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Membership Update June 7, 2019

Posted By Jennifer Gill, Friday, June 7, 2019
Updated: Thursday, June 6, 2019

June 7, 2019

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Advocacy & Policy
On the Road for You

Strategic Thinking
Member Questions
News & Notes
Volunteer Spotlight

Professional Development
Value First

Advocacy & Policy

Medicare Observation Stays and Surprise Medical Billing
When the U.S. House Ways and Means Health Subcommittee held a hearing May 21 on Protecting Patients from Surprise Medical Bills, LeadingAge joined a coalition of other stakeholders in telling the subcommittee that the Medicare "observation stays" issue is a big part of the problem that needs to be resolved. LeadingAge’s statement for the hearing record pointed out that Medicare beneficiaries whose hospital stays are designated as outpatient/observation are "surprised" when confronted with bills for post-acute care not covered by Medicare because of the beneficiary's failure to meet the three-day inpatient stay requirement. In this situation, Medicare beneficiaries are hit with the same high out-of-pocket spending that confronts other patients encountering surprise medical bills. LeadingAge urged the committee to take the action necessary to prevent surprise billing of Medicare beneficiaries who have been hospitalized on an outpatient basis for observation. The remedy supported by LeadingAge is H.R. 1682/S. 753, the "Improving Access to Medicare Coverage Act." This legislation would count all time a Medicare beneficiary spends in a hospital bed, whether as an inpatient or an outpatient, toward satisfaction of the three-day stay requirement. The legislation is a simple, straightforward means of eliminating the observation stays problem and has bipartisan cosponsorship.

CMS Announces PACE Final Rule
On May 28, 2019, the Centers for Medicare and Medicaid Services announced a new final rule for PACE (Programs of All-Inclusive Care for the Elderly) programs. The final rule increases flexibility for PACE programs and may have the effect of expanding access to PACE among consumers. LeadingAge is hosting a briefing on the Final Rule for members on June 11 at 4pm EST. Email Brendan Flinn of the LeadingAge staff if you are interested in participating in the call. LeadingAge has prepared a summary analysis of the final rule (also in PDF). Members with questions or comments about the Final Rule are encouraged to reach out to Brendan Flinn of the LeadingAge staff.

CMS 2020 SNF Policy Rule Comment Deadline Approaching
June 18 marks the deadline for making comments to CMS on the recently released 2020 SNF policy rule. Click here for a detailed summary of the proposed rule from our friends at CliftonLarsonAllen.

A Closer Look at the North Carolina Medicaid Program
Founded in November 2011 as a North Carolina nonprofit, North Carolina Health News is an independent news organization devoted to covering health care in the state. Their most recent edition included an excellent piece about what you need to know about North Carolina Medicaid, a big sprawling program that looms large in the state budget and will be in the news in coming months.

Senate Aging Committee Seeks Recommendations
LeadingAge national will be submitting comments to the U.S. Senate Aging Committee, which is producing a report focused on the prevention and management of falls and fall-related injuries. Click here to view a letter from Chairman Susan Collins and Ranking Member Bob Casey inviting stakeholders to provide recommendations that will inform their work. Members are invited and encouraged to submit recommendations to the committee. Responses are due on June 26th and all written comments to the Special Committee on Aging should be submitted via email to

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LeadingAge North Carolina staff travels the state offering education, advocacy, networking, and collaborating with agencies that share a common vision. Here’s where we've been recently:

  • LeadingAge NC Maintenance Workshop - Glenaire, Cary
  • Member Community visit - The Cedars of Chapel Hill, Chapel Hill
  • Member Community visit - Aldersgate, Charlotte
  • LeadingAge National Alignment Agreement Meeting - Chicago
  • Member Community visit - River Landing at Sandy Ridge, Colfax
  • The Presbyterian Homes, Inc. Board Retreat - Colfax
  • Member Community visit - LIFE/PACE St. Joseph of the Pines, Fayetteville
  • Member Community visit - United Church Homes and Services, Newton
  • Member Community visit - Piedmont Crossing, Thomasville

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Strategic Thinking

The Bond Market is Trying to Tell Us Something (Worry)
May 30, 2019, The New York Times
The bond market is full of important clues about the economy. Here's what to make of it.

Middle-Income Seniors Risk Falling Through Cracks in Housing Market
May 28, 2019, The Washington Post
In the next decade, the number of seniors who are middle income is projected to soar, and a large share of them will be unable to afford housing and care, according to a recent study published in the journal Health Affairs. Over the past 40 years, the housing market for seniors has expanded widely, but new development has focused largely on higher-end facilities.

Is the Sandwich Generation Financially Sound?
The sandwich generation is defined as those who are simultaneously caring for their children and elderly family members. PNC surveyed members of this group to gauge the generation’s financial stressors and preparedness.

Study: Immigrants Account for 25.7% of Workforce in Long-Term Care Sector (Includes Senior Living)
June 4, 2019, McKnight's Senior Living
According to a study published Monday by the journal Health Affairs, immigrants accounted for 25.7% of the workforce in the nonformal long-term care sector in 2017, including senior living. Theirs is the first study to examine the role of immigrants, including unauthorized immigrants, directly hired by private households and nonmedical facilities, such as senior housing and independent living sections of continuing care retirement communities, to assist older adults and disabled people.

All the Ways Google Tracks You—And How to Stop It
May 27, 2019, Wired
Set aside a few minutes to consider what you want to allow Google to track about you, and what you'd like to block. This article will show you how.

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Thanks to everyone who keeps the member questions going strong by responding. Click on the links below to view redacted disaster plans submitted in response to the member question on that topic.

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News and Notes

Complete the Member Survey Today
Yesterday, LeadingAge National launched a member survey. Please check your inboxes! The survey is designed to produce an array of meaningful data that will help LeadingAge National and LeadingAge North Carolina conduct data-driven planning and decision making. Please take 10-12 minutes out of your day to complete this important survey. Each individual who completes the survey by July 5 will receive a $5 Starbucks gift card and will be entered in a raffle to win free registration and lodging at the host hotel for the 2019 Annual Meeting and EXPO. For more information, visit or email Thank you for helping LeadingAge continue to be the trusted voice for aging.

Your Member Directory Update

At this time every year we ask for your help updating our member directory. A detailed email will be sent to CEOs soon. Please act now by asking the most appropriate staff person to update your community's data. If you have any questions about accessing your profile, feel free to contact Jennifer Gill or Leslie Roseboro at (919) 571-8333.

Deadly Falls in Older Americans Are Rising. Here’s How to Prevent Them.
June 4, 2019, The New York Times
The rate of deaths after falls is rising for people over 75, a new study shows. But falls are avoidable for most seniors. This article offers some tips.

Deadline Extended to June 14: LeadingAge Annual Awards
The 2019 LeadingAge National Awards deadline has been extended to Friday, June 14. If you'd like to submit a nomination for the Award of Honor, the RWJF Health Equity Award, or the Joan Anne McHugh Award for Leadership in LTSS Nursing please do so here.

The Unpaid Cost of Long-Term Care
June 4, 2019, Axios
Family members, especially spouses, are providing a lot of end-of-life care right now, with little or no support, per Health Affairs. By the numbers: Nearly 15 million Americans (often family) act as unpaid caregivers for older people, often family — and spouses, especially, often have to go it alone.

  • 55% of spouses who are married to someone with a disability and who’s not living in a nursing home serve as solo caregivers.
  • Among those who had help, most got it from their children, rather than trained professionals.
  • Looking after an older family member is a full-time job — solo caregivers averaged more than 40 hours a week.

In Case You Missed It
Click below to read newsletters from the past two weeks.

Follow @LeadingAgeNC on Social Media
Before you leave on vacation this summer, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date when you return!

Celebrate All Month Long in June
Mark your calendar for the days and weeks to celebrate in June!

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Volunteer Spotlight

Jane Baker
Executive Director
NC Board of Examiners
  for Nursing Home Administrators

Trustees of the LeadingAge North Carolina Foundation volunteer their time and expertise to enrich the field of aging services. If you hold a nursing home administrator license in North Carolina you may already know Foundation trustee Jane Baker. We are grateful for her four years of service to the Foundation board. Read on to learn a little more about Jane.

1. Why did you become involved in Leading Age NC?
As Executive Director of the NC State Board of Examiners for Nursing Home Administrators, I try to be involved as much as I can with both Associations in order to spend time with my AITs and Administrators to learn their personalities and their career goals. Therefore, when I was asked to serve on the Foundation Board, I was honored and thought this would enhance my knowledge further about Continuing Care Retirement Communities. By attending, I witness the education, policy making and advocacy for your members that LeadingAge provides on a regular basis.

2. What makes our mission meaningful to you?
The mission is meaningful to me because I see how all the communities work together to serve the physical, emotional and spiritual well-being of the seniors of our state who deserve the very best.

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?
I see senior living in both the for-profit facilities and the not-for-profit communities and my wish would be for all seniors to live in a beautiful environment and be cared for by quality staff who take a special interest in their residents and show them love and respect.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
I would like to be a resident in a facility and/or community so that I could share that experience with my AITs. It would also be valuable knowledge when creating model curricula for our interns in this ever-changing profession.

5. What do you do to relax, to get away, to recharge your batteries?
I love to cook and entertain; people say I am crazy, but I find it relaxing to have family and friends around the table. I also find reading very relaxing. My husband and I both enjoy time at the beach and the mountains to get away and recharge.

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Professional Development

Click on the images below to learn more and register.
Click here to view the Catalogue of all 2019 Events

PDPM Intensive
June 27
Salemtowne, Winston-Salem

Beans and Dreams Roundtable
July 12
9 - 10:30am
The Cypress of Charlotte in Charlotte

Finance Symposium
July 25
WindsorMeade in Williamsburg, VA


Beans and Dreams Roundtable
August 9
9 - 10:30am
Givens Estates, Asheville

Management Leadership Series
August 21
Friends Homes West, Greensbor

Dining Symposium
August 22
Arbor Acres in Winston-Salem

Beans and Dreams Roundtable
September 13
9 - 10:30am
Bernard Robinson & Co., Greensboro

Mid Atlantic Marketing Symposium
September 18
Covenant Woods in Mechanicsville, VA

Workforce Summit
September 19
Friends Homes Guilford in Greensboro

Wellness Workshop
September 26
Carol Woods in Chapel Hill

Direct Services Staff Symposium
Choose your date:
October 9 at Aldersgate in Charlotte - OR -
October 10 at The Forest at Duke in Durham
Both sessions 10am - 2pm


Beans and Dreams Roundtable
October 11
9 - 10:30am
WeaverCooke, Greensboro

Other Professional Opportunities

LeadingAge National Webinar
RoPs Overview: Compliance and Ethics Enforcement

Tuesday, June 18
2-3 p.m. ET

Neil Medical
16th Annual Educational Summit
June 19-20
High Point

Webinar Series
Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
First Wednesdays Monthly
Through November 2019
2pm EST

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Value First


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LeadingAge North Carolina
222 N. Person Street Suite 205
Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 |

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