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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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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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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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3 Reasons Continuous Home Care Utilization is Falling

Hospice News

Centers for Medicare & Medicaid Services (CMS). Medicare may cover CHC for as long as 24 hours a day. Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9%

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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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Hospice of the Foothills Joins California Hospice Network

Hospice News

Among the organization’s goals of the collaboration is to reduce overhead costs, improve the members’ bargaining position with payers and health plans and smooth the transition into value-based payment models, such as Medicare Advantage. Three hospices in 2013 established Ohio’s Hospice, for instance.

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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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