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Medicare Advantage Crackdown Could Dampen Palliative Care Growth

Hospice News

Federal regulators are cracking down on the private insurers that administer Medicare Advantage (MA) plans. Centers for Medicare & Medicaid Services (CMS) began giving plans more flexibility around the definition of “primarily health-related.” billion, a 287% increase in profits since 2012,” Sens. Elizabeth Warren (D-Mass.)

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Hospice Oversight: 2024’s Most Impactful Regulatory Actions

Hospice News

Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all. Centers for Medicare & Medicaid Services’ (CMS) 2024 home health rule, the SFP is set for 2025 implementation.

2024 289
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Legacy Acquires HomeCare Hospice

Hospice News

By 2023, the bureau estimates that more than a quarter of the state’s residents will be older than 60, an increase of close to 40% since 2012. About 19,000 Medicare beneficiaries elected hospice in the state last year, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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Palliative Care a ‘Natural Fit’ for Home Health Agencies

Hospice News

Currently Medicare reimburses for palliative care physician and licensed independent practitioner services through fee-for-service payment programs that do not sufficiently cover the full range of interdisciplinary care. The company entered the home health space in 2012 and moved into hospice in 2018.

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Advanced Home Care Acquires Dignity Hospice

Hospice News

This would be a 33% increase from 2012 More than 32,200 Medicare decedents elected hospice in Massachusetts in 2021, according to the U.S. Centers for Medicare & Medicaid Services (CMS). More than a quarter of the state’s residents will be 60 or older by 2030, according to U.S. Census Bureau projections.

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VIA Health Enhances Support for Hospice Patients with Heart Failure 

Hospice News

In 2012, heart failure cost the nation an estimated $30.7 In 2022, 52,375 Medicare decedents with (unspecified) heart failure as a principal diagnosis elected hospice — about 2.8% In 2022, 52,375 Medicare decedents with (unspecified) heart failure as a principal diagnosis elected hospice — about 2.8% death certifications.

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Tapestry Hospice Execs Settle Fraud Case for $1.4M; Prison Term, $3M Penalty in Angel Care Case

Hospice News

Dr. David Lovell, its founder and owner, launched the for-profit hospice in 2010, and the enterprise became Medicare-certified in 2012. million in improper Medicare claims. Justice Department, Angel Care enrolled 24 patients in hospice between 2009 through 2017 who did not meet Medicare eligibility requirements.