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New trends in hospicecare delivery are pointing to a growing need for improved equitable access and diversified services that address a broader range of disease-specific patient needs. of Medicarehospice decedents terminal conditions in 2023, according to a recent joint report by the Alliance and the Research Institute for Home Care.
Centers for Medicare & Medicaid Services (CMS) recently elaborated on its plans to expand public education campaigns designed to help protect hospice beneficiaries from fraudulent actors in the space. Program integrity concerns have heated up in the hospice industry.
While some innovative technology trends have aided in improved rural hospicecare delivery, regulatory and reimbursement challenges remain a pain point for providers trying to burgeon access among hard to reach, underserved communities, Graham told Hospice News. How does Stillwater Hospice approach growth?
Scott Herman said in a statement shared with Hospice News. Bill is an icon in the industry and a staunch Medicare beneficiary advocate, always putting patients first and fighting for their rights and benefits. Dombi has litigated home health care policy matters since 1976. Helios Care now serves three counties in New York.
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. 2023, they and Reps.
More than a dozen hospice advocacy groups have called on congressional leadership to intervene in a proposed 2.7% bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. CMS in April released the 2023 proposed payment rule for hospice providers, including the 2.7%
Margin pressures from the proposed cuts to Medicare home health rates could impact palliative care and hospice. Centers for Medicare & Medicaid Services (CMS) in June released its proposed home health reimbursement rule for 2023, which included a 4.2% pay hike for hospicecare in 2023.
Medicare fee-for-service programs made $31.23 billion in improper payments during 2023, though a smaller proportion of those dollars went to hospices than in years prior. Hospices received nearly 5.4% of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S.
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.
Gross margin for the hospice segment fell slightly to 42.9% Hospice results were in part impacted by a -4% decrease in patient admissions and a 0.5% Other factors included rising hospicecare delivery costs such as investments in clinical staffing and higher compensation and benefit costs, among others, the company reported.
The hospice component of the value-based insurance design (VBID) model will begin its third year on Jan. 1, 2023, meaning that some of the program’s rules will change. Centers for Medicare & Medicaid Services (CMS) has indicated that hospices should ensure that their billing staff is familiar with the 2023 modifications.
Centers for Medicare & Medicaid Services (CMS). The ability to demonstrate the value proposition of home health and community-based hospicecare to drive quality outcomes and lower costs will be an important part of forming future regulations and reimbursement that foster sustainable growth, Jacobsmeyer indicated.
hospice industry as a whole is projected to bring in roughly $34 billion in revenue during 2024, Jackson indicated. This is a rise from Medicarehospice expenditures that reached $23.7 billion in 2022, Medicare (MedPAC) reported. Hospicecare was found to save Medicare approximately $3.5
Most hospices are sliding into 2023 between a rock and a hard place, beset by headwinds, labor shortages and questions with no easy answers. Government oversight of hospice providers will tighten during 2023. A coalition of hospice industry organizations recently urged the U.S. Be ready for regulation.
This is the first of a two-part service that will detail key findings from recent research on hospicecare, featuring numbers that could influence they ways hospices communicate and operate. Hospices’ cost-savings potential A study published in March revealed that hospice saved Medicare roughly $3.5
Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. The clearest example of how this works was the 2020 rebasing of payments for the four levels of hospicecare.
SCAN Health Plan is among the Medicare Advantage (MA) payers entering the hospice component of the value-based insurance design (VBID) payment demonstration in 2023. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. Hospice VBID enters its third year in 2023.
Levy recently sat down with Hospice News to discuss the array of regulatory and legislative evolutions on the horizon in hospicecare delivery. Can you share your background in hospice and home over the last decade, starting with your most recent role at Amedisys? I was promoted chief government affairs officer in 2023.
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.
If you were to write a book about hospice in 2023, what would you call it? To help answer that question, Hospice News asked the CEOs of eight providers how they would title a book about the state of the field today. Also, more care is going to a home-based environment. Is Medicare Advantage going to be the path?
The company expects the program to bring in roughly 25 new health care workers each month in 2023 at an estimated cost of $40 million, which VITAS hopes to offset with increased volume as staffing gains drive up capacity. “We VITAS launched the initiative in an effort to improve timely access to hospicecare.
Among the most significant dealmakers in the hospice space this year was Optum, subsidiary of the insurance and health care giant UnitedHealth Group (NYSE: UNH). The company initiated two of the largest hospice and home health transactions in recent memory. billion acquisition of LHC Group in 2023. Optum completed its $5.4
Hospices are blazing trails toward growth, each provider with its own range of strategies. In 2023, the focus for many is to not only expand their core business but to spread further into the care continuum. In this story, Hospice News highlights the growth strategies of several providers.
Health plan participation in the hospice component of the value-based insurance design model (VBID) will fall in 2024. For calendar year 2024, 13 Medicare Advantage Organizations (MAOs) will participate in the program’s hospice component, providing coverage through 78 health plans in 19 states. million in 2023.
The Medicare Payment Advisory Commission (MedPAC) has voted to recommend a freeze on hospice payment increases starting in 2025. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS). For this year, CMS increased the hospice base rate by 3.1%. set in 2023.
During 2023 alone, national health care spending rose an estimated 7.5%. This reflects broad increases in the use of health care, which is associated with an estimated 93.1% Centers for Medicare & Medicaid Services (CMS), said during a virtual media briefing. Hospicecare saves Medicare roughly $3.5
This year brought the return of Medicare sequestration, and pandemic-driven disruption in referral streams are lingering. Generally, fewer clinicians has meant fewer patients have been receiving hospicecare, according to industry observers and companies’ own reports. The company saw a 10.6%
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.
The nation’s total health care spend is expected to swell by 5.4% Meanwhile, Medicarehospice spending is expected to more than double by 2032. Centers for Medicare & Medicaid Services (CMS) Office of the Actuary also project that health care expenditures will represent 19.6% These data from the U.S.
Palliative interventions should be integrated into primary care for patients living with symptomatic multiple chronic conditions (MCC), a recent consensus paper indicated. primary care patient population, according to the U.S. adults have MCC, including 80% of Medicare beneficiaries. health care expenditures. “The
Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Some of these providers engaged in referral kickback schemes, enrolled patients who were not eligible for hospice and lied to them about being terminally ill. Michelle Steel (R-Calif.)
Many of these patients could benefit from receiving hospicecare sooner and longer, but regulatory requirements can make that a challenging feat for providers, she said. They could still benefit from hospice services earlier in their disease course, and for a much longer time.” A projected 12.7
Like hospice, the nation’s palliative care market is also anticipated to boom in coming years. Palliative care is among the next market areas to hit substantial growth, according to BofA research. palliative care market will reach $78.50 billion by 2023, a climb from $49.42 Forces pushing markets ahead.
Centers for Medicare & Medicaid Services (CMS) is extending the value-based insurance design demonstration for calendar years 2025 to 2030, including the hospice component. The hospice component of VBID, also called the MA carve-in, launched in 2021 and was originally slated to complete after four years. It makes sense.
Centers for Medicare & Medicaid Services (CMS) has introduced a series of new regulations to combat fraud during the past two years. As of August 2023, CMS personnel had appeared at 7,000 locations, with plans to visit every hospice site in the country, according to a blog post by two CMS officials.
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.
Beginning in 2021, numerous reports emerged of unethical or illegal practices among hundreds of newly licensed hospices, particularly among new companies popping up in California, Texas, Nevada and Arizona. Thus far, California is the only state to take action on the issue, including a moratorium on hospice licensing.
Massachusetts-based Advanced Home Care has acquired Dignity HospiceCare for an undisclosed amount. The transaction follows Advanced Home Care’s acquisition of Dignity Home Care late last year. The buyer company’s CEO Art Kalenjian will now take the helm at Dignity Hospice.
Last month NAHC and NHPCO inked a deal completing their affiliation after announcing in March 2023 that they were considering some type of collaboration. Recent advocacy efforts have included a shared focus of improving program integrity within the MedicareHospice Benefit as concerns of fraudulent activity heat up in the industry.
Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. Originally slated to end in 2024, CMS recently extended the hospice component of the value-based insurance design model (VBID) to 2023. SCAN is a $4.3
The partnership will allow for better care transitions among chronic and seriously ill patients, according to Compassus CEO Mike Asselta. “We Compassus provides home health, home infusion, palliative and hospicecare across 30 states. Compassus’ 7,000 employees care for more than 120,000 patients annually.
Hospice News spoke with c-suite executives who have recently stepped into their roles to learn more about what led them to the space and their top priorities. Regulatory challenges are among hospice leaders’ most significant concerns. There’s a lot of unknown changes in Medicare. Littlefield told Hospice News.
The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress a freeze on hospice payment increases starting in 2025. In its annual report to Congress, MedPAC urged policymakers to eliminate hospice base-rate increases for 2025. The 2021 aggregated Medicarehospice margin was 13.3%, according to MedPAC.
These regions have seen a swarm of new hospices emerging and receiving federal funding. In some cases, dozens of new operators were billing Medicare from the same location without a corresponding increase in eligible patient populations. Multiple reports of unethical or illegal practices have surfaced, particularly among new companies.
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