Remove 2016 Remove Hospice care Remove Medicare
article thumbnail

MA Enrollment to Outstrip Traditional Medicare in 2025

Hospice News

Growth in the number of Medicare Advantage beneficiaries will likely overtake that for traditional Medicare in 2025, according to new estimates from the U.S. Centers for Medicare & Medicaid Services (CMS). The hospice component of VBID is slated to end on Dec. This is up from 34.3 million as of September 2024.

2025 234
article thumbnail

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

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

CMS: Concurrent Hospice Care Improves Quality, Reduces Costs

Hospice News

Allowing patients to receive concurrent hospice and curative care reduces health care costs and improves quality. The agency launched the MCCM in 2016. Among patients who had died before the demonstration ended, MCCM reduced Medicare expenditures by $7,604 per enrollee, about a 13% reduction compared to a control group.

article thumbnail

How Medicare Budget Neutrality Impacts Hospice Payment

Hospice News

Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. An earlier version of budget neutrality was phased out in 2016. CMS that year reduced routine home care (RHC) rates by 2.7%

Medicare 207
article thumbnail

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.

Hospice 336
article thumbnail

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.

article thumbnail

MA Beneficiaries More Likely than Fee-for-Service Patients to Enter Hospice from Community Setting

Hospice News

Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. .” Years prior to 2018 showed similar patterns.

2011 226