Hospice News

DECEMBER 13, 2023

Since at least 2022, Contessa has been pursuing palliative care reimbursement through Medicare Advantage. Earlier this year, the Amedisys subsidiary entered into its first full-risk Medicare Advantage contract to include palliative care with Blue Cross Blue Shield of Tennessee. based research and consulting firm ATI Advisory. “I

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Hospice News

SEPTEMBER 27, 2024

31, 2023, Contessa was a stakeholder in at least 10 joint ventures that were actively admitting patients, according to the SEC filing. In addition to these types of partnerships, Contessa also contracts directly with some payers, primarily Medicare Advantage plans. “We Contessa’s JVs have a similar structure and clinical model.

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Hospice News

DECEMBER 15, 2022

Commonly known as the Medicare Advantage hospice carve-in, the Value-Based Insurance Design (VBID) model officially launched on January 1, 2021, with 53 Medicare Advantage Plans offering the benefit in 206 counties within 13 states and Puerto Rico for 4 years ending in 2025. The difference is Medicare Advantage vs Humana VBID.

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Hospice News

JUNE 29, 2023

Gross is also a medical director at ANX Hospice Care. There isn’t a guideline as to what would be considered best practice or appropriately fulfilling the Medicare requirements for bereavement,” Gross said. There’s no guideline in place for fulfilling this Medicare requirement in an economically feasible way.”

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Hospice News

MARCH 12, 2024

The nation’s four largest hospice industry organizations — LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI) — in late 2023 conducted a 133-respondent provider survey focused on regulation.

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Hospice News

SEPTEMBER 9, 2024

Becoming Medicare-certified in April 2023, the hospice served its first patient last June. We got our license in April 2023 and accepted our first patients on June 7, 2023. We have a social worker, medical director, chaplain services, nursing care and nursing assistants, and bereavement and volunteer coordinators.

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Hospice News

MAY 1, 2023

Traditional Medicare only covers physician consults and doesn’t support the full range of interdisciplinary care. Two emerging pathways to payment include supplemental benefits within Medicare Advantage and relationships with Accountable Care Organizations (ACOs). Centers for Medicare & Medicaid Services (CMS).

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Hospice News

JUNE 1, 2022

AAHPM president and vice president and national medical director of Aspire Health. Centers for Medicare & Medicaid Services (CMS) issued a proposed rule calling for a 2.7% pay increase for hospice in Fiscal Year 2023, a number that a number of stakeholders found disappointing. Staffing Constraints Limit Growth.

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Hospice News

DECEMBER 21, 2022

Contributing to these declines were constraints on clinical capacity stemming from the labor shortage, as well as some instances of lower reimbursement for its home health services due to the shift of more patients towards Medicare Advantage, executives said in an earnings call. Centers for Medicare & Medicaid Services (CMS).

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Hospice News

DECEMBER 13, 2024

Centers for Medicare & Medicaid Services (CMS) ramped up auditing activity in the space while also sunsetting the hospice component of its value-based insurance design (VBID) model demonstration ahead of its initial expiration. The financial incentives in Medicare Advantage are designed to reduce overutilization, researchers indicated.

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GeriPal

JANUARY 16, 2025

So if it’s an absolutely emergency, you got a physician in the med, you know, the health center medical director, if it’s urgent, like in this particular case, we get the ethics committee involved. It’s been revised in 2023. And ideally at other times too. So many things you could say.

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Home Care Pulse

APRIL 26, 2022

The OIG announced a new focused audit that will be conducted in FY 2023. B oth the Centers for Medicare and Medicaid Services (CMS) and the Health and Human Services Office of Inspector General (OIG) are charged with preventing fraud and abuse related to federal healthcare spending. billion Medicare dollars.

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Hospice News

NOVEMBER 2, 2023

This article is based on a Hospice News discussion with Daniel Schwartz, Chief Strategy Officer at Elara Caring, Devin Woodley, VP of Managed Care Contracting and B2B Sales at VNS Health, Gavin Baumgardner, VP and National Medical Director for Complex and Palliative care at Amedisys, and Anthony Spano, Director of Client Development at Netsmart.

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GeriPal

MARCH 24, 2023

JAMA IM 2023 A shout-out to my NPR episode on 1A titled the “State of Hospice Care” DISCLAIMER While we filmed in Montreal during the Annual Assembly, all opinions expressed in this podcast are independent of AAHPM and HPNA, or the Annual Assembly. Reading Ira’s article, it essentially was the VITAS Medical Director job description.

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NHPCO

JULY 25, 2023

These program integrity efforts include: Revocation of Medicare enrollment: CMS has identified fraud schemes and increased its operational ability to revoke Medicare enrollment more quickly. Organizational Deactivation: CMS proposes to revoke Medicare certification if a provider has not billed any claims within six months.

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AAHPM (American Academy of Hospice and Palliative)

JUNE 27, 2023

Thomson, DO MBA HMDC FACOI FAAHPM As one of AAHPM’s delegates, I had the privilege of representing the field of Hospice and Palliative Medicine at the American Medical Association (AMA) House of Delegates (HOD) 2023 Annual Meeting held in Chicago in mid-June. On behalf of all of the Academy’s delegates – myself, Chad, Ana L.

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Hospice News

JANUARY 3, 2025

among Medicare decedents in 2023, up more than two percentage points from the prior year, according to recent data from the Medicare Payment Advisory Commission (MedPAC). Total Medicare hospice payments in 2023 reached $25.7 Centers for Medicare & Medicaid Services (CMS), which is being implemented this year.

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GeriPal

AUGUST 17, 2023

The outlook on amyloid antibodies are looking brighter though in 2023. Now, of course, Medicare doesn’t pay for them. Instead of Biogen’s expected billions of dollars of revenue from Aduhelm, they brought in only $3 million in revenue for all of 2021 ( here is my Twitter summary of this fiasco ).

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Hospice News

JULY 8, 2024

Centers for Medicare & Medicaid Services’ (CMS) has launched the Guiding an Improved Dementia Experience (GUIDE) payment model with close to 400 participating organizations, including many palliative care providers. The CMS Innovation Center announced the GUIDE demonstration in July 2023.

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GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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GeriPal

JULY 20, 2023

See the AAHPM Legislative Action Center [link] Write to the DEA, with guidance from AAHPM’s comments to the DEA March 2023. On the payment aspect, there’s sort of a list of procedure codes that Medicare will allow you to bill for payment. Write to your congressperson. Welcome back to GeriPal, Brooke. Brooke: Thank you.

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