Hospice News

MARCH 27, 2023

Researchers analyzed 2020 claims data to identify associations between SIA utilization and hospice Medicare beneficiaries’ characteristics such as site of service, level of care and length of stay, among others. Centers for Medicare & Medicaid Services (CMS) introduced SIA in 2016.

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Hospice News

JULY 16, 2024

Roughly 73,963 Medicare decedents utilized hospice in Pennsylvania in 2021, which falls in the middle in utilization among the states, according to the U.S. Centers for Medicare & medicaid Services (CMS). Hospice utilization ran highest in California and Florida that year at 156,000 and 154,521 decedents, respectively.

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Hospice News

APRIL 17, 2024

Centers for Medicare & Medicaid Services’ (CMS) review and appeals process, according to CEO Greg Hagfors. The provider recently celebrated the 45th anniversary of its founding, which preceded the establishment of the Medicare Hospice Benefit. Department of Health and Human Services (HHS) due to audit-related claims denials.

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Hospice News

SEPTEMBER 27, 2022

Tennessee-based Contessa and Mount Sinai first partnered in 2017 to provide these services, adding Mount Sinai’s home health agency into the fold with the expansion. Centers for Medicare & Medicaid Services (CMS) allows Medicare Advantage plans to cover palliative care as a supplemental benefit.

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Hospice News

JUNE 21, 2024

Dr. David Lovell, its founder and owner, launched the for-profit hospice in 2010, and the enterprise became Medicare-certified in 2012. million in improper Medicare claims. Justice Department, Angel Care enrolled 24 patients in hospice between 2009 through 2017 who did not meet Medicare eligibility requirements.

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Hospice News

JUNE 21, 2023

PCHETA was first introduced in 2017. Centers for Medicare & Medicaid Services’ (CMS) proposed 2.8% In the midst of these challenges, some lawmakers may have an appetite for PCHETA, as more recognize the potential cost savings that hospice and palliative care can generate for Medicare. Joe Morelle (D-N.Y.)

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Hospice News

APRIL 7, 2023

Justice Department, Angel Care enrolled 24 patients in hospice between 2009 through 2017 who did not meet Medicare eligibility requirements. million in improper Medicare payments. HHS-OIG agents will continue to work closely with our law enforcement partners to investigate providers who loot the Medicare Trust Fund.”

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Hospice News

JULY 23, 2024

Centers for Medicare & Medicaid Services (CMS) unveiled a newly planned demonstration for those working with dementia patients and their families. In July 2023, the U.S. Avow is already a part of a few organizations which help to promote their work and advocate for better reimbursement practices.

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Hospice News

MAY 1, 2024

Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. The process of negotiating reimbursement was often unfavorable to providers, with rates lower than fee-for-service Medicare at times.”

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Hospice News

MARCH 27, 2024

In 2017, the U.S. Centers for Medicare & Medicaid Services (CMS) expanded a Condition of Participation pertaining to disaster preparedness planning. Operators need to be prepared to deliver care and support their communities’ responses to catastrophic events. Increasingly, this factors into compliance.

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Hospice News

JANUARY 29, 2024

Palliative care in general can reduce health care costs by more than $4,000 per patient, according to a July 2017 study in Health Affairs. Fee-for-service Medicare, for example, only covers physician and licensed independent practitioner services and does not cover the full range of interdisciplinary palliative care.

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Hospice News

JANUARY 30, 2023

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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Hospice News

MAY 16, 2022

Many are unaccustomed to working with private payers as their core business is reimbursed almost entirely through the Medicare Hospice Benefit. Centers for Medicare & Medicaid Services (CMS) allowed Medicare Advantage (MA) plans to start covering it as a supplemental benefit.

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Hospice News

JANUARY 17, 2024

About 18% of hospices nationwide operated in rural areas in 2021, according to a report from the Medicare Payment Advisory Commission (MedPAC). About 845 hospices provided care in rural-based regions in 2021, a drop from 878 organizations in 2017, the MedPAC report found.

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Hospice News

JUNE 13, 2023

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 News

MAY 1, 2023

The organization finished 2017 with a net income of slightly more than $107,000. Life Touch cited the difficulty of small nonprofit hospices competing with large providers as well as forces in “the evolving health care market” and anticipated “massive” changes in how Medicare reimburses for hospice care in the coming years. “As

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Hospice News

JUNE 24, 2022

The American Academy of Hospice and Palliative Medicine (AAHPM) in 2017 proposed that the U.S. This includes numerous calls for dedicated community-based palliative care benefit within Medicare. Centers for Medicare & Medicaid Services (CMS) allows Medicare Advantage plans to cover palliative care as a supplemental benefit.

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Hospice News

APRIL 20, 2022

Bristol is a large multi-regional player that has grown seven times larger since private equity firm Webster Equity Partners purchased the company in 2017. Hospice utilization among Medicare decedents in Texas runs high, reaching 52.1% Bristol Hospice has acquired Hospice Select in the Dallas-Fort Worth area for an undisclosed sum.

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Hospice News

NOVEMBER 27, 2022

The research follows up on a 2017 report by the Kaiser Family Foundation and The Economist to gauge whether perceptions of health care had changed in the intervening years, particularly in light of the pandemic. We know that only about 51% Medicare beneficiaries in any given year are utilizing hospice.

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Hospice News

JUNE 6, 2023

Atlantic General Hospital in Maryland saw costs fall by almost a third after implementing a similar program, according to a 2017 report in Mathematica Policy Research. Another caregiving agency in the area serves patients on Medicaid or Medicare, but their availability is limited.

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Hospice News

MAY 4, 2023

Prior to joining the Los Angeles-based law practice, Banach was at the helm at NHPCO since 2017. Before joining NHPCO, he was a partner at health care firm Gallagher Evelius & Jones LLP, and as general counsel at the Medicare Rights Center. Centers for Medicare & Medicaid Services (CMS).

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Hospice News

JUNE 17, 2022

Nevertheless, only about 45% of the chronically ill have documented their wishes, according to 2017 research in Health Affairs. Centers for Medicare & Medicaid Services (CMS), can impose regulatory sanctions or civil monetary penalties. State and federal authorities, including the U.S.

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Hospice News

DECEMBER 8, 2023

Lawmakers have an essential role in ensuring the viability of the Medicare Hospice Benefit, according to Davis Baird, director for government affairs for hospice at the National Association for Home Care and Hospice (NAHC). So, having those conversations about what those improvements would be is going to be an important exercise in 2024.”

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Hospice News

MARCH 29, 2023

Are you in an outlier scenario with your data that Medicare contractors are looking at? Centers for Medicare & Medicaid Services (CMS) and the U.S. In 2020, the average length of stay for Medicare patients enrolled in hospice was 97.0 according to the Medicare Payment Advisory Commission. Young told Hospice News.

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Hospice News

OCTOBER 6, 2022

Their affiliate CVNA has participated in the program since 2017, and they first brought up the prospect of taking up the banner following a request for proposals from Johns Hopkins earlier this year, according to Ford. Medicare is thinking about it. In Nova Scotia, we’ve had a number of conversations.

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Hospice News

AUGUST 17, 2022

CAPC’s Sinclair is the vice chair of Nebraska’s Palliative Care Task Force, formed by a state law passed in 2017. Currently, Medicare reimburses for palliative care physician and licensed independent practitioner services through fee-for-service programs that often do not sufficiently support the full range of interdisciplinary care.

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Hospice News

AUGUST 1, 2023

This is a projected 37% increase from 2017. Allison attributed the decline primarily to the return of Medicare sequestration. Demographic tailwinds make Tennesssee an attractive market for Addus. By 2030, 28% of the state’s population will be 60 or older, according to the U.S. Census Bureau. Compared to Q2 2022, the company saw 9.7%

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Hospice News

JUNE 14, 2024

of 955, 777 Medicare decedents who died between 2017 and 2018 utilized these services, a JAMA Health Forum study found. Roughly 82 million people in the United States will be 65 or older by 2050, a 47% rise from 58 million in 2022, according to projections from the U.S. Census Bureau. Only 10.9%

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Hospice News

APRIL 4, 2024

Current reimbursement structures within the federally established Medicare Hospice Benefit do not sufficiently support the level of care needed in rural-based communities, according to the National Hospice and Palliative Care Organization (NHPCO). “We House of Representatives’ Ways and MeansCommittee.

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Hospice News

JUNE 27, 2024

Recent evidence indicates that more of these providers are being enrolled in Medicare despite the U.S. Centers for Medicare & Medicaid Services’ (CMS) efforts to date on curbing fraud and abuse. PCHETA was first introduced in 2017 and again in 2019.

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Hospice News

MAY 20, 2024

of 955, 777 Medicare decedents who died between 2017 and 2018 utilized these services, a JAMA Health Forum study found. Roughly 82 million people in the United States will be 65 or older by 2050, a 47% rise from 58 million in 2022, according to projections from the U.S. Census Bureau. Only 10.9%

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Hospice News

MAY 18, 2022

These types of data will also be important when hospices begin to negotiate rates with private payers through value-based programs like Medicare Advantage. The Kansas-based company reports that it has quadrupled in size since 2017, now employing a staff of 2,200 worldwide.

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Hospice News

OCTOBER 2, 2024

Most recent data available show that 41 states have adopted some type of laws permitting the use of “investigational drugs” since the passing of the Right to Try Act of 2017 , as has Congress. This can result in high costs that are not covered by traditional palliative care payment avenues in the Medicaid and Medicare reimbursement system.

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Hospice News

JUNE 16, 2022

The number of deals in 2017 and 2018 hit 20 and 19, respectively, before slumping downward during the pandemic in recent years. Through the hospice benefit, Medicare covers nearly 90% of a provider’s patient care revenue. We’re at a very disruptive point in the M&A landscape,” Kulk told Hospice News.

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Daily Nurse

APRIL 24, 2023

percent of the total distribution in the 2017 dataset to 20.3 Centers for Medicare and Medicaid Services. percent compared to the 2017 dataset ($300,506). Family and adult-gerontology primary care have consistently represented the majority of NP claims across 2012, 2017, and 2022 claim report datasets.

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Hospice News

APRIL 8, 2024

Currently, more than 10,000 individuals become Medicare-eligible each day, a trend expected to last for several more years, according to the Kaiser Family Foundation. Palliative care in general can reduce health care costs by more than $4,000 per patient, according to a July 2017 study in Health Affairs.

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Hospice News

JANUARY 31, 2024

The Colorado-based hospice provider began offering PACE programming in 2017. Most PACE participants are reimbursed through the long-term care programs within Medicare and Medicaid, according to Black.

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