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Providers Leverage Efficiency to Boost Palliative Care ROI

Hospice News

Payers, including Medicare, like to see providers reduce the costs of care. Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care.

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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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Payer Partnerships ‘Critical’ in VBID: Ohio’s Hospice, Pure Healthcare Contract with Aetna

Hospice News

“This would allow for greater flexibility than the current Medicare model provides.” . Often called the Medicare Advantage hospice carve-in , the VBID demonstration project took effect January 1, 2021. The carve-in is designed to assess payer and provider performance related to hospice within Medicare Advantage.

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Untangling the Hospice GIP Conundrum

Hospice News

Centers for Medicare & Medicaid Services (CMS). of hospice care days in 2013, CMS reported. Scrutiny of GIP utilization has been ongoing for a number of years, dating back to 2013 reports from the OIG. Roughly one-third of Medicare GIP claims are submitted in error, the OIG reported. GIP represented 1.8%

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Limited Access to Post-Acute Care Fuels Readmission Rates

Hospice News

Centers for Medicare & Medicaid Services (CMS) penalizes hospitals for readmissions rates that exceed certain thresholds, but the agency does not account for the supply of post-acute providers available to patients in a providers’ service region.

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Pennant Group Acquires Ardent Hospice

Hospice News

The company received its Medicare certification in 2013. “We that year reported by Medicare Payment Advisory Commission. (NASDAQ: PNTG) has purchased California-based Ardent Hospice and Palliative Care in the San Diego area for an undisclosed amount. Hospice utilization reached 46.1%

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Ohio’s Hospice Expands Partnership with Senior Living Provider United Church Homes

Hospice News

Ohio’s Hospice is a statewide alliance of nonprofit providers established in 2013. In 2021, close to 80,150 Medicare beneficiaries in Ohio utilized the hospice benefit, according to the U.S. Centers for Medicare & Medicaid Services (CMS). The collaborative began with three hospice members and now includes 11 affiliates.

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