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Member Update

Posted By Jennifer Gill, Friday, January 3, 2020
Updated: Thursday, January 2, 2020
January 3, 2020

The LeadingAge North Carolina Member Update is published twice monthly. Click on a section header to view that section.

Advocacy & Policy  |  Strategic Thinking
   News & Notes   |  *NEW Leadership Academy  |  Value First

North Carolina General Assembly Set to Return on January 14
Both chambers of the North Carolina General Assembly will return to Raleigh on January 14 for a special session. Most prognosticators expect the mid-January session to last for only a couple of days, just long enough for legislators to get a sense of whether enough votes exist on the Senate side to overturn the Governor’s late fall veto of the budget. We expect the short session to begin in late April or early May.

Medical Expense Tax Deduction Makes the Finish Line Just in Time
Almost lost in all the hubbub of action taken just before the holidays is great news on the medical expense deduction front. The spending bill passed by Congress and signed by President Trump preserves – for another two years – the 7.5% adjusted gross income threshold for deducting medical expenses not covered by insurance. Without this provision, the threshold would have risen to 10% on January 1, reducing the amount of medical expenses that could be deducted and making the deduction available to fewer taxpayers. Our member communities and their residents were particularly helpful in providing information to federal lawmakers about the impact of the proposed increase. We will continue working to make the 7.5% threshold permanent.

Affordable Senior Housing Sees Critical Funding Increase
The year-end spending bill also provides $793 million, a 17%, $115 million increase over fiscal 2019 funding. Advocacy throughout this past year by LeadingAge and its members was key to this significant increase for the program. Highlights of the bill’s housing provisions:

  • $90 million for new Section 202 homes, a LeadingAge priority and a big increase over fiscal 2019’s $51 million. After being zeroed out for several years, new Section 202 construction has gained a total of $251 million since fiscal 2017.
  • A directive for which LeadingAge advocated requiring HUD and CMS to collaborate on initiatives in which affordable senior housing will serve as a platform for coordinating health, wellness, and supportive services for older adults. $500,000 is provided for this collaborative effort, which will also involve the use of Medicare and Medicaid funds.
  • $100 million to fully fund the renewal of existing grant-based service coordinators.

Medicare Advantage Supplemental Benefit Toolkit Unveiled
A new toolkit from LeadingAge will help guide members through understanding how Medicare Advantage supplemental benefits work, assessing the activity in each member’s market, evaluating the opportunity and which plans to approach, and providing a template for making the case to Medicare Advantage plans about the benefits of the services you provide in terms the plans understand.

When Managed Care Plans Must Pay Out-of-Network Providers
A new white paper from LeadingAge national discusses when and how skilled nursing facilities can get paid by a Medicare Advantage plan when they don’t have a contract and aren’t a network provider.

Latest Edition of Regulatory Tracker Now Online
LeadingAge’s Regulatory Roundup 2.0 is a quick and easy tracker to help members find pertinent rules and federal regulations, with timelines for submitting comments and links to any comments LeadingAge may have submitted.

LeadingAge NC Public Policy Committee Kicks Off 2020 Meeting Schedule
LeadingAge North Carolina’s Public Policy Committee will hold its first meeting of the new year on January 10. The committee will receive an update from Lu-Ann Perryman, LeadingAge NC’S lobbyist, discuss draft national policy priorities, and preview upcoming state issues. Members of the committee include Jonathan Erickson (chair), United Methodist Retirement Homes; Zane Bennett, Plantation Village; Kyle Dilday, Retirement Living Associates; Pam Fox, Twin Lakes Community; Shane Gabis, The Cypress of Raleigh; Jefferson Kaighn, Acts Retirement-Life Communities; Adam Melton, Galloway Ridge; Lee Syria, United Church Homes and Services; and Jeff Weatherhead, Aldersgate.

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Most-Read Health Stories in 2019
NC Health News; December 30, 2019
These are the 2019 North Carolina Health News stories that grabbed people's attention, and got passed around and shared widely. Most of the subject matter will affect your community in one way or another from the opioid epidemic and Medicaid expansion to upheaval in (mostly rural) hospitals, to mental health and clean water.

What's Coming for Healthcare in 2020? Health Executives Weigh In
Fierce Healthcare; December 31, 2019
From hospital executives to tech companies leaders, here's a look at some of their expectations in healthcare for 2020 and beyond.

Senior Living Braces for Changes in 2020 as Top Challenges Remain
McKnight's Senior Living; January 2, 2020
Leaders in the field, including LeadingAge national CEO, Katie Smith Sloan, comment on what the future holds for senior living, including occupancy challenges, and the overall changing landscape of services.

Looking Ahead: Hospice in 2020
Hospice News; December 19, 2019
The hospice space is evolving and providers will likely spend much of 2020 girding themselves for more change, including movement towards value-based payment models, accelerating industry consolidation, and possible changes to reimbursement, among others. The article includes comments from LeadingAge's Mollie Gurian, director, hospice, palliative and home health policy for LeadingAge national.

The New Era of PDPM is Here: What’s Next?
McKnight's Long-Term Care News; December 11, 2019
Now that we’re in this new era of PDPM, what should facility management teams, care providers and other stakeholders focus on as the industry moves into this uncharted territory? What can long-term care leaders do in the short term to help guide this change with providers and staff? The article shares how you can thrive under PDPM. Read more.

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2020 Event and Education Calendar Now Available
Mark your calendar for these LeadingAge North Carolina events and programs in 2020.

PDPM Readiness Available at LeadingAge National Learning Hub
Check out the latest on PDPM readiness at the LeadingAge national Learning Hub.

In addition, for your reference conference recordings are now available from the LeadingAge Annual Meeting in San Diego on topics such as fundraising, Medicare Advantage, Ageism, Design, Dementia, behavioral health and more. If you have questions or feedback, please contact Kevin Bradley.

Have Job Openings?
Contact Jennifer Gill with the job title, description, and how to apply and she will post it for you under the Careers tab on the LeadingAge NC website. It's free!

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

Follow @LeadingAgeNC on Social Media
Stay connected in 2020. Be sure you are following @LeadingAgeNC on Twitter, Facebook, and Instagram. You'll be up-to-date whatever comes your way!

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Start 2020 by investing in our field's workforce.
Apply to the LeadingAge North Carolina Leadership Academy.
Applications are due online by January 31, 2020.


Selected Academy fellows will:

  • Read, reflect, and discuss leadership principles
  • Engage with emerging leaders across the state
  • Visit the General Assembly and the Department of Insurance
  • Meet leaders in the field 
  • Tour other communities
  • Present an action learning project
  • Grow under the guidance of our coaches and facilitator
  • Become even stronger contributors at their communities
  • Gain confidence
  • Question established thinking
  • And much more!

One applicant per community, please, from any department with any amount of experience. A nomination from your community must be approved by your CEO/Executive Director.

Academy fellows meet four times a year, starting and ending with the LeadingAge NC Annual Conference. Kick off for the 2020-21 class is this May 18-21, 2020 in Asheville. Tuition for the program is $2,000 and includes conference registration. Scholarship assistance is available.

For more information, check out our updated Academy webpage which includes:

  • Application and Letter of Commitment
  • Brochure
  • Curriculum
  • 2020-21 Meeting Schedule
  • Core Themes
  • Faculty
  • Action Learning Projects
  • Alumni
  • Testimonials
  • Current Fellows

Please feel free to contact us at 919-571-8333 with any questions. Enrich your leadership skills and apply today! We look forward to hearing from you.

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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 | www.LeadingAgeNC.org


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