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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

Even more so, specific Medicare and Medicaid policies perpetuate this cycle. After experiencing a functional decline at the hospital, the woman, no longer able to live at home safely, was sent to an SNF for post-acute care, covered by Medicare. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).

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Advance Care Planning Billing Rules Impede Equitable Access

Hospice News

On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed in any setting outside of an annual wellness visit. Across 150 different studies, white adults represented nearly two-thirds (65.1%) of roughly 800,000 individuals who had completed advance directives between 2011 and 2016.

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CMS Issues Final Rule for MA Risk Adjustment Audits

Hospice News

Many hospice providers rely on Medicare Advantage (MA) reimbursement to support palliative care, PACE and social determinants programs, among others. Centers for Medicare & Medicaid Services (CMS) laid out its policy for validating MA plans’ risk adjustment data, which the agency uses to calculate capitation rates.

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SCAN Health Plan CEO Sachin Jain: Don’t Lose Sight of Patients in the Quest for Value

Hospice News

billion Medicare Advantage (MA) organization that covers more than 270,000 members. In 2010 and 2011, he was a special advisor to then U.S. Centers for Medicare & Medicaid Services (CMS) Administrator Don Berwick. Among the authors of that article was Dr. Meena Seshamani, director of the Center for Medicare within CMS. “We

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Angela Hospice’s New Inpatient Facility; Hosparus Opens PACE Center

Hospice News

Centers for Medicare & Medicaid Services (CMS), which requires providers to acquire a building and design a center to house a PACE program. Constructed in 2006 as the Schmidt Museum of Coca-Cola Memorabilia, the facility was renovated after its closure in 2011. has opened a new inpatient center in Illinois.

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Hospices Gear Up to Reach More Heart Failure Patients, Enhance Quality 

Hospice News

As of 2020, those individuals represented only about 10% of Medicare decedents who elected hospice, according to the National Hospice & Palliative Care Organization (NHPCO). There’s still some lack of knowledge still about what the specialty is and what the services are.”

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Behavioral Health, Chronic Disease Among Top Health Care Macro-Trends Impacting Hospices

Hospice News

Though operators often feel siloed within the Medicare Hospice Benefit, they are not shielded from the shifting currents in the health care system at large. Concurrently, chronic illness management is another area in which hospices see both a need they can help address and an opportunity to expand their businesses.

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