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New CEO at Optum as UnitedHealth Group Revamps C-Suite

Hospice News

Center for Medicare & Medicaid Services (CMS) from 2011 to 2017. Conway also served as director of the Center for Medicare and Medicaid Innovation (CMMI). Fueling growth was the companys 2023 acquisition of LHC Group for $5.4

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Stillwater Hospice CFO: A Winning Recipe for Improving Rural Hospice Care

Hospice News

Launched in 2017, the hospice company serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. As we look at diversity, language barriers and being more inclusive, were doing a better job of providing Medicare beneficiaries with more care.

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Health Plan Participation in Hospice VBID to Shrink in 2024

Hospice News

For calendar year 2024, 13 Medicare Advantage Organizations (MAOs) will participate in the program’s hospice component, providing coverage through 78 health plans in 19 states. In 2023, 15 MAOs participated in hospice VBID, including 119 health plans in 23 states. million Medicare beneficiaries next year, up from 9.2

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Hospices Stepping Up Performance on Visits-in-Last-Days-of-Life Measure

Hospice News

Centers for Medicare & Medicaid Services (CMS) has developed a financial incentive to foster better performance on the measure, the service-intensity add-on. More than $200 million SIA payments were distributed in 2021, compared to less than $100 million in 2017, according to the Abt research. CMS introduced SIA in 2016.

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US Justice Department’s Spotlight on Hospice Sends ‘Powerful Message’ to Fraudulent Operators

Hospice News

DOJ counts hospice claims among the root causes of rising Medicare costs in recent years, according to Lisa Miller, deputy assistant attorney general overseeing the department’s Crime Fraud Section. Medicare hospice claims represent a solid chunk, according to regulators. million.

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Hospice Executives Retire as New Leaders Rise

Hospice News

Wilson in 2008 became the organizations corporate and community relations coordinator before being promoted to manager in 2017. In the new position, Wilson will oversee the nonprofits fundraising initiatives, including an annual funding goal of approximately $4 million for uncovered services through Medicare or traditional insurance.

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CMS Issues Final Rule for MA Risk Adjustment Audits

Hospice News

Many hospice providers rely on Medicare Advantage (MA) reimbursement to support palliative care, PACE and social determinants programs, among others. Centers for Medicare & Medicaid Services (CMS) laid out its policy for validating MA plans’ risk adjustment data, which the agency uses to calculate capitation rates.

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