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  Wednesday, November 11th at 1pm ET

  NEMEP Session # 5
  NEW MARKET OPPORTUNITY
    Dan Easley, CEO Encore Healthcare 

• "SNF Patient Driven Groupings Model: NEW Opportunity to RESET HME Relationships ”

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• SNFs implemented a new reimbursement model that replaced the Resource Utilization Group (RUG-IV) rates with PDGM. RUG reimbursement focused on the amount of physical/occupational therapy minutes a patient utilized, and now PDGM focuses on a case mix formula that emphasizes patient complexity, additional comorbidities, PT/OT scores, Nursing resources, & specialized treatments including ventis. The shift to PDGM recognizes the complexity of a respiratory diagnosis & therapies required to treat patients.  Objectives:  Understand how the PDGM model recognizes respiratory therapy value & use of higher level technologies to drive improvements; How to leverage use of sophisticated RT equipment into contracted RT services at the SNF; Partnering with the SNF to insure a seamless transition into the home & to reduce readmits while improving patient outcome scores  Understand how to price respiratory services & outcome data from a pulmonary program to drive value to the SNF.
  

  
  

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• Thursday, December 10th at 1pm ET

  NEMEP Session # 6
  MANAGED CARE CONTRACTING
    Jeff Baird, JD, Brown & Fortunato

• "Managed Care Contracting Made Simple ”

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• In the past, DME Supplier’s payor mix consisted entirely of Medicare & Medicaid (“FFS”).  However, this is no longer the case.  The market is more competitive & industry initiatives have forced suppliers to expand

  payor mix.  This program will discuss the challenges facing suppliers as they enter MC arena, including (i) the refusal of an MC Plan to allow new suppliers on their panels; (ii) coverage & reimbursement policies

  that are different than FFS programs; (iii) the prohibition against selling cash items to “covered lives” under the Plan; (iv) a “take it or leave it” attitude by the Plan; and (v) Plans entering into “sole source” and

   “preferred supplier” arrangements.  Equally as important, the program will discuss the steps that suppliers can take to overcome these challenges

  
  

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• Wednesday, January 6, 2021 at 1pm ET

  NEMEP Session # 7
  ENGAGEMENT
    Louis Feuer, MSW, Dynamic Seminars

• "Engaging Your Most Valuable Connections - Patients, Families, Staff & Referral Sources  ”

• Engagement is about connecting with patients, employees and referrals sources. As the content for this program originated as an outgrowth of a series of interviews with healthcare executives from insurance providers and pharmacy chains and plans, - Covaid-19 has increased the importance of engagement with various business entities. Engagement with your off-site staff, patients and their families and those now hard to reach referral source requires a whole new set of business strategies.  Objectives: This dynamic program will identify new connection challenges, suggest new roles for technology, evaluate the impact of cultural diversity on the engagement process, evaluate the impact upon compliance and understand how engagement with patients and staff can both positively increase revenues. Out of sight and out of mind could be one of the most serious impacts of Covaid-19 on your home care business. Learn the strategies and programs that can help regain these lost business relationships.
  

NEMEP Spring Meeting & Exhibits

March 23-25, 2021

Details soon to come!