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Medicare Made $190M in Improper Hospice Payments to Hospitals

Hospice News

Medicare made an estimated $190 million in improper payments to acute-care hospitals for outpatient hospice services between 2017 and 2021. It also found that Medicare guidance lacks certain details that could aid compliance. Medicare contractors also often did not conduct prepayment or postpayment reviews.

Medicare 258
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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Department of Health & Human Services Office of the Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC), and the Government Accountability Office.

Medicare 260
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RAND Corp.: Families Report Better Care from Nonprofit Hospices

Hospice News

The families of patients who received care from nonprofit hospices give their providers higher marks on quality than those who went with for-profits, a RAND Corp. These findings are particularly pressing given the striking growth of for-profit hospices, which have profit incentives that have been shown to affect how they care for patients.”

2017 338
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How Hospices Can Leverage Palliative Care to ‘Stay Relevant’ in Value-Based Care

Hospice News

health care is moving steadily towards value-based reimbursement, and having a robust palliative care program can help hospices ensure they are not left behind. Centers for Medicare & Medicaid Services is working to ensure that 100% of Medicare beneficiaries are aligned with a risk-based payment model by 2030.

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Health Plan Participation in Hospice VBID to Shrink in 2024

Hospice News

Health plan participation in the hospice component of the value-based insurance design model (VBID) will fall in 2024. 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. million in 2023.

2024 289
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Hospices Stepping Up Performance on Visits-in-Last-Days-of-Life Measure

Hospice News

Hospices, in aggregate, are showing improvement on the quality measure for visits in the last days of life. In Calendar Year 2021, the share of hospice care days with nurse visits in the last seven days of life rose to 63%, up from 62% year over year, according to the National Hospice and Palliative Care Organization (NHPCO).

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Hospices Call on Congress to Support Rural Hospices, Patients

Hospice News

Hospice providers, industry groups and other stakeholders recently penned a letter urging Congress to improve payment infrastructures that would increase access to end-of-life care among rural populations. For some rural areas, they’re not seen as financially feasible or sustainable to larger programs,” Kuhlman told Hospice News. “So,

Hospice 290