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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.
North Dakota-based Hospice of the Red River Valley has rebranded as HIA Hospice. The new name stands for “hearts in action,” a motto the nonprofit has adopted for more than 40 years, according to HIA Hospice Executive Director Tracee Capron. Our [leadership’s] dream was to provide care anywhere someone needs it.
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.
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.
The hospice mergers and acquisitions market has seen a host of changes in recent years, with buyers and sellers examining a range of risks and opportunities in the field this year. The industry saw a flurry of M&A activity in 2019 and 2020, with record high valuations and deal volume. Scott Herman.
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.
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.
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.
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.
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.
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.
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.
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%
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.
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%
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.
South Dakota-based health system Sandford Health is collaborating with the Good Samaritan Society to serve patients in their homes through a mobile clinic, which among other services offers additional support to patients in hospice. So a lot of our providers are really encouraged to follow the residents throughout their lifespan.”.
Hospices should be required to report all instances of abuse and neglect, even if the perpetrator was not an employee, the U.S. This would bring the hospice rules in line with those used in long term care. The post GAO: CMS Should Update Rules for Hospices Reporting Abuse or Neglect appeared first on Hospice News.
Hospices tend to see an increase in dementia patient admissions as well as home-based utilization following an acquisition by a private equity firm or a publicly traded company. After an acquisition by a public company, hospices saw a 1.4% HCC scores are designed to predict the costs associated with a patient’s care.
While the hospice community has generally embraced the concept of a Special Focus Program (SFP) to address quality concerns, some are troubled by the government’ methodology for identifying providers. About a quarter of them don’t report HCI data,” Atkins told Hospice News. “A
Hospices are increasingly leveraging technology and pharmaceutical partnerships to better address the needs of patients and families and improve financial and operational efficiencies. Hospices have leaned heavily on technology during the pandemic, turning to telehealth to remain connected to patients and their families.
Bolstered by recent acquisitions, Addus Homecare’s (NASDAQ: ADUS) hospice segment is holding its own against labor headwinds and inflation. For example, the company’s $85 million acquisition of Illinois-based hospice provider JourneyCare Inc., million, with hospice accounting for 20%, CFO Brian Poff reported in the earnings call.
The University of Pittsburgh Medical Center (UPMC) Somerset health system is halting inpatient services at its Pennsylvania-based hospice facility, effective Aug. Closure of the In Touch Hospice center has inflamed the community, with cries growing louder to urge UPMC to reconsider the move.
The four lawmakers contend that the SFP, as currently designed, would not adequately identify poor performing hospices in need of the program. Congress mandated the SFP in the Consolidated Appropriations Act of 2021 , which contained language from the Helping Our Senior Population in Comfort Environments (HOSPICE) Act.
Hospice program integrity has been in the spotlight for at least the past two years, often with high financial stakes for providers. Unified Program Integrity Contractor (UPIC) and Targeted Probe and Educate (TPE) audits are designed to key regulatory safeguards against bad actors in the hospice industry. Stakes around UPICs The U.S.
Home health and hospice provider Enhabit, Inc. He most recently served as a partner at Bradley, Arant, Boult, Cummings LLP, where he provided legal advice to health care, banking and environmental companies, among others. The company’s more than 10,000 employees provide care from 105 hospice and 252 home health locations in 34 states.
Increased hospice oversight aimed at curbing fraud in the industry could come with a mixed bag of financial and operational impacts for providers. Centers for Medicare & Medicaid Services (CMS) has honed in on hospice program integrity, rolling out a swath of new measures to reduce fraud, waste and abuse in the space.
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