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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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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.

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California’s Leads the State-Level Battle Against Hospice Fraud

Hospice News

The first report indicated that about 20% of hospices surveyed by regulators or accreditors between 2012 and 2016 had a condition-level deficiency that posed a serious safety risk. In one instance, 15 new hospices received Medicare certification, all operating from the same two-story building in Los Angeles, ProPublica reported.

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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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Residential Hospice Acquires Safe Haven

Hospice News

Centers for Medicare & Medicaid Services (CMS). In 2012, the company purchased its first hospice provider, Celtic Healthcare. .” By 2030, seniors are projected to make up nearly a quarter (22.3%) of the overall Illinois population, up from 16.6% currently, according to the U.S. Census Bureau.

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