McBee CareThreads: Recent Episodes
McBee
Jumping into a solution before knowing the full scope of the issue at hand can be a recipe for failure. While gut instinct and anecdotal evidence are helpful, they don’t provide information sufficient to build the right solution. On McBee CareThreads, we’ll hear from healthcare solution experts who understand the intricacies and challenges facing providers today. We’ll talk technology, best practices, and practical solutions—all designed to equip you to be the best person-centered provider in the game.We’ll cover topics like: analytics and reporting, federal and state regulations, the revenue cycle, financial strategies, and so much more.
The Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) is reshaping the landscape of rehabilitation facilities. The goal is to make sure patients get the best care possible. Rehab facilities are preparing by making sure their documentation and processes are in good standing, as the IRF RCD is about to take place in several states.
In this episode, Marjorie Mantione, Manager, Clinical Consulting, talks with Jim Peaker, Area Director Rehabilitation Services for Providence. They discuss initial findings from Alabama’s participation in the IRF RCD. They also talk about the decisions facing IRFs regarding pre-claim and post-payment reviews, along with the challenges and benefits of each option.
Join us as we discuss:
- The importance of staff bandwidth, collaboration with Health Information Management (HIM) departments and tracking submission processes
- Common reasons for non-affirmed decisions
- The need for thorough documentation to support rehab services
- Strategies for handling denials
Ryan Iwamoto, President & Co-Founder, 24 Hour Home Care
Maria Warren, Vice President, McBee
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The U.S. Department of Health and Human Services states that more than 10,000 people turn 65 every day in the United States. With an aging population, more people are starting to think about healthcare at home. It’s something that the people at 24 Hour Home Care have been working on for the past 15 years.
In this episode, Maria Warren, Vice President, talks with Ryan Iwamoto, the President and Co-Founder of 24 Hour Home Care. From humble beginnings in a small office, the organization has expanded to provide services in four states to around 13,000 individuals including seniors and adults and children with developmental disabilities.
Listen in as Iwamoto explains his untraditional journey toward healthcare and how his personal experiences have solidified his passion for the industry. He also shares three ideas to help with recruitment and retention, and why he thinks the future is very bright for home care. Plus, hear how a popular grocery store chain and fast-food restaurant are influencing the way he wants to do business!
Cory Mertz, M&AMI - Managing Partner, Mertz Taggart
Maria Warren, Vice President, McBee
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Healthcare services mergers & acquisitions got off to a slow start in Q1 with a record-low number of transactions. Things improved in Q2, setting the stage for what could be a strong finish to the year.
In this episode, Maria Warren, Vice President talks with Cory Mertz, Managing Partner of Mertz Taggart, an M&A advisory firm about the current M&A landscape.
Join us as we discuss:
- Why valuations remain strong
- Q2 deal activity across various sectors
- Predictions on M&A activity for the rest of the year
- Exit strategy advice for sellers
Whether you're an industry professional, investor or simply curious about the ever-evolving healthcare services landscape, this podcast offers analysis that aims to inform and empower listeners.
Dr. Kaishauna Guidry, Morning Dove Medical, CEO
Maria Warren, Vice President, McBee
When it comes to hospice care, it’s important for families to get the care, quality and comfort of life for their loved ones as they deal with an end-of-life situation. In this episode, McBee Vice President Maria Warren talked with Dr. Kaishauan Guidry, the CEO of Morning Dove Medical. “Dr. G” talks about what she calls an “untraditional” path to healthcare, but how it was just an extension of her commitment to community service.
Along with a 9-to-5 job, Dr. G runs her own business, a mobile practice where she does healthcare consulting and publishing. She recently put out her own book on hospice care. She describes it as a workflow framework for hospice physicians so they can be ready for the work.
Join us as we discuss:
- How physicians can improve end of life care
- Why Dr. G started her own business on top of having a full-time job
- The best time to switch to comfort care
- Dr. G’s definition of hospice
- Cheryl Crumpton, Special Chief Services Administrator, Cheyenne Regional Medical Center
- Becky Carey, Program Director, Cheyenne Regional Medical Center
- Marjorie Mantione, Clinical Consulting Manager, McBee
- Erin Duffey-Dupree, Clinical Consulting Manager, McBee
When embarking on a new business venture, where does one begin? This was the question that Cheyenne Regional Medical Center faced when it made the decision to establish an IRF management team.
In this episode, Cheryl Crumpton and Becky Carey discuss the obstacles they encountered while overseeing the rehabilitation program at their Wyoming-based facility. They also delve into the measures they took to ensure they met all the regulatory requirements. Join us as we explore the journey of these two healthcare professionals and gain valuable insights into the world of medical management.
What you will learn:
- How to set your leadership staff up for success
- Using data to advance the mission
- Importance of evaluating risk
- The state of Review Choice Demonstration
The president of the National Association for Home Care & Hospice (NAHC) says the performance of these agencies during the pandemic raised their awareness among the public and people in other parts of health care services. As we move through 2023, and further away from the pandemic, home care agencies and hospices are looking to increase their value in the overall home care landscape.
In this episode, NAHC President Bill Dombi talks with Mike Dordick, Netsmart SVP of Post-Acute Strategy, about the current environment, challenges and opportunities for the home care and hospice industry. Listen in as these two healthcare leaders talk about what you need to know as you work through 2023.
Join us as we discuss:
- Solutions to workforce shortages
- The growing Medicare Advantage population
- The impact the new Congress will have on policy and regulation
- Home care expansion
- Dombi’s forecast for the future
If you want to hear more episodes like this one, look for the McBee CareThreads podcast on Apple Podcasts, Google Podcasts, Spotify or however you listen to your podcasts.
The Centers for Medicare & Medicaid Services now reports that more than 30 million Americans have enrolled in Medicare Advantage plans. While some providers may shy away from these plans, one home health agency is embracing them.
In this episode Maria Warren, McBee vice president, clinical consulting, talks with Frontpoint Health CEO Brent Korte about his approach to Medicare Advantage and what his organization has been focused on as it approaches its one-year anniversary.
Listen in as they discuss:
- How Korte wants to disrupt the market
- Why he considers Texas the “Wild West” of home health & hospice
- Frontpoint’s back-to-basics approach to hospice
“I would categorize the rule as perfectly fitting of coming out on Halloween. It’s a rule in disguise” says Jeff Aaronson, Senior Director of Advisory Consulting. “In some ways you can look at it and see that it’s positive, we have a 0.7% increase in payments. Or you can look at the other side of the rule, which is more impactful, that CMS actually increased the behavior adjustment from 7.69% to 7.85%” he added.
The Centers of Medicare & Medicaid released the CY 2023 Home Health Final Rule on October 31. Fortunately, the proposed rule provided an adequate look into the future and left little room for surprises. This includes steep payment cuts to home healthcare and the need for continued advocacy as an industry.
Navigating change and ensuring you don't miss a beat will be key as we wrap up 2022. Karen Tibbs, Director of OASIS & Quality hosts a discussion between Jeff Aaronson and Lisa Selman-Holman, Vice President of Education and Quality. Listen in as McBee experts discuss what organizations can expect in 2023 and next steps to prepare.
Learn more on:
- The importance of The Preserving Access to Home Heath Act of 2022
- Behavior adjustment and the potential impacts to payment plans
- The finalization of OASIS-E and the best way to prepare
- The baseline year of Value-Based Purchasing and what's next
“Everyone has the opportunity to move the quality needle forward.”
In this podcast, Jennifer Kennedy, Vice President of Quality & Standards at CHAP, joins Maria Warren to discuss hospice quality performance and improvement programs.
Maria and Jennifer agree that every day is a clean slate for hospice organizations to improve quality and exceed expectations.
Hospice quality measures are quickly advancing and in order to adapt, organizations are developing robust improvement programs to keep up with the evolution of quality reporting. Staff members must find ways to stay proactive, as well as maintain patient satisfaction. Organizations should begin treating quality the same way compliance is handled, but where to begin?
Listen in as we discuss:
- Building an efficient quality improvement program
- Cultivating an environment that values quality with the support of leadership
- Understanding your current state in order to discover areas of opportunities
- Trending and tracking your data against regulatory requirements
As accreditation for assisted living communities continues to expand and find its permanent spot within the healthcare industry, regulators and legislation are finally understanding the value it provides.
Denise Hobson, Program Director at Accreditation Commission for Health Care (ACHC), returns to give an update on where accreditation stands today, next steps for operators, and what’s on the horizon.
Join us as we discuss:
- How Idaho, Texas, Florida, and North Carolina are leading the way in Accreditation
- The importance of surveys and quality measures to implement performance improvements
- Building partnership and collaborating with regulators
- Best next steps for your organization
Diving into the unknown can be nerve-racking - whether it's taking on a new leadership role or starting your own business - but the lessons and people make it well worth the risks.
Stepping down from a larger corporation and creating your own space in the healthcare industry is scary—A feeling that Summer Napier, President & CEO of Healing Hands Healthcare knows all too well.
In this episode, we interview Summer about her journey to following her passion by founding Healing Hands, a home health organization serving 22 counties in Northern Texas. She shares her experiences as a healthcare entrepreneur, how she formed meaningful relationships with mentors, colleagues and staff, and lessons learned thus far.
These experiences and approaches to leadership have helped her organization increase staff retention, navigate a public health emergency, and other economic factors challenging the home health space. She details more about the caring and compassionate culture built at Healing Hands surrounding open, transparent communication and her - share the why - approach.
Listen in as we discuss:
- Following your passions and discovering what it takes to start-up a healthcare business
- How networking and mentors making a difference in leadership
- Cultivating a culture where your team can thrive, increasing retention
- Prioritizing work-life balance and an open-door policy
Accreditation might not be new to the healthcare industry, but it is to assisted living and memory care; and with the addition comes the importance of integrating it correctly — treating it as a commitment rather than an inconsistent checklist.
For those that integrate successfully: A chance to differentiate themselves in the marketplace.
In this episode, we interview Denise Hobson, Program Director at Accreditation Commission for Health Care (ACHC), about what accreditation truly means, the value for assisted living providers, and state perspective on accreditation.
Join us as we discuss:
- Why an assisted living provider should consider accreditation
- Accreditation’s value to residents, families, & the insurance industry
- State perspective on accreditation & creating formal benchmarking
- Next steps for the audience
This discussion with Denise Hobson was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts.
If you don’t use Apple Podcasts, you can find every episode here.
Hospital finance departments have a saying: Get it right the first time.
Getting appropriate admission status and the required supporting documentation right isn't as easy as it sounds. It requires the folks in finance to work hand-in-glove with nurses in the growing new field of utilization management.
In this episode of McBee CareThreads,Jonna Mayfield, Manager of Care Management at McBee, talks about how utilization management is integral to patient care and experience and to financial viability for hospitals.
Jonna digs deep into:
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The difference between utilization management and case management
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How COVID-19 has impacted utilization management
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Challenges to optimal utilization management in an acute care setting
This discussion withJonna Mayfield was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts.If you don’t use Apple Podcasts, you can find every episode here.
Home health and hospice organizations continue to face strict regulatory changes and oversight from CMS and the Office of the Inspector General (OIG) to prevent fraud, waste and abuse. Given the certainty of future audits, what can organizations do to prepare themselves in advance?
Howard Young, Health Care Partner at Morgan Lewis, joined Maria Warren, Senior Director at McBee, on this episode of McBee CareThreads to discuss how to stay on top of Medicare compliance.
What we talked about with Howard:
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Hot-button compliance issues we should be paying attention to
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How to adjust — and stay compliant — during a public health emergency
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Tips to help avoid getting an audit from the OIG
This discussion with Howard Young was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
Listening on a desktop & can’t see the links? Just search for McBee CareThreads in your favorite podcast player.
At Banner Health, an agency serving 14,000 patients at 6 branches, the COVID-19 pandemic has spring-boarded video visits and patient engagement 5-10 years into the future. Clinicians are now willing to use innovative ideas to their advantage in a way that all of the change management and planning in the world wouldn't have accomplished on its own.
Kimberly Lane, Senior Director Post-Acute Home Health Operations at Banner Health, joined this episode of McBee CareThreads to talk about how to use disruptive experiences to improve patient care.
What we discussed with Kim:
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How she allayed team members' concerns early in the pandemic
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The value that a bring-your-own-device contract brought to her team and patients
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Kim's team-building and communication advice for a remote-work environment
This discussion with Kimberly Lane was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
Listening on a desktop & can’t see the links? Just search for McBee CareThreads in your favorite podcast player.
2020 brought many changes to the post-acute industry. One trend that didn't slow down much, however, was mergers and acquisitions. Deals are happening, it's a sellers market, and 2021 looks like a hotter year for sales than ever.
What do organizations preparing to go to market or looking to expand their footprint in the post-acute industry need to know?
Bruce Vanderlaan, JD, Managing Director at Mertz Taggart joined this episode of McBee CareThreads to talk about mergers and acquisitions in hospice and home health.
What we discussed with Bruce:
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Two key takeaways from 2020 for mergers & acquisitions
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Advice for providers looking to buy or sell
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The importance of clinical compliance for sellers and buyers
This discussion with Bruce Vanderlaan was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
Listening on a desktop & can’t see the links? Just search for McBee CareThreads in your favorite podcast player.
Kim Elsberry, Senior Director of Population Health at Netsmart, joined this episode of McBee CareThreads to talk about what population health is and where it's headed.
When asked why she was passionate about population health, Kim said she believes in the triple aim of...
- Improving patient experience
- Containing costs
- Achieving better outcomes of care
That's what population health does. But how does it work? And where is it headed?
Here's what we discussed with Kim:
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What population health is and what areas in the industry it serves
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How to deal with gathering and sharing data from multiple disparate applications
This discussion with Kim Elsberry was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
Risk must be part of the conversation when we're talking about population health models. It's an especially critical discussion as we're moving beyond medical models and into a values-based model.
Rose Madden-Baer, SVP of population health and clinical support services of the Visiting Nurse Service of New York (VNSNY), joined this episode of McBee CareThreads to talk about risk-based and value-based models of care.
What we discussed with Rose:
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What led to the development of population health at VNSNY
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The results VNSNY has seen from its risk-stratification models
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The data to track when you are interested in exploring risk stratification
This discussion with Rose Madden-Baer was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
A new hospice regulation took effect on October 1, 2020. Called the notice of election requirement, it mandates updated language to the election benefit as well as beneficiary notification of items, services, and drugs not covered by hospice.
Dee Geray, clinical consulting senior manager at McBee, joined this episode of CareThreads to talk about the new regulation.
What we discussed with Dee:
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What the new notice of election requirement means
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The challenges providers could face in adopting these changes
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Hotspots and big focus items that Medicare is targeting
This discussion with Dee Geray was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
COVID presented the home health industry with a serious challenge, and we emerged stronger for it. Now, how can we leverage that strength to take us forward?
Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), joined this episode of CareThreads to talk about NAHC 2.0, the current home health environment, and much more. Bill is the voice of the home care industry.
What we discussed with Bill:
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How NAHC became the voice of home healthcare in Washington, DC
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What providers are doing to manage home health care during COVID
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The virtual NAHC annual conference that's coming up October 19-21
This discussion with Bill Dombi was taken from our show McBee CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
We're still experiencing the COVID-19 pandemic and about to go through a contentious presidential election. What does the view of post-acute care look like from Washington, DC?
Al Guida, owner of Guide Consulting Services, joined this episode of Care Threads to talk about the political landscape as he sees it and how it is affecting the post-acute care industry.
What we discussed with Al:
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What stopped in DC when COVID happened
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How the DC landscape might change in 2021
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Al's thoughts on Medicaid and human services spending
This discussion with Al Guida was taken from our show McBeeCare Threads. If you want to hear more episodes like this one, check us out on Apple Podcasts here.
If you don’t use Apple Podcasts, you can find every episode here.
This podcast was recorded on Sept. 24, 2020
In the hospice and palliative care industry, we were seeing significant growth through mergers and acquisitions for quite a while. Then COVID hit, and everything changed.
Today, what are the top challenges hospice organizations face and how might technology solve them?
In this episode, host Mike Dordick meets with Jason Banks, vice president of post-acute at Netsmart, to talk about how the industry's vital signs look now and the role technology can play.
Jason and Mike discuss:
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The top three challenges facing hospice and palliative care organizations
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Analytics, workforce management, and logistics solutions for hospice executives
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Advice for smaller hospices doing one line of business in today's environment
This discussion with Jason Banks was taken from our show McBee CareThreads.
Nobody has a playbook for the times we find ourselves in. We do, however, have a podcast. On the McBee CareThreads podcast, we sit down with industry leaders to talk about current challenges and opportunities in healthcare.
In this intro episode, host Tom Herzog meets with Mike Dordick, president at McBee and senior vice president of post-acute strategy for Netsmart. Tom and Mike talk about how a podcast can help promote connection and collaboration between post-acute and human services industries.