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Medicare Made $190M in Improper Hospice Payments to Hospitals

Hospice News

Medicare made an estimated $190 million in improper payments to acute-care hospitals for outpatient hospice services between 2017 and 2021. Most acute-care hospitals reviewed only whether outpatient services palliated or managed terminal illnesses, not related conditions. An audit by the U.S. In addition to the $190.1

Medicare 239
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CMMI Analysis: Palliative Care Reduces Medicare Costs, Improve Patient Satisfaction

Hospice News

Despite this potential, existing programs hit barriers created by misconceptions about palliative care among referring physicians, as well as health equity concerns, among others, according to an analysts of four payment model demonstrations carried out by the Center for Medicare & Medicaid Innovation.

Medicare 317
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NHPCO Speaks Out on 2025 Proposed Medicare Hospice Rates

Hospice News

Centers for Medicare & Medicaid Services (CMS) in March issued its 2025 proposed hospice rule, which if finalized would include a 2.6% In 2021, the payment update had a 0.6% Most hospices also do not have a diversified payer mix and are dependent on the Medicare Hospice Benefit. “We The proposed 2.6%

2025 304
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Hospice Carve-In’s Sunset Could Affect Palliative Care

Hospice News

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. The hospice component of VBID launched in 2021 as part of a larger demonstration, which covers a swath of the health care continuum.

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Unity Hospice and Palliative Care Joins Northwestern Medicine’s Post-Acute Network

Hospice News

More than 57,000 people in Illinois elected the Medicare Hospice Benefit in 2021, according to the U.S. Centers for Medicare & Medicaid Services. Unity Hospice and Palliative Care has signed an agreement to become part of Illinois-based Northwestern Medicine’s Post-Acute Network (PAN). million, up from 1.9 million people.

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Contessa’s Lessons Learned on Risk-Based Palliative Care

Hospice News

Contessa is a subsidiary of Amedisys (NASDAQ: AMED), which the home health and hospice provider acquired in 2021 for $250 million. Since at least 2022, Contessa has been pursuing palliative care reimbursement through Medicare Advantage. based research and consulting firm ATI Advisory. “I

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Inside Palliative Care at Contessa’s Health System Joint Ventures

Hospice News

Amedisys acquired Contessa in 2021 for $250 million. In addition to these types of partnerships, Contessa also contracts directly with some payers, primarily Medicare Advantage plans. “We (NASDAQ: AMED) has made large investments in expanding access to palliative care, particularly through joint ventures with health systems.