Hospice News

JULY 12, 2024

More than 57,000 people in Illinois elected the Medicare Hospice Benefit in 2021, according to the U.S. Centers for Medicare & Medicaid Services. The company expanded into Texas in 2022, and earlier this year launched a new General Inpatient Care unit in the Houston region. million, up from 1.9

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Hospice News

JANUARY 17, 2024

A recent study examined results of the company’s Total Care Model for patients enrolled in Medicare Advantage or Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH). In 2022, the company serviced more than 269,500 Medicare Advantage members and 89,000 Medicare fee-for-service beneficiaries.

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Hospice News

OCTOBER 2, 2024

The FDA in 2022 published a final rule , Annual Summary Reporting Requirements Under the Right to Try Act, which established statutes for manufacturers and sponsors of eligible investigational drugs to submit yearly data on dosages supplied and the number of patients treated.

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Hospice News

MAY 1, 2024

Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. The impending demise of the hospice component of U.S. That problem was mirrored in the environment outside of the program.

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Hospice News

DECEMBER 21, 2022

Hospice leaders have kept their eyes on four key numbers as 2022 progressed: clinical capacity, length of stay, labor costs and utilization. The workforce shortage had an influence on each one of these indicators, making it perhaps the most significant, though unfortunate, hospice trend of 2022. Clinical capacity. Length of stay.

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Hospice News

SEPTEMBER 22, 2023

Along with Medicare Advantage, ACOs are one of the few avenues towards more robust reimbursement than fee-for-service models. Centers for Medicare & Medicaid Services (CMS) has announced plans to ensure that 100% of Medicare beneficiaries become aligned with an accountable care entity. That’s not sustainable.

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Hospice News

MARCH 4, 2024

The palliative care field emerged in the United States during the 1980s, shortly after the Medicare Hospice Benefit came into being, according to research from Johns Hopkins Medical. In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. Volatility is the right word.

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Hospice News

JUNE 4, 2024

The bill’s introduction follows legislation floated last year that proposed to expand Medicare coverage of telehealth and make permanent some of the flexibilities implemented during the COVID-19 public health emergency. People would suffer. Currently set to sunset Dec.

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Hospice News

FEBRUARY 23, 2024

Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. Want to read more palliative care-focused content like this? Subscribe to Palliative Care News today ! The company acquired Contessa in 2021 for $250 million. million beneficiaries.

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Hospice News

JANUARY 2, 2024

Audits audits by Medicare Administrative Contractors (MACs) have proliferated during the past two years, including Targeted Probe and Educate (TPE) audits, as well as those by Unified Program Integrity Contractors (UPIC), Supplemental Medical Review Contractors (SMRC) and Recovery Audit Contractors (RAC). Hospices received nearly 5.4%

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Hospice News

JANUARY 29, 2024

Fee-for-service Medicare, for example, only covers physician and licensed independent practitioner services and does not cover the full range of interdisciplinary palliative care. Palliative care is an evolving field. Rising demand In 2024, demand will continue to rise, driven by a number of factors.

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Hospice News

JANUARY 10, 2023

The company’s palliative care strategy rests on the back of risk-based payment models, primarily Medicare Advantage, Kusserow indicated at the J.P. Contessa is already forging agreements with Medicare Advantage payers to offer palliative care, which Kussersow expects to spur revenue upwards. . “We Morgan Healthcare Conference.

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Hospice News

AUGUST 16, 2023

Medicare Advantage plans are connecting the dots between quality scores and care delivery costs. When choosing a hospice to work with, payers in the Medicare Advantage (MA) realm zero in on providers’ quality scores and its patient population growth potential, according to Frontpoint Healthcare CEO Brent Korte.

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Hospice News

JUNE 7, 2024

These were the driving factors that fueled HPCMV to seek out Medicare certification after nearly four decades of thriving on philanthropic support, according to Stauffer Wozniak. Can you elaborate on what led to the Medicare certification process nearly 40 years after the organization’s establishment and some of the nuances involved?

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Hospice News

DECEMBER 19, 2022

In 2022, the hospice community laid the groundwork for a transformational 2023. During late 2021 and 2022, the U.S. Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. The following are the most-read Hospice News articles of 2022. #1

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Hospice News

JULY 5, 2023

A new cancer-focused payment model demonstration from the Center for Medicare & Medicaid Innovation (CMMI) could create opportunities for palliative care providers. Centers for Medicare & Medicaid Services (CMS). They are required to do symptom assessments and then come up with plans to address symptoms and side effects. “The

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Hospice News

OCTOBER 4, 2022

Only 10 new Medicare Advantage (MA) plans will offer home-based palliative care as a primarily health-related benefit for 2023, but payers may be offering those services through other programs. Among Medicare Advantage supplemental benefits, in-home support services and caregiver support saw the most year-over-year growth for 2023.

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Hospice News

SEPTEMBER 23, 2024

The Center for Medicare & Medicaid Innovation’s (CMMI) Kidney Care Choices (KCC) Model demonstration has increased utilization of dialysis in the home and has fostered greater clinician training in addressing related conditions. Centers for Medicare & Medicaid Services (CMS).

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Hospice News

AUGUST 11, 2023

Increasingly, Medicare Advantage (MA) plans have found real value in offering community-based palliative care as a supplemental benefit. Centers for Medicare and Medicaid Services (CMS) has allowed MA health plans to cover supplemental benefits for eligible patients. Since 2018, the U.S. In January 2023, 30.19 million of the 59.82

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Hospice News

OCTOBER 7, 2022

Hayden Jordan, director of palliative care for senior care provider PruittHealth Home, has been named a 2022 Future Leader by Hospice News. . Centers for Medicare & Medicaid Services (CMS)] but commercial plans. You know, such a challenge for us is we see a Medicaid-heavy aand Medicare population. It gets kind of convoluted.

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Hospice News

MARCH 4, 2024

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 hospice care through Medicare Advantage, in addition to some coverage of palliative care and transitional care.

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Hospice News

MARCH 1, 2024

If they have not received intentional education about palliative care and the right clinical relationships within the ICU have not been developed, some ICU providers may view palliative care as antithetical to the work they are so rigorously and intentionally performing, emphasized a 2022 study co-authored by Ouchi.

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Hospice News

APRIL 11, 2024

Roughly 82% of Medicare decedents in 2018 were Caucasian, according to the National Hospice and Palliative Care Organization. The research began in August 2022 with participation from NORC, the HAP Foundation and Arreola Research. The issues identified in the report exist across the country. I’ll say the obvious, racism.

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Hospice News

JULY 11, 2023

Samaritan’s Palliative Medical Partners provided 17,000 patient visits during 2022 across eight hospitals in south New Jersey, Goldfine stated. Strains on reimbursement, referrals and staffing represent the biggest obstacles to palliative care providers’ viability and growth.

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Hospice News

MAY 26, 2023

The palliative care field emerged in the United States during the 1980s, shortly after the Medicare Hospice Benefit came into being, according to research from Johns Hopkins Medical. As services evolve in the palliative care field, providers may be facing tough questions around quality.

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Hospice News

SEPTEMBER 20, 2024

According to July 2022 research from the U.S. Centers for Medicare and Medicaid Services , approximately 1.2 Unroe, professor of medicine at the IU School of Medicine and a research scientist at Regenstrief Institute, is leading the team in this effort, which includes research partners in at least nine states. Unroe said.

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Hospice News

DECEMBER 1, 2023

A main barrier to palliative care growth in the Medicare Advantage hospice carve-in is a lack of understanding of these services among beneficiaries, as well as inconsistent service delivery. The company analyzed results of the program that spanned patient data through the calendar year of 2022. When the U.S.

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Hospice News

AUGUST 7, 2023

Insurance companies and Medicare are also starting to recognize the cost savings and improved patient outcomes the clinics can provide. “I To meet growing demand, more outpatient palliative care clinics and programs are cropping up. The patient will then be referred to an outpatient clinic or home-based provider for further care.

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Hospice News

APRIL 24, 2023

However, unlike hospice services, which have a distinct payment model supported by the Centers for Medicare and Medicaid Services (CMS), palliative care has less established infrastructure for delivery. The shift does present challenges, however. But it’s proving outcomes and it’s making waves.”

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Hospice News

APRIL 17, 2023

As the demand for palliative care continues to grow, so too has the way businesses have bolstered their programs to better serve patients. Providers are consistently looking for new methods to deliver responsive, value-based services that can generate savings and reduce high-acuity utilization. Enter UnitedHealth Group (NYSE: UNH).

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Hospice News

MAY 24, 2023

About a dozen states across the nation incorporate adult or pediatric specialized palliative care service benefits into their Medicaid programs, according to a 2022 report from the Texas Health and Human Services Department. These are often offered as part of specialized managed care programs.

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Hospice News

AUGUST 23, 2022

One is how can we continue to diversify our services and help more people in more ways — and second, looking at how we can reduce our dependence on Medicare reimbursement. Why is it important to reduce that dependence on Medicare reimbursement? Samaritan rebranded in 2022 to reflect its expanded scope of services.

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Hospice News

OCTOBER 13, 2023

Implementation of the Medicare Advantage hospice carve-in has been challenging for both payers and providers, though a recent analysis indicates that it may get easier over time. Centers for Medicare & Medicaid Services (CMS) commissioned the RAND Corp. Centers for Medicare & Medicaid Services (CMS) commissioned the RAND Corp.

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Hospice News

AUGUST 26, 2024

The disease in 2022 was mentioned on more than 457,000 U.S. In 2022, 52,375 Medicare decedents with (unspecified) heart failure as a principal diagnosis elected hospice — about 2.8% Hospice and palliative care provider VIA Health has long invested in disease-specific programs. Close to 6.7 death certifications.

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Hospice News

APRIL 14, 2023

Centers for Medicare & Medicaid Services (CMS) currently allows Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit. Based on current trends, risk-based payment systems will likely shape the future of palliative care. The palliative care market is projected to swell during the next decade.

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Hospice News

JUNE 20, 2023

Homebase Medical, a subsidiary of SCAN Group, is developing a new palliative care model to care for some of the Medicare Advantage organization’s most vulnerable beneficiaries. Homebase Medical previously operated as The Residential Group until SCAN acquired the company in 2022. It’s really a clinical-first model.” SCAN is a $4.3

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Hospice News

MAY 4, 2022

Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care. The United States lacks a robust reimbursement system for palliative care. Historically, the U.S.

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