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Today’s hospice leaders need to take a wide view into the range of challenges facing their interdisciplinary care teams, according to Dr. Andrew Mayo, chief medical officer at St. Croix Hospice. Croix Hospice in 2014 as an associate medical director. Mayo joined St. Paul, Minnesota and going on to practice in St.
Recent research findings are increasingly getting to the root causes of varying hospice outcomes among diverse patient populations and health care settings. The results support incentivizing referrals to high-quality hospices and improving consumer information about hospice quality.
Regulators have been zeroing in on longer lengths of stay in hospice, but patients with dementia may be caught in the crossfire. . Two policy changes have corresponded with reductions in hospice enrollment among dementia patients, a new study in the Journal of the American Medical Association has found.
Senate Finance Committee is holding a markup meeting today on a bill that would, among other provisions, reallocate close to $1 billion hospice dollars to other programs. A couple of sentences in a 120-page set of amendments to the Social Security Act would make adjustments to the hospice payment cap for 2033 that would free up $927 million.
A new legislative package winding its way through Congress could re-allocate hospice funds to other programs. If enacted, it would make adjustments to the hospice payment cap for 2033 that would free up $927 million. The nation’s four largest hospice industry groups have voice opposition to these provisions. for next year.
Meanwhile, Medicarehospice spending is expected to more than double by 2032. Centers for Medicare & Medicaid Services (CMS) Office of the Actuary also project that health care expenditures will represent 19.6% The report, published today in Health Affairs , did not contain hospice-specific data. and Medicaid by 3.2%.
Residential Hospice has acquired Illinois-based Safe Haven Hospice from the senior living provider Christian Horizons for an undisclosed sum. More than 57,000 Illinois residents enrolled in hospice during 2021, a utilization rate of about 47%, according to the U.S. Centers for Medicare & Medicaid Services (CMS).
The return of sequestration is adding to the financial storms brewing in hospice, as providers contend with rising costs of delivering patient care, inflation and lackluster reimbursement. After a moratorium during the pandemic, Medicare sequestration resumed July 1. Sequestration was established in 2014 by the Budget Control Act.
Hospices are seeking greater clarity on updated Medicare rules that allow hospices to document a broader range of chaplain services on claims. While the revisions do not impact reimbursement, they allow hospice providers to track and report the duration, frequency and extent of the spiritual care patients receive.
Social and economic factors like these drive 40% of health outcomes, according to the Better Medicare Alliance. The interdisciplinary nature of palliative care, especially the inclusion of social workers, positions palliative care nicely to help to address the myriad needs that people have,” Maxwell told Hospice News.
Supreme Court may take up a False Claims Act (FCA) case involving Georgia-Based Bethany Hospice & Palliative Care LLC, despite indications from the U.S. The case comes at a time when regulators are intensifying scrutiny on hospice providers, seeking to root out those who admit patients that may not truly be eligible for the benefit.
A revolution is needed in hospice care, complete with a new mindset, updated care models and redesigned payment systems, Dr Monisha Pujari, medical director for Longleaf Hospice, told Hospice News. Hospice News spoke with Pujari about her vision for hospice care and what it would take to make it a reality.
Michigan-headquartered Residential Hospice has acquired Comfort Hospice in Missouri and Grace Hospice in Ohio for undisclosed amounts. Residential purchased the two hospices from health care company U.S. Medical Management will retain its hospice locations outside of St. Hospice utilization in Missouri reached 50.2%
Two hospices have lost the battle against workforce shortages, with one halting some of its service lines and another shutting down altogether. Hospice and Home Care of Juneau shutters. Alaska-based Hospice and Home Care of Juneau (HHCJ) recently announced its closure, citing high staffing costs and lack of clinicians.
Alive Hospice Names New CEO Alive Hospice has tapped Kerry Hamilton as its new president and CEO. Hamilton takes the helm at the Nashville-based nonprofit hospice after previously serving as principal of the health care consulting firm Ten26 Health Group.
The analysis spanned various clinical trials and studies published between 2014 and 2024 that examined telehealth use within palliative care settings across the world. Much of the permanent Medicare changes to telehealth regulations are tied to behavioral and mental health services.
Though nonprofit hospices now represent a smaller slice of the industry than in years past, they continue to care for more than half of patients in the United States who elect the benefit. The number of hospices operating nationwide rose to 5,3,58 in 2021, according to the Medicare Payment Advisory Commission.
More hospitals and health systems are stepping into the home-based hospice space, often seeing joint ventures as a promising route to a return on their investment. You’re seeing different types of transactions taking place in hospice and home health,” Mark Kulik, managing director at M&A advisory firm The Braff Group, told Hospice News.
Though hospice deal volume dipped in 2022 compared to previous years, five particular transactions could paint a larger picture of where investors see value in the space. These interesting, unusual or groundbreaking deals could signal what’s to come in 2023 and help shape the hospice market’s long-term future. This was Humana Inc.’s
.” Kusserow retired as CEO effective April 15 but remained chairman of the board of directors.Kusserow’s first tenure as CEO began in 2014. Under Kusserow, Amedisys also expanded its care continuum from home health and hospice to include palliative care, personal care, hospital-at-home and skilled-nursing-facility-at-home.
The Southern District Court of Mississippi granted hospice provider SouthernCare Inc.’s Former SouthernCare nurse Rhonda McClinton filed a qui tam complaint against the organization in 2016, alleging that the hospice provider submitted hospice claims to Medicare for patients who were not eligible and billed for services it did not provide.
A pharmacist by trade, Ashworth most recently served as president and CEO of Tivity Health (NASDAQ: TVTY), a wellness solutions company that contracts with Medicare Advantage plans, where he was credited with achieving a 300% shareholder return. Previously, he was president of Walgreens Co.,
Kusserow – who holds a reputation as a successful turnaround executive – held the Amedisys CEO role from 2014 until early 2022. During that time, he helped spearhead the company’s aggressive hospice expansion, epitomized by the industry-shaping acquisitions of Compassionate Care Hospice, AseraCare and other businesses.
Maryland-based hospice and palliative care provider Gilchrist recently formed a joint venture with the hospital system Luminis Health to expand the full scope of senior and geriatric care in the state’s southern region. You can’t do that if you don’t contract and work with someone to provide hospice care. independent of the JV.
I have definitely seen firsthand the increased interest in palliative care for these large physician groups that are based in primary care,” Hughes told Hospice News in an email. “On The two organizations joined forces in 2014 when Partners In Care began offering palliative care services to patients at Summit Health’s oncology department.
John Thropay, a former medical director for several hospice companies, to 37 months in prison for his involvement in a $2.8 million hospice fraud scheme. Among the companies for which Thropay worked was Blue Sky Hospice, located in Van Nuys, California.
Two major shifts are transforming the landscape of hospice. First, private equity firms are gobbling up hospices. Thus, they have little in the way of long term vision for hospices, instead focused on cutting costs and maximizing profits. . People with dementia make up about half of hospice admissions. AlexSmithMD.
As NHPCO advised its members in a Member Alert this morning, the legislation contains measures that will affect hospices positively and negatively. Telehealth extension: The legislation extends hospice telehealth flexibilities through the end of 2024, which were initially enacted as part of the CARES Act in 2020.
Nearly 80% of states nationwide have passed at least one or more types of palliative care legislation since 2014, according to Yale University’s Palliative Care Law and Policy GPS data tracker. Centers for Medicare & Medicaid Services (CMS) in 2018 began allowing MA plans to offer supplemental benefits, including palliative care.
Hospice sends nurses, aides, and other caregivers to the homes of patients with advanced, terminal illnesses. Expert consensus holds that people should receive hospice for three to six months. families, time in hospice falls short of recommendations. families, time in hospice falls short of recommendations.
This unexpectedly and undesirably increased health insurers’ medication costs, including Medicare and Medicaid (22). We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Twillman B.
An excerpt from that blog here: The Centers for Medicare & Medicaid Services has consulted with Acumen in an effort to establish a comprehensive approach to Medicare Part A PPS SNF payment reform. Assess the impact of the payment alternative on SNF residents, SNF providers, and the overall Medicare system. Well, great news!
She’s got a deep background in both home health and hospice, uh, from both a visiting nurse perspective, and then also management in both of those. So the Oasis is the data tracker for cms that every patient who has Medicare as their primary, primary insurance has to have on file. Don’t panic at Medicare.
These cover the innovative partnerships, new technologies, pediatric care, health equity and other key developments in the hospice space. Pandemic Pushes Death Doula Awareness, Hospices Seek Strengthened Ties. Hospice Sustainability Rides Hand in Hand With Diversity, Equity and Inclusion.
Centers for Medicare & Medicaid Services (CMS). He would oversee both the Medicare and Medicaid programs, including the hospice benefit. Oz has come forward as a strong proponent of Medicare Advantage and further privatization of Medicare. I passionately study them,” Oz said in a 2014 U.S. Kennedy, Jr.,
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