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Authors Posts by Fady Sahhar

Fady Sahhar

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Fady is responsible for policy and regulatory matters related to Physical Disabilities and Aging, with primary focus on personal assistance, employment services, and service coordination. Emphasis is placed on engaging the Office of Long-Term Living and the Community HealthChoices Managed Care Organizations, coordination of care with Behavioral HealthChoices MCOs, and collaborations with other advocacy and provider associations. Fady is also the President / CEO of ProVantaCare, an RCPA-affiliated company focused on contracting with MCOs, and is the President of XtraGlobex, a consulting firm focused on Value-Based Payment contracting. He brings extensive experience in the advocacy and operations of human services providers in physical disabilities and aging, from his role at Liberty Resources, Inc., and his service with a number of nonprofit services providers. He earned an MBA in Marketing from The University of Tennessee and a PhD in Organizational Leadership from Capella University.

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Photo by Michael Schofield on Unsplash

The While House issued a press release announcing that the Access Final Rule will be released later today. These regulations include:

  • The Nursing Home Minimum Staffing Rule, which will require all nursing homes that receive federal funding through Medicare and Medicaid to have 3.48 hours per resident per day of total staffing, including a defined number from both registered nurses (0.55 hours per resident per day) and nurse aides (2.45 per resident per day);
  • Introducing the requirements of the rule in phases to make sure nursing homes have the time they need to hire staff, with longer timeframes for rural communities;
  • Ensuring adequate compensation for home care workers for HCBS operations of in-home care (both Personal Assistance Services and Community Habilitation) by “requiring that at least 80 percent of Medicaid payments for home care services go to workers’ wages. This policy would also allow states to take into account the unique experiences that small home care providers and providers in rural areas face while ensuring their employees receive their fair share of Medicaid payments and continued training as well as the delivery of quality care;”
  • The state requirement to be more transparent in how much they pay for home care services and how they set those rates, increasing the accountability for home care providers; and
  • The creation of a state home care rate-setting advisory group made up of beneficiaries, home care workers, and other key stakeholders to advise and consult on provider payment rates and direct compensation for direct care workers.

We will continue to monitor the details of these regulations and Pennsylvania’s plans to comply. If you have any questions, please contact Fady Sahhar.

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The Inglis Impact Accelerator is dedicated to fostering a more accessible and inclusive world by investing in entrepreneurs within, and allies to, the disability community with disruptive ideas and business ventures.

To that end, RCPA member Inglis is looking for six businesses to participate in a 15-week virtual program that concludes with a virtual pitch event. The program includes interactive webinars, workshops, and both one-on-one and group coaching sessions about refining and testing business ideas, attracting and engaging customers, optimizing sales funnels, and more.

Each business that successfully completes the program and pitches at the virtual pitch event will receive a $5,000 cash prize provided by Highmark Wholecare.

Eligibility requirements:

  • Founder must reside in Pennsylvania.
  • Founder will ideally have identified a target market and created a minimum viable product/service or prototype.
  • The program does not require a legal business entity to apply, but we are seeking businesses that plan to file in the near future if they haven’t already.
  • Our rigorous selection process will prioritize ideas in three core areas — housing accessibility, assistive technology, and innovative healthcare models, as well as founders who identify as having a disability.
  • At least one member of the founding team should expect to spend a minimum of 4-6 hours per week participating in programming and dedicated work efforts for the duration of the 15-week program.

If you know any founders whom you think might be interested in participating in the program, please share the flyer and link to apply.

If you have any questions, please contact Fady Sahhar.

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Message from The Centers for Medicare & Medicaid Services (CMS):

The Centers for Medicare & Medicaid Services (CMS) is continuing to monitor and assess the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare has had on all provider and supplier types. Today, CMS is announcing that, in addition to considering applications for accelerated payments for Medicare Part A providers, we will also be considering applications for advance payments for Part B suppliers.

Over the last few days, we have continued to meet with health plans, providers and suppliers to hear about their most pressing concerns. As announced previously, we have directed our Medicare Administrative Contractors (MAC) to expedite actions needed for providers and suppliers to change the clearinghouse they use and to accept paper claims if providers need to use that method. We will continue to respond to provider and supplier inquiries regarding MAC processes.

CMS also recognizes that many Medicaid providers are deeply affected by the impact of the cyberattack. We are continuing to work closely with States and are urging Medicaid managed care plans to make prospective payments to impacted providers, as well.

All MACs will provide public information on how to submit a request for a Medicare accelerated or advance payment on their websites as early as today, Saturday, March 9.

CMS looks forward to continuing to support the provider community during this difficult situation. All affected providers should reach out to health plans and other payers for assistance with the disruption. CMS has encouraged Medicare Advantage (MA) organizations to offer advance funding to providers affected by this cyberattack. The rules governing CMS’s payments to MA organizations and Part D sponsors remain unchanged. Please note that nothing in this statement speaks to the arrangements between MA organizations or Part D sponsors and their contracted providers or facilities.

If you have any questions, please contact Fady Sahhar.

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The Department of Human Services (DHS) has shared several available resources to address providers’ concerns regarding the Change Healthcare outage. The system remains unavailable due to a current cyber-attack. You can read the full press release, which details resources and short-term solutions.

If you have any questions, please contact Fady Sahhar.

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Photo by Kane Reinholdtsen on Unsplash

Inglis’s Self-Determination Housing of PA (SDHP) 2024 Conference aims to further the SDHP’s mission of bridging the information gap between providers and connecting with others in the accessible housing community while continuing to advocate for the vulnerable populations we serve, specifically those with disabilities and seniors. The goal of the 2024 Conference is to bring together individuals to advance change and impact the way we support people in finding accessible housing solutions to gain independence and increase their quality of life.

The conference will take place June 11 and 12. The RFP will remain open until end of the day February 26. For more information, view the Request for Proposal announcement. You can also submit your proposals on Inglis’s website.

If you have any questions, please contact Fady Sahhar.

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