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Palliative Care, ACO Collaborations Fuel ‘Historical Savings’ in MSSP Program

Hospice News

Centers for Medicare & Medicaid Services (CMS) recently announced that its Medicare Shared Savings Program (MSSP) yielded more than $2.1 billion net savings in 2023 — the largest amount in the program’s inception more than a decade ago, according to the agency. ACOs participating in MSSP earned an estimated $3.1

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Bloom Healthcare CEO: Integrating Palliative Care Into Every Decision

Hospice News

Centers for Medicare & Medicaid Services recently recognized Bloom as a top performing High-Needs Accountable Care Organization under the agency’s Realizing Equity, Access and Community Health (ACO REACH) model. days at home during 2023. We have Medicare-Medicaid dual eligibles, Medicare Advantage, Medicare fee-for-service.

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Navigating Palliative Care Models in ACO Partnerships

Hospice News

ACOs can give palliative providers an opportunity to be paid properly for their scope of services, particularly if theyre contracting with an ACO under an arrangement with Medicare, which launched a program called ACO Realizing Equity, Access and Community Health (ACO REACH) in 2023. According to the U.S.

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PalliCare: Independence, Staff Autonomy, Neutrality Drive Texas-Based Agency

Hospice News

After hiring their first nurse, Shayla Rowley, who is now COO, the team had plenty of knowledge about the home health and hospice aspects of Medicare Part A, which they used as the basis of their operational model. They quickly ramped up on Medicare Part B, physician care, and used it to create their service lines and billing codes.

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How Today’s Hospice Fraud Could Warp Tomorrow’s Reimbursement Outlook

Hospice News

Fraudsters misspend millions of Medicare dollars annually, though the actual hospice-specific amounts are difficult to determine, regulators previously told Hospice News. In the end, Medicare fraud costs taxpayers billions of dollars every year. Each dollar lost to fraud takes away resources intended for people with Medicare.”

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agilon health to Exit Payer, Provider Agreements to Bolster Long-Term Financial Outlook

Hospice News

The company is a value-based organization that partners with primary care physicians nationwide to jointly take on the total cost and quality of care for their senior patients through Medicare Advantage or the the U.S. Net loss was $118 million in the third quarter of 2024 compared to a net loss of $31 million in the third quarter 2023.

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Leadership Transitions at 4 Hospice Providers

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. He was instrumental in the development of the Medicare Prospective Payment System (PPS), which emerged in home health reimbursement in 2000.

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