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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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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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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.

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Gentiva Expands with Mississippi De Novo

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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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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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.