FED: Home Health to See Rate Decrease in January 2020. What Can You Do?

CMS recently finalized calendar year 2019 and 2020 payment changes for home health agencies. The new payment model, also known as the Patient Driven Groupings Model (PDGM), was finalized on October 31, 2018. There is some good news: We will see Medicare payments increase by 2.2%–or $420 million–based on finalized policies this year. The reimbursement rate increase is the first the home health industry has received in a decade. Unfortunately, the final rule addresses that home health will see a decrease of payments by 6.42% based on the use of “behavioral assumptions” which will take effect January 2020.

Luckily Congress is working with the industry and has introduced corrective legislation into the House and Senate that counteracts this measure. Several of our legislative champions, including Vern Buchanan (R-FL), sponsored one of the three bills introduced, each of which would serve to counteract the “behavioral assumptions” by requiring Medicare to implement adjustments to reimbursement rates only after improper behavioral actions by home health agencies are actually observed affecting Medicate spending rather than assuming those improper activities will occur. While this is a great first step, we need more legislative support to ensure that one of these bills crosses the finish line.

How can you help? The Government Affairs Office (GAO) has been working diligently to meet with key legislators and introduce them to our issues and those of our staff and clients, but we can’t do it alone. BAYADA has been asked to take the lead of home visits for our industry and we need office staff to help us communicate the importance of home care and proper Medicare reimbursement for our services.

To join in our advocacy efforts, please consider meeting with your federal Congressman or Senator through an office visit or home visit. Contact GAO Federal Associate Lindsey Wright today to learn more and to coordinate. The Federal Affairs team has a busy first month of the year and will be making visits to Home Health offices the year to hear what is most important in your office and how we can help.

Upcoming Events

Date Event Location
January 17 Home Health Office Visits CO
January 21-23 Home Health Office Visits AZ
January 24 NHPCO/HAN Board Meeting Phoenix, AZ
January 27-29 Home Care 100 Phoenix, AZ
January 30 HCAOA Board Meeting Tucson, AZ
February 7 PMHC Board Meeting Washington D.C.

BAYADA Chief Government Affairs Officer Successfully Delivers MLTSS Implementation Presentation to MACPAC

Dave Totaro served as a panelist to inform Commissioners about lessons learned from Managed Care and MLTSS implementation in BAYADA states.

Last Thursday BAYADA Home Health Care’s Chief Government Affairs Officer Dave Totaro served as a panelist during the Medicaid and CHIP Payment and Access Commission’s (MACPAC) public meeting in Washington, DC. This opportunity was especially unique and important for BAYADA because MACPAC serves to provide policy and data analysis and make recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on a wide array of issues affecting Medicaid and CHIP. We are optimistic that Dave’s insights will help shape the Commission’s future recommendations on state and federal Managed Care and MLTSS policies and procedures.

MACPAC extended the invitation to Dave to serve as the panel’s provider representative due to BAYADA’s experience with Managed Long Term Services and Supports (MLTSS) and managed care implementation across a number of states. Dave accepted the opportunity and successfully delivered his presentation in front of the 17-person Commission and a public audience, which included a number of congressional staffers and CMS representatives.

Aside from Dave, participating panelists were Dennis Heaphy, a MLTSS beneficiary and expert on public health from Massachusetts’s Disability Policy Consortium, and Michelle Bentzien-Purrington, Vice President of MLTSS and Duals Integration at Molina Healthcare. Dave’s presentation focused on BAYADA’s experience in implementing Managed Care across multiple states, particularly the lessons learned that can translate to better implementation in future states looking toward managed care and MLTSS.

tactics for Managed Care Long Term Services and Supports MTLSS implementation success

Dave presented MLTSS implementation as a three-legged stool: Adequate rates, state supports, and federal process changes must all be in place for a successful rollout. Should one of the legs be faulty, then the entire operation is set to fail. The presentation described for the Commission:

  • The need for the state to set adequate reimbursement rates and why inadequate rates affect providers’ ability to recruit, retain, and compete, which can lead to an unhealthy provider network and, ultimately, an access to care issue
  • The need for states to protect a set adequate rate via a rate floor, and the need to regularly review and adjust this rate
  • The need for state oversight and regulation of MCOs so that providers can focus on care delivery rather than managing the administrative burdens and variable practices of each MCO
  • The importance of the federal government equalizing Home and Community Based Services with nursing home care to solve for the institutional bias that currently allows LTSS individuals to access facility care more easily than home and community-based care
  • The need for the federal government to collect uniform data so that MCOs and providers can work together to close care gaps and save the state money

Each section was accompanied by BAYADA-state specific examples, and the presentation concluded with a series of recommendations related to each of the above points. Throughout Dave’s presentation, the Commissioners and audience were engaged and following along to the accompanying PowerPoint. After his presentation, Commissioner Leanna George—the mother of a child currently living in an Intermediate Care Facility—positively commented that rate floor setting was as avenue towards ensuring adequate reimbursement rates that she had not heard of before.

During the Q&A portion of the meeting, Commissioner Brian Burwell asked that each panelist state which area of MLTSS the Commission should focus their research and attention. The other panelists echoed Dave’s sentiments regarding federal changes to rebalance HCBS with nursing home care to remove institutional biases that continue to affect beneficiaries who wish to remain at home.

After the panel wrapped up, Commission Chair Penny Thompson approached Dave to compliment him on his presentation, and Dave has already been contacted by MACPAC’s Executive Director Anne Schwartz regarding his future support and counsel on MLTSS. GAO is ready to work with the Commission on next steps and is excited to be at the table to help recommend policies that are favorable to home care providers.

Thank you to all BAYADA colleagues that assisted Dave in the research and creation of this presentation:

  • Alisa Borovik
  • Melissa Burnside
  • Lee Dobson
  • Linda Hughes
  • Kelly Lawson
  • Louise Lindenmeier
  • Matthew Lippitt
  • Kerry Meabon
  • Tara Montague
  • Laura Ness
  • Jennifer Vranich

Busy Week for the Government Affairs Office in Washington D.C.

Submitted by Dave Totaro, Chief Government Affairs Officer (GAO)

Last week, I was elected to the Board of the Partnership for Quality Home Health (PQHH) replacing Chairman and Founder, Mark Baiada, who stepped down upon his retirement.  PQHH is an alliance of major home health providers dedicated to the development of policy to improve the quality of life and care of all home health patients.  I am also a board member and Chairman of the Partnership for Medicaid Home-based Care (PMHC), an alliance of major Medicaid providers, managed care organizations, state and national home care associations and interested business affiliates dedicated to the development of policy to enhance Medicaid reform.

Also, following each Board meeting, the Partnerships held events to honor the support for Medicaid and Medicare shown by home health care champions U.S. Senator Bob Casey (D-PA) and U.S. Senator John Cornyn (R-TX).

And, last week, the Government Affairs Office supported the PQHH Action Alert to urge the Centers for Medicare and Medicaid Services (CMS) to withdraw their Home Health Groupings Model (HHGM), a proposed new payment model for home health services that would significantly cut home health revenues by more than 15%.  As of September 14,  759 BAYADA colleagues have sent 2334 messages to 156 legislators.  Thank you to everyone who took action and who participated in this very important and necessary alert.

Photo: Dave Totaro and Senator Bob Casey at the Partnership for Home-based Care Board Meeting in Washington, DC.

Great News….United States Senate Calls Off Their Healthcare Vote

Submitted by Dave Totaro, Chief Gov’t Affairs Officer, Lotus Division (LOT)

Earlier this week, Senate Majority Leader Mitch McConnell announced the Senate would not proceed with a vote on their Better Care Reconciliation Act (BCRA) and that is great news!  The proposed bill, as written, would have severely cut Medicaid and would have cut services to medically fragile children with cancer, parents with Alzheimer’s, and persons who rely on mental health services, just to name a few. 

The Government Affairs Office (GAO) and our Hearts for Home Care Ambassadors and advocates stood at the ready.  We were prepared to replicate our outreach effort from a couple of weeks ago, under our #NoHearingNoVote campaign, which resulted in 125,000 emails and over 600 phone calls to Senators in a mere 72 hours.  Regardless, whether you are a Democrat, a Republican or an Independent, the issue was simple – save the programs and the services that we know are crucial to the health and well-being of so many of our clients and caregivers. 
 
GAO will continue to follow developments in Washington closely and keep you posted.  Thank you, as always, for your support of our advocacy programs.

PA Ambassador Named 2017 BAYADA Hearts for Home Care Ambassador Rookie of the Year

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

 Each year the Government Affairs Office (GAO) selects one outstanding Ambassador as their Rookie of the Year. The individual honored must be a new Ambassador who has made an impact on clients’ lives and on the Ambassador program.

As GAO discussed the nominees it was evident that Berks County Visits (BRK) Nurse Trisha Lasher was the clear winner.  Trisha is an RN and was BAYADA’s first field employee to serve as a Hearts for Home Care Ambassador.

While she was nervous about her first meeting with a legislator, she decided to keep her commitments as promised and do it on her own. We are so happy she did because she hasn’t stopped since. Trisha started by visiting Representative Jim Cox (R) in his district, and followed up with him later that year in Harrisburg at Lobby Day. She wrote about her experience in the BAYADA Bulletin, which prompted a joint home visit with Representative Cox and the Reading Adult (RAD) Office. Because of the relationship she has built with Representative Cox, he took immediate action to help an adult client when he visited her.

The client had been trying to get a chair glide installed in her house for five years. After the visit, Representative Cox made several calls to service coordinators, found systemic fraud and flaws in the system, and was able to get the client the chair glide within six weeks of the home visit.

Building on their relationship, Representative Cox agreed to write letters of support for our pediatric rate increase and the Medicaid spend-down issue.

To further her advocacy efforts, as election time rolled around and GAO hosted the Bring the Vote Home Campaign, Trisha enlisted the help of all the office staff to call all clients. They educated clients on voting, the PHA voter guide, and let them know about absentee ballots. Trisha then organized field employees to deliver absentee ballots.

From building relationships to advocating for clients’ needs, Trisha has shown her dedication to being an excellent Hearts for Home Care Ambassador.

Honorees traveled to Washington, DC to celebrate their achievements. They enjoyed a private festive reception before heading to dinner and the awards presentation at a local restaurant. Senator Tom Carper joined the group to address some of the major issues affecting health care at the federal level, and to congratulate our Ambassador of the Year awardees. Before heading home, Ambassadors and their guests also spent time touring the city with stops including the White House, Jefferson Memorial, Lincoln Memorial, and the US Capitol.

Ali Knott Named National Hearts for Home Care Ambassador of the Year

Submitted by Dave Totaro, Chief Government Affairs Officer (GAO)

Delaware Pediatric North (DPN) Director Ali Knott last week was named the 2016 Government Affairs Office (GAO) Hearts for Home Care National Ambassador of the Year!

GAO had the distinct honor of recognizing Ali and four other passionate Ambassadors from our largest-footprint states—Delaware/Maryland, New Jersey, North Carolina, and Pennsylvania—during our annual Hearts for Home Care Ambassador of the Year awards celebration.

Over the last year, these Ambassadors of the Year connected with, and actively shared, BAYADA’s mission with legislators on behalf of our clients and caregivers.

Ali received the National award after being named the Delaware/Maryland Ambassador of the Year. Since becoming an Ambassador, she has been a consistent supporter and advocate in Delaware public life. In the fall, she and her son, Christopher, met with Senator (now Lt. Governor) Bethany Hall-Long and Senator Nicole Poore where they both made a strong impression on both legislators.

New Jersey Ambassador of the Year Ida Rodriguez, client services manager of Hudson County (HUD) assistive care state programs office, developed and strengthened a relationship with Assemblywoman Angelica Jimenez, which included a home visit with a HUD client. As a result, Assemblywoman Jimenez signed on as a co-sponsor to a vital piece of legislation that BAYADA supports – A320.

Melissa Zuzolo, director of Conover (CON) assistive care state programs and North Carolina Ambassador of the Year coordinated a home visit, served on the board of the BAYADA NC political action committee and represented BAYADA on the Chamber of Commerce Government Affairs Committee.

Pennsylvania Ambassador of the Year Mike Sokoloski was named state Ambassador for the final time. During 2016 he served as community liaison in the Wilkes-Barre/Scranton (WBS) assistive care state programs office. Since then, Mike has transitioned his passion for advocacy into a new position within GAO as the new Grassroots Manager. While serving as an Ambassador in 2016, Mike served as a board member of the BAYADA PA political action committee, organized four legislative round tables, and was appointed by Governor Tom Wolf as the sole home care representative to the Governor’s Long-Term Care Council.

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U.S. Senator Tom Carper with the 2016 Hearts for Home Care Ambassadors of the Year: Melissa Zuzolo (North Carolina), Ali Knott (Delaware/Maryland and National), Ida Rodriguez (New Jersey); Trisha Lasher (Rookie); and Mike Sokoloski (Pennsylvania)

Trisha Lasher, a nurse in the Berks County Visits (BRK) office was named National Rookie Ambassador of the Year. Trisha has the distinction of being our first field employee to serve as an Ambassador. She built a relationship with Representative Jim Cox that was instrumental in helping a client who had been hitting roadblocks for five years to finally get a chair glide installed in her home.

Honorees traveled to Washington, DC to celebrate their achievements. They enjoyed a private festive reception before heading to dinner and the awards presentation at Charlie Palmer Steak. Senator Tom Carper joined the group to address some of the major issues affecting health care at the federal level, and to congratulate our Ambassador of the Year awardees. Before heading home, Ambassadors and their guests also spent time touring the city with stops including the White House, Jefferson Memorial, Lincoln Memorial, and the US Capitol.

Thank you to Ali, Ida, Melissa, Mike and Trisha, the GAO team, and to all of our 192 Hearts for Home Care Ambassadors for being the unified voice of our clients who can’t always speak up for themselves. It is with your support, and the support of our division directors and directors, that we will continue to make strides toward achieving our BAYADA vision of helping millions of people experience a better quality of life in the comfort of their own homes. After all, as our Hearts for Home Care Ambassadors of the Year reminded us time and time again, advocacy is The BAYADA Way.

Hearts for Home Care State Ambassadors of the Year named, to be honored in Washington, DC

Submitted by Dave Totaro, Chief Government Affairs Officer (GAO)

Over the past few weeks, BAYADA’s Government Affairs Office (GAO) has announced the Hearts for Home Care Ambassador of the Year finalists for each state. It is with great pleasure that we now congratulate the Hearts for Home Care State Ambassador of the Year winners:

Delaware and Maryland: Ali Knott, director, Delaware Pediatric North (DPN) office

New Jersey: Ida Rodriguez, client services manager, Hudson County (HUD) assistive care state programs office

North Carolina: Melissa Zuzolo, director, Conover (CON) assistive care state programs office

Pennsylvania: Mike Sokoloski, community liaison, Wilkes-Barre/Scranton (WBS) assistive care state programs office

We also congratulate our national Rookie Ambassador of the Year Trisha Lasher, a nurse in the Berks County Visits (BRK) office.

Each of these individuals has shown an outstanding commitment to advocacy on behalf of our clients and fellow employees, which directly benefits the entire company. For example, in 3Q’16, 24% of all of the growth in the company’s revenue came from reimbursement rate increases generated by GAO over the previous year. Without the support of these Ambassadors, it would be very difficult to attain the achievements that generated such remarkable growth throughout our company and we are proud to honor these valued advocates as our 2016 Hearts for Home Care State Ambassadors of the Year.

On March 15, these awardees and their guests will spend time with GAO leadership in Washington DC, enjoying a dinner in their honor and discussing their advocacy efforts. At that dinner, they will officially receive their respective Ambassador of the Year Awards, and one of the four state Ambassadors will receive the prestigious Hearts for Home Care National Ambassador of the Year recognition. The trip also includes an overnight stay at the Marriott Marquis and the opportunity to take in the sights of Washington on a private guided tour.

 The Hearts for Home Care Ambassador Program

 Since 2011, the Ambassador program has promoted advocacy by calling on staff to take leadership roles within their offices as Ambassadors. The Ambassador’s role is to act as a liaison for GAO in communicating the importance of our advocacy initiatives to their colleagues and spearheading visits with legislators at clients’ homes, in legislators’ district offices, and with staff at our support and service offices.

Our Hearts for Home Care Ambassadors of the Year have gone well above and beyond the ambassador call of duty.

In Delaware, Ali and her son, Christopher, attended a meet-and-greet with Senator (now Lt. Governor) Bethany Hall-Long and Senator Nicole Poore where they made a strong impression on the legislators as Ali shared the challenges of the disability community.

In New Jersey, Ida developed and strengthened a relationship with Assemblywoman Angelica Jimenez, which included a home visit with a HUD client. As a result, Assemblywoman Jimenez signed on as a co-sponsor to a vital piece of legislation that BAYADA supports – A320.

In North Carolina, in addition to coordinating a home visit, Melissa served on the board of the BAYADA NC political action committee and represented BAYADA on the Chamber of Commerce Government Affairs Committee.

In Pennsylvania, in addition to serving as a board member of the BAYADA PA political action committee, Mike organized four legislative round tables in 2016 and was appointed by then-Governor Tom Wolf as the sole home care representative to the Governor’s Long-Term Care Council.

Also in Pennsylvania, our Rookie Trisha has the distinction of being our first field employee to serve as an Ambassador. She built a relationship with Representative Jim Cox that was instrumental in helping a client who had been hitting roadblocks for five years to finally get a chair glide installed in her home.

We appreciate all 192 Hearts for Home Care Ambassadors who advocate for our clients and colleagues while still performing their full-time job responsibilities. We also thank the division directors and directors who either serve as Ambassadors or support the Ambassadors in their areas. Everyone’s volunteer advocacy efforts truly embody living The BAYADA Way.

Stay tuned for the announcement of our BAYADA Hearts for Home Care Ambassador of the Year!

 

 

Meet the DE, MD, NC, and PA Hearts for Home Care Ambassador of the Year Award Finalists

Submitted by Shannon Gahs, Associate Director, DE and MD Government Affairs, Lee Dobson, Area Director, NC Government Affairs and Laura Ness, Director, PA Government Affairs (GAO)

Last week we introduced you to BAYADA’s New Jersey Hearts for Home Care Ambassador of the Year finalists. This week we profile the Hearts for Home Care Ambassadors from Delaware, Maryland, North Carolina, and Pennsylvania who have been selected as finalists for their state Ambassador of the Year Awards. Their advocacy over the past year has shown their dedication to being a constant and powerful advocate for our staff and clients.

Now that you have met all of our finalists, next week we will announce the Hearts for Home Care Ambassadors of the Year from each state. These hard-working Ambassadors will receive a trip to Washington, DC for a special awards dinner where they will be honored and the National Ambassador of the Year will be named.

Delaware and Maryland

Baltimore West Visits (BWV) Area Director David Pareja volunteered to be an Ambassador at the beginning of December 2015. Despite his short tenure, he has been very effective. He learned the role, contacted Senator Gail Bates, and completed a very successful home visit at the beginning of January.

Senator Bates was elected in 2002 to the House where she served until elected to the Senate in 2015. She sits on the Senate Education, Health and Environmental Affairs Committee and is a CPA by profession. This gives her credibility in tax and appropriations issues, as well as a vote on health-related matters. In addition to hosting this visit successfully, David involved his team in the effort and spread excitement about advocacy. In his role as area director, he has the ability to encourage others to follow his lead.

Delaware Pediatric North (DPN) Director Ali Knott has been a consistent supporter and advocate in Delaware public life. She and her son, Christopher, attended a meet-and-greet with Senator (now Lt. Governor) Bethany Hall-Long and Senator Nicole Poore after working hours in September where they both made a strong impression on both legislators. The event was hosted by leaders in the disability community, with whom Ali also maintains a good relationship.

In addition, Ali supported coordination and prepared to host a clinical roundtable in her office in December with the Lt. Governor-elect. Although the meeting had to rescheduled at the last minute, that does not diminish Ali’s willingness and effort in preparing for this meeting.

Delaware Pediatrics (DP) Clinical Manager Tiffany Willis and her three children spent most of a Sunday in August volunteering for Representative Paul Baumbach at a community fair. Representative Baumbach is known to be a coalition-builder, bringing together legislators with differing motivations to pass legislation that makes sense. He and Tiffany had a good conversation about the need for increased funding for home and community based services.

Following Tiffany’s efforts, Representative Baumbach has offered to sponsor legislation on our behalf. Tiffany has also been great at keeping in touch when she has received communications from her federal representatives and candidates for state elections that have reached out to her.

North Carolina

Lake Norman Adults (LNA) Director Chad Shore has been an Ambassador since 2015 and is a member of the North Carolina political action committee (PAC). In his first year as an Ambassador, he was named the 2015 North Carolina Ambassador Rookie of the Year.

In 2016, Chad hosted two home visits where local legislators visited with BAYADA clients. He responded to 100% of the online calls to action, represented BAYADA at numerous political receptions, and attended NC Legislative Day, where he served as a team leader. Thanks to his hard work and diligence, the LNA office is at 100% for Hearts for Home Care registration.

An Ambassador since 2015, Asheville Pediatrics (AP) Client Services Manager Jennifer Parham arranged to hold a roundtable in her office with a local legislator and coordinated two home visits with legislators and BAYADA clients.

She also served as a team leader during NC Legislative Day. In addition to being a NC PAC member, Jennifer has responded to 100% of the online calls to action and has achieved a 100% for Hearts for Home Care registration in the AP office.

Conover Adults (CON) Director Melissa Zuzolo is a repeat finalist. Last year, she was named the 2015 North Carolina Ambassador of the Year. In 2016, Melissa coordinated a home visit for a local legislator and served as a team leader for North Carolina Legislative Day.

She also represents BAYADA on the Chamber of Commerce Government Affairs Committee, where she helped organize a large fundraiser for the organization. She is not only a PAC member, but was elected to serve a two-year term on the NC PAC Board. As an Ambassador since 2011, Melissa responds to 100% of the online calls to action and attends numerous political receptions on behalf of BAYADA. Thanks to her efforts, the CON office is at 100% for Hearts for Home Care registration.

Pennsylvania

Sellersville Pediatrics (SEL) Associate Christine Detweiler has been a Hearts for Home Care Ambassador for several years and her office has a 100% Hearts for Home Care registration rate. Chris has taken to building key relationships, and this year she focused in on Representative Craig Staats (R) through district office visits and home visits. Through her relationship building, Representative Staats began to see the importance of pediatric home care, especially after his visit with their client Gabe.

Chris was an integral part of Lobby Day where she encouraged Gabe and his mom to attend the event and worked with Representative Staat’s office to arrange parking and other needs. Representative Staats cleared a good amount of time to give Gabe and his family a tour of the Capitol and even arranged for Speaker Turzai to recognize Gabe and BAYADA on the House floor.

Because of their relationship, Rep. Staats wants to ensure that home care is known as the solution and that the state invests in it. He is a supporter and has asked for an active role in helping us achieve our goal of allowing presumptive eligibility for home care.

Berks County Visits (BRK) Nurse Trisha Lasher, an Ambassador since 2016, is our first field employee Hearts for Home Care Ambassador. While she was nervous about her first meeting with a legislator, she decided she’d do it on her own and hasn’t stopped since. Trisha started by visiting Representative Jim Cox (R) in his district, and followed up with him later that year in Harrisburg at Lobby Day. She wrote up her experience in the BAYADA Bulletin, which prompted a joint home visit with Representative Cox and the Reading Adult (RAD) assistive care office. Because of the relationship she had built with Representative Cox, when he went to visit an adult client he took immediate action to help the client. The client had been trying to get a chair glide installed in her house for five years. After the visit, Representative Cox made several calls to service coordinators, found systemic fraud and flaws in the system, and was able to get the client the chair glide within six weeks of the home visit. Building on their relationship, Representative Cox agreed to write letters of support for our pediatric rate increase, and the Medicaid spend-down issue.

As election time rolled around and GAO hosted the Bring the Vote Home Campaign, Trisha enlisted the help of all the office staff to call all clients. They educated clients on voting, the PHA voter guide, and let them know about absentee ballots. Trisha then organized field employees to visit those home and deliver the absentee ballots. From building relationships to advocating for clients’ needs, Trisha has shown her dedication to being an excellent Hearts for Home Care Ambassador.

Wilkes-Barre/Scranton (WBS) Community Liaison Michael Sokoloski is another repeat finalist on our list. Last year he was selected as the PA Hearts for Home Care Ambassador of the Year as well as the National Ambassador of the Year. A Hearts for Home Care Ambassador since the program began six years ago, he has developed strong ties with every legislator in the northeast portion of the state and makes countless district office and home visits every year.

He also created a niche role for himself as an Ambassador mentor. He has helped others get into the program, helps them make their first visits, and answers questions. As he has started to help with field employee recruitment efforts, he has also hosted Hearts for Home Care Tables, which help introduce our advocacy program to field employees and get them registered on the advocacy center. Mike serves as a member of the PA BAYADA political action committee and planned four legislative roundtables this year to bring about a greater awareness of home care and our issues to key legislators.

Mike is so well known in the northeast that the local Area Agencies on Aging rely on him for information about the state. In fact, he even drove several of them to Harrisburg to participate in a hearing on the issues associated with the independent enrollment broker. Because of the very strong relationships Mike has developed with legislators, he was nominated by Representative Sid Michaels Kavulich to serve on the newly established Long-Term Care Council, and he was appointed to the council by then-Governor Tom Wolf. This council has one official home care representative and because of Mike’s relationships, he ensured BAYADA will be that voice.