Hospice News

JUNE 27, 2022

Social and economic factors like these drive 40% of health outcomes, according to the Better Medicare Alliance. Health care providers, payers, and other stakeholders are increasingly paying more attention to both social determinants and palliative care, including Medicare and Medicaid. Case in point, the U.S.

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Hospice News

APRIL 11, 2025

Alivia Care emerged in 2020 when Community Hospice & Palliative Care, now an affiliate, formed a larger company with a broader range of services. In 2022, more than 907,000 Medicare hospice decedents were older than 85, out of 1.7 To me, that’s a great opportunity.

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Hospice News

OCTOBER 9, 2023

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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Hospice News

OCTOBER 4, 2022

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. Initially slated to complete in 2020, CMS extended the program until December 2021.

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Hospice News

AUGUST 7, 2024

Commonly known as the “carve-in,” the program was designed to test hospice care coverage through Medicare Advantage, as well as some coverage of palliative care and transitional care. Hospice reimbursement trends influence palliative care payment and delivery.

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Hospice News

JULY 13, 2022

bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. These time lags are typical for the agency’s reimbursement decisions, but the conditions that hospices have endured since early 2020 have been anything but normal. Congress should urge [the U.S.

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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. Palliative care made its first strides into the value-based care arena in 2020 when the U.S. Palliative care packs a small but meaningful punch in the value-based payment arena. .

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Hospice News

AUGUST 17, 2022

Work also began to slow when COVID struck in 2020, and the council’s plans for quarterly meetings fell to twice a year. “We Stretching back more than a decade, a rising number of states have passed laws designed to raise awareness of hospice and palliative care, but to date, few if any have achieved measurable results.

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Hospice News

MAY 31, 2022

While many ACOs have implemented systems to identify high-needs patients, few have figured out the right mix of specific care strategies to manage their care and meet their needs, according to 2020 research published in Health Affairs. . This includes reducing preventable hospitalizations and emergency department visits.

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Hospice News

APRIL 3, 2025

The company merged with Illinois-based Seasons Hospice & Palliative Care in 2020. More and more patients are aging into Medicare benefits, and more and more patients are opting to age in place, which, for many folks, means their home. The company has an average annual census of more than 200,000 patients.

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Hospice News

FEBRUARY 3, 2023

That’s up from 1,700 patients in three states as of January 2020. Prospero Health has leveraged education and responsiveness to grow its palliative care business. The Tennessee-based home-based care company provides interdisciplinary services to 30,000 seniors with complex health needs in 28 states.

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Hospice News

SEPTEMBER 5, 2023

Amedisys began receiving calls from suitors as far back as 2020, including UnitedHealth Group. The term “true risk” refers to the reimbursement models that are prevalent in Medicare Advantage (MA) — a per-member, per-month payment married with cost savings through reductions in institutional care.

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Hospice News

JUNE 5, 2023

Payment, workforce pressures Reimbursement paths for palliative care can primarily be found in Medicare Part B for physician services, and also through supplemental benefits included in Medicare Advantage (MA). To a date, the nation’s health care reimbursement system lacks a federally established palliative care benefit.

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Hospice News

JANUARY 10, 2025

Parker has occupied both the CEO and CMO seats since 2020, leading the company through the COVID-19 pandemic and beyond. We also are surviving in an environment that is ultra competitive in one of the four places that has been labeled by Medicare as one where fraud and abuse is rampant.

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Hospice News

JULY 15, 2022

Centers for Medicare & Medicaid Services (CMS)], have an interest in making sure that we are supporting patients and families in the very last days of life and measuring that. With the waiver program that came in November 2020, we’ve actually worked with Baylor Scott and White and Contessa on a hospital-at-home program. .

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Hospice News

JULY 28, 2022

Largely due to COVID-related disruption, this marks Amedisys’ first quarter of ADC growth since the third quarter of 2020. Hot on the heels of forming four palliative care-focused joint ventures, Contessa Health has several more in the works during the remainder of 2022. Contessa is a subsidiary of Amedisys, Inc.

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Hospice News

SEPTEMBER 27, 2023

million people worldwide who need palliative care actually receive these services, according to a separate 2020 WHO report. Though regional variations exist, some palliative care delivery challenges are nearly universal for providers across the globe. Increasing goals of care conversations among patients and families is another. “It

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Hospice News

APRIL 28, 2022

Sinai partnership marks Contessa’s first risk-based palliative care contract, which is reimbursed through Medicare Advantage. Amedisys (NASDAQ: AMED) subsidiary Contessa Health is seeing strong patient engagement for its expanded home-based palliative care program, which the company launched in January in partnership with Mt.

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Hospice News

JANUARY 3, 2023

New York’s hospice utilization rate was the lowest in the nation in 2020 at 24% among Medicare decedents, the National Hospice & Palliative Care Organization (NHPCO) reported. Generally, more patients receive hospice in New York than in Utah, but they represent a smaller percentage of the total number of Medicare decedents.

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Hospice News

JULY 30, 2024

Centers for Medicare & Medicaid Services (CMS) has unveiled its final 2025 hospice rule, which includes a 2.9% The capitated amount was finalized in the FY 2020 final hospice rule, which prevents a geographic area’s wage index from falling below 95% of its wage index calculated in the prior fiscal year.

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Hospice News

MAY 16, 2022

“This would allow for greater flexibility than the current Medicare model provides.” . Often called the Medicare Advantage hospice carve-in , the VBID demonstration project took effect January 1, 2021. The carve-in is designed to assess payer and provider performance related to hospice within Medicare Advantage.

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Hospice News

DECEMBER 14, 2022

trillion in 2021, according to a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). seen in 2020, with the slowdown largely attributed to reduced spending on COVID-19 support, including Paycheck Protection Program (PPP) loans and the Provider Relief Fund (PRF). “The to reach $4.3

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Hospice News

NOVEMBER 10, 2023

Lumicare Hospice received its Medicare certification in 2020, according to National Hospice Locator data. among Medicare decedents in 2020, the National Hospice and Palliative Care Organization (NHPCO) reported. The hospice provider serves predominantly urban populations in Houston, Phoenix and Denver.

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Hospice News

MAY 9, 2024

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. Members of Congress are demanding answers from the U.S. Yesterday, the U.S.

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Hospice News

JULY 17, 2024

Alivia Care emerged in 2020 when Community Hospice & Palliative Care, now an affiliate, formed a larger company with a broader range of services. Centers for Medicare & Medicaid Services (CMS), according to Ponder-Stansel. We see more special needs plans, ACOs and Medicare shared savings programs at the provider levels.

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Hospice News

JUNE 9, 2023

Increasingly, both policymakers and providers are seeing potential opportunities to reform the Medicare Hospice Benefit, including the prospect of concurrent care. Centers for Medicare & Medicaid Services (CMS). A lot has happened since the [Medicare Hospice Benefit] was first initiated. trillion , according to the U.S.

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Hospice News

APRIL 23, 2024

On the research end of things, the International Neuropalliative Care Society (INPCS) was founded in 2020 to help address these challenges and to bring attention to the specialty. Medicare covers most expenses related to palliative care, but as with other health care services, reimbursement remains low.

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Hospice News

JULY 31, 2023

Centers for Medicare & Medicaid Services (CMS) has unveiled a new payment model demonstration geared toward dementia-related illnesses, which are becoming more prevalent among hospice patients. Patients who have elected the Medicare Hospice Benefit are not eligible for the program.

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Hospice News

NOVEMBER 3, 2023

As hospices prepare for Medicare Advantage, more nonprofits are finding that creating partnerships or entering affiliations will better position themselves for payer negotiations. Under VBID, the Medicare Advantage carve-in and Accountable Care Organizations, the list is quite different.” Originally slated to end next year, 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

MAY 8, 2024

Centers for Medicare & Medicaid Services (CMS), they would not be able to recertify via telehealth. Also, clinicians who are not enrolled in Medicare or who validly opted out would likewise be prohibited. It also includes some exceptions. If a hospice is undergoing a period of enhanced oversight by the U.S. Mike Thompson (D-Calif.)

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Hospice News

APRIL 22, 2022

Francis, the organization rebranded in 2020 to reflect its expanded scope of community-based services in an area with a growing need for serious illness and end-of-life care. among Medicare decedents, according to the National Hospice and Palliative Care Organization. A team of St. Formerly Hospice of St. and 59.2%, respectively.

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Hospice News

FEBRUARY 2, 2023

More than a third (34%) of family caregivers were Baby Boomers in 2020, according to a report from AARP and the National Alliance for Caregiving (NAC). About 21% indicated that their own health was poor in 2020, up from 17% in 2015. Some Medicare Advantage plans also offer some caregiver support services as a supplemental benefit.

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Hospice News

SEPTEMBER 27, 2023

Researchers analyzed data on hospice acquisitions between 2013 and 2020 to compare changes in sites of care or patient population compared to other for-profits that did not undergo a transaction. A little more than 20% of hospice decedents in 2020 suffered from dementia, up from 18.5%

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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

AUGUST 6, 2024

The nonprofit senior care provider Empath Health is partnering with the Medicare Advantage organization American Health Plans (AHP), a division of American Health Partners to serve patients who are enrolled in Institutional Special Needs Plans (ISNP).

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Hospice News

SEPTEMBER 20, 2023

Medicare Advantage and Accountable Care Organizations (ACO) are making big inroads in the home health and palliative care markets, and hospice continues to inch in that direction. The health system reportedly generated more than $68 million in cost savings for Medicare that year. Moreover, the U.S.

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