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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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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. Currently, the palliative care space is dominated by hospices and health systems.

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Adult, PACE, Palliative Centers Unveiled Amid Hospice Closures

Hospice News

The LIFE program mirrors Empath’s Suncoast Program for All-Inclusive Care for the Elderly (PACE) program, which the organization has operated since 2012. Hospice of the EUP became Medicare certified in 1990 and offers facility-based hospice and grief support services. The hospice’s W.

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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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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% Hospice and palliative care provider VIA Health has long invested in disease-specific programs. Close to 6.7 Centers for Disease Control and Prevention.

Hospice 278
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New California Law Further Tightens Hospice License Oversight

Hospice News

Auditors will review the impact of hospice fraud on the state’s Medicare and Medi-Cal programs, investigate licensing procedures, and evaluate California’s current oversight processes and capabilities. “The state’s weak controls have created the opportunity for large-scale fraud and abuse,” CDOJ indicated in its report. “We

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Survey: 77% of Hospices Undergo Multiple Audits Simultaneously

Hospice News

Centers for Medicare & Medicaid Services (CMS). “The findings from our collaborative survey offer valuable insights into the auditing and adjudication processes of Medicare hospice benefit claims,” NPHI CEO Tom Koutsoumpas told Hospice News in an email. In addition to those my Medicare Contractors, last year the U.S.

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