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Medicare Advantage Beneficiaries Less Likely to Receive Aggressive End-of-Life Care

Hospice News

Medicare Advantage (MA) beneficiaries are less likely to receive intensive treatments or burdensome transfers during the last six months of life compared to those in traditional Medicare, a new study has found. However, they identified gaps in which patients don’t always receive sufficient post-acute care. “We

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CMS Report: Concurrent Hospice, Curative Care a Winning Proposition

Hospice News

The Medicare Advantage hospice carve-in has been the focus of much attention among providers, and many are watching closely for the demonstration’s outcomes. Centers for Medicare & Medicaid Services (CMS) launched the MCCM in 2016 to explore the idea of allowing hospice patients to receive concurrent curative care.

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Researchers Link Social Determinants to Pain Management in End-of-Life Care

Hospice News

Black or Latino patients in socially vulnerable areas were less likely to utilize hospice than white patients, and there’s a compounding effect on end-of-life pain management.” Researchers examined patient data for 48,631 Medicare hospice decedents from 2008 to 2016 across 15 states.

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OIG Estimates $42 Million in Improper Medicare Payments for Advance Care Planning

Hospice News

Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported the results of its audit of advance care planning (ACP) billing practices among Medicare-certified physicians and other health care providers. This opened the door for greater advance care planning utilization.

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CMMI Working on Payment Models That Include Palliative Care

Hospice News

The Center for Medicare & Medicaid Innovation (CMMI) is developing new reimbursement pathways for palliative care. As part of that process, CMMI is applying elements of its Medicare Care Choices Model (MCCM) demonstration, which ended Dec. 31, 2021, according to a new CMMI white paper. To date, the U.S.

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New California Law Further Tightens Hospice License Oversight

Hospice News

We identified numerous indicators of such fraud and abuse by hospice agencies, which typically offer palliative end-of-life care to individuals with medical diagnoses of fewer than six months to live.”. “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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Canon Healthcare Owner Receives Prison Sentence, $42 Million Fine in Fraud Case

Hospice News

The court also ordered Akula to repay $42 million in fraudulent Medicare billing claims made between January 2013 and December 2019, which totaled roughly $84 million during that six-year span. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.