11:30 am – 5:00 pm

Executive Golf Outing

The Miller Course’s rolling fairways offer picturesque views while requiring solid drives and pinpoint irons. Just don’t be distracted by the flamingos!

For Executives Only

11:45 am – 4:15 pm

Everglades Airboat Tour

Venture into the Everglades on an airboat and see one of the most unique ecosystems in the world. You’ll even get to pet a baby alligator!

12:00 pm – 4:30 pm

Little Havana Walking Food Tour

Stroll through culturally rich Little Havana like a local, learn the art of cigar rolling, enjoy a variety of Cuban cuisine and witness the fierce domino competitions at Makimo Gomez Park.

12:00 pm – 4:30 pm

Wynwood Walls Walking Art & Food Tour

Walk and eat your way through Wynwood Art District, Miami’s cutting-edge neighborhood known for its vibrant street art and delicious cuisine.

12:15 pm – 4:30 pm

Biscayne Bay Yacht Cruise

Sit back and relax aboard the Venetian Lady luxury yacht. You’ll cruise by “Millionaire’s Row” and learn about the city’s stunning architecture from a historian.

PDGM in Action! Early Results, Long-Term Outlook

Home Care 100 will be the industry’s first opportunity to assess the real-time impact of a 30-day episode of care and the elimination of therapy volume. Four executives will share their initial results under the new groupings model, and interpret how this new reality will affect providers in 2020 and beyond in care delivery, staffing, acuity levels, managed care relations, and M&A.

Home Care 100 Special Report: Making Managed Care a Great Payer

Today, MA plans are, mostly, poor payers to home health. By 2025, it will in fact become a great payer for leading-edge home care and hospice players. This session is a road map for how to transform MA payers from poor to great, drawing on research interviews now being conducted with 20+ MA plans and providers who have successfully negotiated profitable, risk-based contracts.

Additional Presenters To Be Announced

Transformative Physician-Home Care Opportunities

With CMS’ exciting new Primary Care First and Direct Contracting initiatives, forward-thinking physician groups will soon begin taking responsibility for sizable populations directly from Medicare — wow! We believe home care is uniquely well positioned to partner with physician groups to serve their chronic patient populations. Executives will explore the tremendous opportunity this presents to home care providers — upside, contracting, and operational ramifications.

These fast-paced meetings conveniently connect providers with innovative solution partners. You will gain fresh insights, learn about different solutions, and perhaps find a new business partner.

MA Benefit Expansion: Forecasting the Future

CMS will soon give a full green light for MA plans to cover non-medical, in-home care. How widespread will the uptake be among MA plans? What might partnerships between MA plans and home care providers look like — rate, risk payments, volume, type of clients? And what are the ramifications of working with MA plans for mostly private pay home care providers?

Hospice Carve-In: What’s the Upside?

CMS’ MA hospice carve-in initiative is planned to begin in 2021. While in aggregate this is likely to trim hospice industry payments, for leading hospice providers it spells opportunity, and that’s what this session will focus on. How much risk and decision-making will managed care want to offload? What could contract payments look like — rate, duration, and acuity adjustments? How can one partner deeply with managed care? Ramifications for size and scope of hospice providers?

Home Care M&A Outlook

Industry insiders will analyze recent acquisition activity as well as forecast the M&A outlook for Home Health, Personal Care and Hospice in 2020 and beyond. Among the key considerations to be addressed are:

• Will the rollout of PDGM force the hand of smaller, regional players to sell? And if this precipitates an uptick in M&A activity, which providers stand to benefit most, and when?
• Will the expansion of MA Plan benefits inspire more skilled providers to add private duty services, and how might this influence deal activity in the coming 12 to 18 months?
• What does the looming prospect of an MA Hospice Carve-In mean for end-of-life providers, and might we begin to see a slow-down in hospice acquisition activity?

Cracking the Code on Palliative Care

With a new Medicare alternative payment model and new Medicare Advantage benefits, there is growing opportunity for providers to deliver advanced chronic illness care outside of the hospice benefit. Three organizations will discuss their home-based palliative care models, how they are partnering with payers, and how their model increases hospice length of stay — collectively defining some contours for a new palliative reimbursement model upstream of hospice care.

Chronic Care Management, 2020–2025

David Ellis reports back to Home Care 100 on his compelling findings from the chronic care management (CCM) space. The CCM field is rapidly growing, now with dozens of specialty players, some very profitable, and still essentially zero home care players. How will this space likely develop over the next five years? Can home care/hospice compete in it? If so, how to get started?

Hospital-at-Home: Emerging Models

Hospital-at-home is an expanding trend, fueled by acute care’s increasing need for cost control as well as patient preference for care at home. This discussion will describe the financials and clinical operations of some successful models, as well as highlight the business opportunity for ambitious home care providers.

The Opportunity in Advance Care Planning

In the shift to value based purchasing, payers are more fully embracing advance care planning (ACP) as a way to decrease costs and unnecessary end of life services that do not improve clinical outcomes. Providers have a growing opportunity to align with payers by developing comprehensive ACP programs that save costs, are evidence based, and still align with patients’ preferences.

The Culture of ‘Flow’ — How Good Values Beget Good Business

Michael Crooke is a world-renowned business innovator whose tenure includes Patagonia, Revolution Living, Pearl Izumi, KeVita and Avamere Health Services. A practitioner of “Flow” management principles popularized by Hungarian psychologist Mihaly Csikszentmihalyi, Michael charted the turnaround of Patagonia in the early 2000s in part through the practice of Organizational Flow — the principle that values are at the core of good business, and that full alignment with them creates optimal working productivity. Leaders who nurture ‘Flow’ within their organizations reap real and lasting benefits of strong staff morale, personal growth, and a healthy bottom line.

About Michael Crooke, PhD
Dr. Michael Crooke is a Professor of Business Strategy at the Lundquist College of Business at University of Oregon and counsels high-growth businesses on strategic issues, in particular, developing consumers emotional connections to brands.

Previously, Dr. Crooke was CEO of VC firm Revolution Living; an early investor and member of the executive board of KeVita; President and CEO of Patagonia; and served as a Navy SEAL.

Embracing Risk, 2020–2025

Status quo reimbursement (whether FFS or Medicare Advantage) is not sustainable. We believe home health providers have no choice but to lean aggressively into risk — turn reliable performance and strong outcomes into upside opportunities with payers. But risk is easier said than done. Veteran industry executives will share their forays in risk-based payment models. What do payers value most from home care? How can providers demonstrate and monetize that value? Which risk models represent the greatest opportunity for home care providers… CMS Programs (PACE, iSNP, BPCI, Primary Care First) or custom managed care contracting?

Nascentia Health: Developing a Medicare Advantage Plan

One NY based home health agency is taking risk to a new level by becoming an independent Medicare Advantage insurer through the creation of a Special Needs Plan – Dual Eligible (D-SNPs) and Institutional (iSNPs). Nascentia will discuss what it takes to own risk and address the importance of clinical integration, care-management, provider networking, data and culture in an MA environment.

OnPointe Health: Hedging Against MLR

OnPointe Health, a skilled provider in the Southwest, is contracting for medically complex home patients in Phoenix with a guarantee of sub-88% Medical Loss Ratio (MLR) to its MA partner, with 3% total MLR at risk. OnPointe will outline the keys to delivering on its guarantee, including: Immediate Intervention (for high-cost patients); real-time data systems; and tight collaboration with the local physician network.

VNSNY: Diving into Full Risk

Visiting Nurse Service of New York (VNSNY) is expanding its risk strategy beyond the home health episode by managing both post-acute and longitudinal care for high-risk patients. VNSNY will outline how it is working with health plans to identify polychronic patients and manage total cost of care through upside and downside risk arrangements.

Premier — At Risk for Total Cost of Care

Premier Home Health Care Services, a Northeast MidAtlantic provider, has been embracing risk since 2012 for 10,000 lives within Medicaid Managed Care and Dual Eligible plans. Premier will describe how they have been able to create a positive economic return and improved health outcomes while assuming 20% risk for total cost of care as a delegated utilization review agent and partner for care management services.

Innovations in Recruitment, Retention & Culture

Current staffing headwinds are formidable, including a full-employment economy, nursing aide shortages and minimum-wage increases. In this two-part session, we’ll begin by presenting the most inventive staffing initiatives that we’ve identified — spanning recruitment, retention and culture — across all sectors in healthcare. Then we will conduct a live workshop soliciting best current staffing practices among home care and hospice providers, voting on and sharing these ideas with the audience.

Emerging Ambient Sensor Technology

A new generation of ambient, non-contact sensors is arriving in healthcare with the potential to transform the way providers, caregivers and families monitor home-bound patients. Home Care 100 will share half a dozen of these new technologies (including radar, thermography, radio waves, inner ear biometrics, facial recognition, and RFID), and the new clinical data that can be captured. Two companies will then showcase their state of the art technology and the potential ROI.

2:15 pm – 5:00 pm

Kayaking

Your guided tour takes you from the tranquil mangrove forests of Oleta River State Park to the turquoise waters of Biscayne Bay.

2:15 pm – 5:30 pm

âme Spa

Enjoy either a 50-minute Swedish massage or deep cleansing facial at the JW Turnberry world-class spa.

2:30 pm – 4:30 pm

Home Care 100 Iron Chef

Bring your A-game and put your cooking skills to the test in this group competition.

2:30 pm – 5:00 pm

Tidal Cove Waterpark

Just a few steps away from the resort is a waterpark with something for everyone — lazy river tubing, thrilling raft rides, and relaxing private cabanas.

2:30 pm – 5:00 pm

Golf Clinic

Polish your driving, chipping, and putting techniques with hands-on help from local golf pros.

2:45 pm – 4:30 pm

Sip & Salsa

Experts will break down the iconic dance of salsa into easy-to-learn steps. You will be on the dance floor with a mojito in no time!

New Service Line Frontiers in Home Care

What service lines are most promising for home care to move into next? Four executives from expanding organizations will describe where they see the greatest opportunities, including pediatrics, behavioral health, Intellectual or Developmental Disabilities (IDD), wound care, in-home therapy, and pre-hospice palliative care. We’ll explore the financial upsides and operational challenges in each service line.

9:10 am – 9:30 am

Social Health Bridge: Tackling Social Determinants of Health

Centene has developed a brand new model to address the social determinants of health. Social Health Bridge™ acts as a financial and interventional layer between the health sector and the social sector. Leveraging evidence based practices, it enables value based payments for the social determinants of health.

9:30 am – 9:50 am

Narus Health: Contracting with Employers for End-of-Life Care

Nashville based Narus Health is revolutionizing the way care is delivered to medically complex and end-of-life employees/family members through direct contracting with their employer.

9:50 am – 10:10 am

Senior Helpers: Launching Adult Day Enrichment Centers

Personal care provider Senior Helpers, in partnership with Glenner Alzheimer’s Family Centers, is creating a network of franchised “Town Square” adult day centers specializing in dementia care, using the concept of reminiscence therapy. Adult day care is a growth opportunity for personal care to either own/develop or provide staff into.

10:10 am – 10:30 am

Silvernest: The Home Sharing Economy & Home Care

A way to both generate income for the homeowner and provide affordable housing to the renter, Denver-based start-up Silvernest will describe their home-sharing model and outline the opportunity for home care organizations to benefit from it.

10:30 am – 10:50 am

DispatchHealth: Driving Advanced Care into the Home

Denver-based mobile healthcare provider DispatchHealth is building out its continuum of care capabilities by launching a program to provide both hospital-level and SNF-level care in the home. DispatchHealth will outline how it has created a scalable model through working with payers and health systems to deliver complex care in the home.