mandy Cohen has been working to move her Medicaid Transformation plan forward. She hired an implementation guru from Missouri, Jay Ludlam as the Assistant Secretary for Medicaid Transformation to lead the process. Medicaid’s hope is to address the physical and behavioral health of North Carolinians. The goal is to improve overall health by creating an innovative and well-coordinated Managed Care environment that addressed the whole-person. The program design calls for three state-wide commercial plans and up to twelve provider-led entities (PLE) as regional plans.  The department’s aggressive timeline will release request for proposals (RFP) in early 2018, with a targeted transition in 2019, pending CMS approval.  BAYADA has been invited to participate in stakeholder discussions as Medicaid develops their Pre-paid Health Plan (PHP) model. Our goal, related to home care, is to ensure level of services and provider adequacy remains central in the program design and waiver application. GAO has involved technical experts from across our various practices to ensure our feedback is sound and supports BAYADA’s overall mission.