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Saad Healthcare to Pay $3M False Claims Act Settlement

Hospice News

The hospice was accused of knowingly submitting Medicare claims for patients who were not terminally ill. Respectful and appropriate end-of-life care is the crux of the hospice benefit under Medicare, said Principal Deputy Assistant Attorney General Brett A. Justice Department. Attorney Keith A.

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Hospice Leaders: Change Must Come to the Medicare Hospice Benefit

Hospice News

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. Part of the problem is that the [Medicare] Hospice Benefit is 40 plus years old. of terminal diagnoses in 2020, while cancer accounted for 7.2%.

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CMS Report: Concurrent Hospice, Curative Care a Winning Proposition

Hospice News

The Medicare Advantage hospice carve-in has been the focus of much attention among providers, and many are watching closely for the demonstration’s outcomes. Centers for Medicare & Medicaid Services (CMS) launched the MCCM in 2016 to explore the idea of allowing hospice patients to receive concurrent curative care.

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CMMI Working on Payment Models That Include Palliative Care

Hospice News

The Center for Medicare & Medicaid Innovation (CMMI) is developing new reimbursement pathways for palliative care. As part of that process, CMMI is applying elements of its Medicare Care Choices Model (MCCM) demonstration, which ended Dec. 31, 2021, according to a new CMMI white paper. To date, the U.S.

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Congress Seeks Answers from CMS on Hospice Fraud, Quality

Hospice News

Centers for Medicare & Medicaid Services (CMS) on continuing evidence of hospice fraud and quality issues. Recent evidence indicates that more of these providers are being enrolled in Medicare despite CMS’ efforts to date on curbing fraud and abuse. Coupled with the fraud issue are those associated with quality of care.

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What National Health Expenditure Trends Mean for Hospice

Hospice News

National health care expenditures in the U.S. trillion in 2021, according to a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). These sources continue to provide funding in 2021, but at much lower levels and in 2020.”. The health care sector accounted for 18.3%

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Growing Neuropalliative Care: Overcoming Barriers to Scale

Hospice News

Farrah Daly, owner and founder of Evenbeam Neuropalliative Care LLC, told Palliative Care News that the current demand for neuropalliative care is “just the tip of the iceberg.” “So So many people with neurologic illness become distanced from the health care system,” Daly said.