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The soon-to-be-implemented hospice Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care. It might make them even fearful about hospicecare, which is the last thing we want to see happen.
Hospices coast-to-coast have undergone leadership transitions, including changes in legal executives and a slew of newly appointed CEOs, among other roles in the industry. Texas-based New Day provides home health, hospice, palliative and personal care services across 31 locations in Illinois, Kansas, Missouri and in its home state.
Centers for Medicare & Medicaid Services has made public its first cohort for the hospice Special Focus Program (SFP). Finalized in the 2024 home health payment rule, the program is designed to identify poor performing hospices, mandate quality improvement and in some cases impose additional penalties. million annually.
The past year has seen a slew of regulatory developments aimed at improving quality and combatting fraud in the hospice industry. The first was two July 2019 reports on hospice quality from the Office of the Inspector General (OIG) in the U.S. The Hospice Special Focus Program Finalized in the U.S.
Stakeholders and policymakers who shape the hospice industry are making connections between a provider’s tax status and quality indicators. Their perceptions could have significant repercussions on the outlook of hospice investments. More private equity (PE) investors have stepped into the hospice and home health space in recent years.
The Nebraska Department of Correctional Services (NDCS) has launched a volunteer-based hospice service for terminally ill incarcerated individuals. Volunteers in NDCS’ hospice program provide bedside companionship, emotional support and assistance with daily activities of life.
Beth Van Duyne (R-Texas) and Jimmy Panetta (D-California) have introduced a bill that would reform aspects of the hospice Special Focus Program (SFP). If enacted, the Enhancing Hospice Oversight and Transparency Act also would increase the penalty for hospices that do not report quality measure data to 10% by 2027, up from 4% currently.
Underserved neurological patients Patients with neurodegenerative diseases are less likely to receive hospicecare compared to others, according to a recent study published in the Neurology journal. million Medicare decedents who died in 2018 and examined the differences in hospice utilization during the last year and a half of life.
Centers for Medicare & Medicaid Services (CMS) has not responded to congressional concerns about the hospice Special Focus Program (SFP). Set for 2025 implementation, the SFP promises to identify hospices delivering poor quality care and target them for improvement remedies. Van Duyne told Hospice News in an email.
Documentation errors and a fragmented health system pose the greatest risks for adverse drug events among hospices. McPherson also serves on the board of the American Academy of Hospice and Palliative Medicine (AAHPM). They also need to know which side effects are more concerning and should prompt a call to the hospice.”
Regulators have been zeroing in on longer lengths of stay in hospice, but patients with dementia may be caught in the crossfire. . Two policy changes have corresponded with reductions in hospice enrollment among dementia patients, a new study in the Journal of the American Medical Association has found.
The forthcoming HospiceCare Accountability, Reform and Enforcement (HospiceCARE) Act from U.S. Blumenauer announced the bill in June at the Hospice News Elevate conference in Washington D.C. Hospice News / Merz Photography Hospice News / Merz Photography Rep. Hospice News photo by Merz Photography.
New executives have stepped into c-suite and other roles at some of the nations largest hospice organizations as 2025 kicks off. Johnson will oversee the work of Empaths several foundations Suncoast Hospice Foundation, Tidewell Foundation, Hospice of Marion County Foundation and Trustbridge Hospice Foundation.
Patients with dementia are less likely to receive hospice in their last month of life than those who have other diagnoses, 12.5% The Medicare Hospice Benefit initially was designed around the needs of cancer patients, but now the number of patients with other diagnoses is growing — some with less predictable disease patterns.
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. The relative value of nonprofit and for-profit providers has been a longstanding discussion in the hospice community. hospices between 2019 and 2020.
Cameron Muir has been named as the new CMO of the National Partnership for Healthcare and Hospice Innovation (NPHI). His new title signals the organization’s strategic plans to reshape hospicecare delivery through patient-centered, innovative approaches, according to NPHI CEO Tom Koutsoumpas.
Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. Often called the “hospice carve-in,” the program was designed to test coverage of hospicecare through Medicare Advantage, in addition to some coverage of palliative care and transitional care.
Hospices have been advocating for lawmakers and regulators to take action on curbing fraud, supporting veterans and bolstering the health care workforce. Battling fraud Reports of unethical or illegal practices have surged, particularly among hundreds of newly certified hospices in California, Texas, Nevada and Arizona.
On June 1, LifeTouch Hospice will merge with Arkansas Hospice. Both hospices are owned and operated by the SHARE Foundation, a nonprofit, faith-based organization. The hospice last year served 430 patients in a five-county region of Arkansas. In 2019, LifeTouch was in the red for a similar amount.
Hospice providers will be looking to Congress in 2024 to address issues related to program integrity, quality improvement and industry-wide workforce pressures. As legislative efforts develop, hospices may want to focus their attention on a few key legislators. We don’t have confidence in the algorithm that they proposed.
Croix Hospice recently unveiled data showing how the company leveraged predictive analytics technology to improve quality outcomes. In 2019 the Minnesota-headquartered hospice provider began utilizing a predictive analytics tool from Medalogix. Croix Hospice. Through the predictive analytics data, hospice patients at St.
Calls have grown louder for an overhauled design of the Medicare Hospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. One part of the issue is that hospice reimbursement has not kept pace with evolving patient needs, Grant said.
The recent article by the New Yorker and ProPublica that branded “hospice” as a profiteering “hustle” was an outrageous misrepresentation of the provider community. The National Hospice & Palliative Care Organization (NHPCO), for instance, filed an amicus brief with the court. days for the overall hospice population.
Justice Department has indicted Eduardo Lopez, a former hospice executive and current senior vice president of a private equity firm, for violations of the Sherman Act. Lopez is charged with agreeing to “suppress and eliminate competition” for nursing services between March 2016 and May 2019, the U.S. Justice Department has indicated.
Program integrity issues that have heated up in the hospice space during the past five years reached a boiling point in 2023. Hospice providers have seen an array of increased regulatory oversight in 2023. There is scrutiny on hospicecare [that’s] setting the stage for the next phase of what hospice oversight looks like.
Croix Hospice has expanded in Wisconsin, opening its 14th location in the state. “We have been serving the state of Wisconsin for many years, continuing our long tradition of exceptional patient care,” St. . Croix Hospice CEO Heath Bartness said in a press release. ” Adults 65 and older accounted for 17.5%
A federal judge has sentenced Jesus Virlar-Cadena, formerly a medical director for the Texas-based hospice company Merida Group, to 50 months in prison for his role in a $152 million scheme. The Texas Medical Board suspended his medical license in 2019, when he pleaded guilty to the fraud charges.
Centers for Medicare & Medicaid Services (CMS) is seeking answers from the hospice community — including some around utilization patterns and non-hospice spending. The recently proposed 2024 hospice payment rule contained a 2.8% In Fiscal Year 2022, routine home care accounted for 98.8% of hospice days and 93.7%
Effective May 1, the North Carolina-based hospital UNC Health Southeastern (UNC) will transfer ownership of its community-based hospice operations to Lower Cape Fear LifeCare. Cape Fear LifeCare will also assist UNC by providing palliative care consultations within the hospital. About 585 died while receiving hospicecare that year.
Centers for Medicare & Medicaid Services (CMS) has finalized its 2024 home health rule, including the implementation of a hospice Special Focus Program (SFP). The rule also finalizes the proposed “36-month”rule for hospice providers. The requirement mirrors a regulation that has existed for several years for home health agencies.
As federal regulators intensify their focus on hospices, operators may begin seeing an influx of Recovery Audit Contractor (RAC) activity. billion directly related to health care fraud abuse. Medicare hospice expenditures rise by about $1 billion annually, according to CMS. The president’s budget was approved for $2.5
Though evidence shows that longer hospice stays reduce costs, providers are still walking a regulatory tightrope. On one hand, longer hospice stays can lead to improved patient and family satisfaction and greater cost saving opportunities. Young told Hospice News. Centers for Medicare & Medicaid Services (CMS) and the U.S.
Globally, the need for hospice and palliative care has been growing faster than people can access them. This was the impetus behind the World Hospice Palliative Care Alliance (WHPCA), which emerged from an Oct. 8, 2005 meeting of health care leaders in South Korea. Case in point, as many as 71% of the U.S.
Recent research has uncovered ties between improved hospice utilization rates among patients receiving home health services. Researchers from New Jersey-based Rutgers University’s School of Nursing have found that patient preferences leaned toward home-based hospice services following home health experiences.
The number of hospice volunteers plunged during the first two years of the pandemic, and many are still working to rebuild their ranks. Many hospices saw volunteer volumes dip drastically as they suspended activities during the pandemic. We calculated out $76,514 around volunteer cost savings last year,” Conway told Hospice News.
In enacted, the recently reintroduced Palliative Care and Hospice Education Training Act (PCHETA) could make a dent in the recruitment barriers that hospices keep hitting. Hospice] has to become a part of the education of medical students, nursing and social workers at large,” Lee told Hospice News.
Francis Reflections Lifestage Care recently opened a new inpatient hospicecare center inside the Melbourne Regional Medical Center. A swelling demand for hospice in the community spurred the unit’s development. Francis Reflections Melbourne Care Center includes a private bathroom and overnight space for loved ones.
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 hospicecare 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).
Utah-based Canyon Home Health & Hospice recently acquired Uintah Home Health and Hospice for an undisclosed amount, growing its footprint in the Beehive State state. Uintah Home Health and Hospice patients began receiving services under the Canyon umbrella earlier this month. Its hospice utilization rate reached 60.5%
Centers for Medicare & Medicaid Services (CMS) should clarify timeframes associated with a proposed informal dispute resolution process for hospice providers and retool aspects of the agency’s forthcoming Special Focus Program, according to an industry group representing nonprofits. CMS states.” million annually. “Our
Offering hospice can be a gamechanger for skilled nursing and assisted living operators looking to stand out from competitors and improve patient reach. Home-based care, including hospice, has become an increasingly attractive space for facility-based health care providers of all walks. Among the 1.6
have reintroduced the Palliative Care and Hospice Education Training Act (PCHETA), designed to bolster the field’s shrinking workforce with federal support. . If enacted, PCHETA would support hospice and palliative care training programs for physicians, nurses, pharmacists, social workers and chaplains.
More than a dozen hospice advocacy groups have called on congressional leadership to intervene in a proposed 2.7% This proposal ultimately jeopardizes the ability of hospices to continue providing access to appropriate, high-quality care to all Americans who need it,” the letter indicated. per diem rate increase.
Patient preferences are trending towards home-based hospicecare, leaving some inpatient facilities between a rock and a hard place. Meanwhile, other hospices diversify and expand their inpatient service capabilities. Shifting care preferences are another driving force behind the closure, according to MercyOne.
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