Hospice News

JULY 13, 2022

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% A key point of contention is that CMS used 2019 data to calculate the 2023 rate, including wages and cost reports.

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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

JULY 17, 2024

Palliative care provider Tuesday Health has penned an agreement with the Medicare Advantage organization CareSource to offer services to its beneficiaries. The startup Tuesday Health launched in 2023, emerging from a partnership between Valtruis and Mass General Brigham Ventures.

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Hospice News

DECEMBER 6, 2023

The following are the most-read Palliative Care News articles of 2023. #1 A look back at Palliative Care News’ five most-read stories this year paints a picture of trends shaping the serious illness care space. Operators have their eyes on the ever-shifting payment landscape and the headwinds and opportunities that come with it.

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Hospice News

SEPTEMBER 11, 2024

ACOs are groups of physicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care to their Medicare patients. ACOs are groups of physicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care to their Medicare patients.

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Hospice News

JULY 23, 2024

In July 2023, the U.S. Centers for Medicare & Medicaid Services (CMS) unveiled a newly planned demonstration for those working with dementia patients and their families. As of 2023, according to the CMS website, dementia affects more than 6.7

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Hospice News

FEBRUARY 23, 2024

31, 2023, Contessa was a stakeholder in at least 10 joint ventures that were actively admitting patients, according to the SEC filing. Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. Subscribe to Palliative Care News today !

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Hospice News

DECEMBER 12, 2023

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. Many established services for the purpose of selling the license at a profit or defrauding Medicare. In response, the U.S.

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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

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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Hospice News

NOVEMBER 20, 2024

The consensus paper, published in Nursing Outlook , underscores research from 2023 reports by Blue Cross and Blue Shield, and the Congressional Research Service, that found adults with MCC are the largest, fastest growing U.S. patient population. According to Bruera and Kuebler, an integrated palliative care model requires collaboration.

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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 Amedisys acquired Contessa in 2021 for $250 million.

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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

FEBRUARY 12, 2024

In 2023, Gentiva began looking for ways to care for a broader swatch of the seriously ill population, including those who were not expected to recover but were also not yet eligible for hospice. Gentiva seeks to embody this vision through the AIM program, with plans to circumvent the need to work directly with Medicare or other payers.

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Hospice News

AUGUST 12, 2024

Centers for Medicare & Medicaid Services (CMS) has outlined the range of services that will be available to patients aligned with the agency’s Guiding an Improved Dementia Experience (GUIDE) payment model. Many of those providers agree. Also participating in the model are primary care operators that also offer palliative care.

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Hospice News

JANUARY 3, 2024

The bipartisan legislation was introduced in December 2023 by Sens. The bill builds upon the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, designed to speed transitions to patient-centered, value-based care. With that alignment, palliative care has a stronger case to greatly improve quality and reduce spending.

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Hospice News

DECEMBER 13, 2022

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. These concerns will be a hot topic in the new year, but other regulatory actions are also underway for 2023.

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Hospice News

OCTOBER 20, 2022

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.

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Hospice News

DECEMBER 14, 2022

SCAN Group and CareOregon have agreed to join forces in 2023 as a new organization called HealthRight Group. The new nonprofit will combine SCAN’s Medicare portfolio with CareOregon’s predominantly Medicaid health plans. The legacy SCAN would become the Medicare division of the company. Humana Inc.’s

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Hospice News

AUGUST 26, 2022

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. Budget neutrality has stirred up controversy in recent months due to its role in proposed payment cuts for home health care in Fiscal Year 2023.

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Hospice News

MARCH 5, 2024

Both Medicare and managed care don’t reimburse appropriately to cover the cost of salaries and education in palliative care,” McInnes said. This is down from 56% of respondents in 2023. A wide variety of palliative care services have cropped up nationwide in recent years, but not all have remained viable. It’s really the funding.

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Hospice News

NOVEMBER 8, 2024

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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Hospice News

MAY 12, 2023

Patients with ovarian cancer who have received palliative care had fewer hospital readmissions compared to others, according to a recent study presented at the 2023 Annual Meeting on Women’s Cancer from the Society of Gynecologic Oncology (SGO) in Tampa, Florida. The results help to demonstrate palliative care’s value proposition.

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Hospice News

MAY 30, 2023

The number of hospices operating nationwide rose to 5,3,58 in 2021, according to the Medicare Payment Advisory Commission. Though nonprofit hospices now represent a smaller slice of the industry than in years past, they continue to care for more than half of patients in the United States who elect the benefit. NYSE: CVS) subsidiary Aetna.

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Hospice News

MAY 18, 2023

Mertz Photography Mertz Photography Atonia Garret at the 2023 Palliative Care Conference. About 9% of nearly 330 hospice professionals indicated that they planned to launch pediatric end-of-life care services for the first time this year during 2023 in this year’s Hospice News Outlook Survey , prepared in collaboration with Homecare Homebase.

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Hospice News

SEPTEMBER 30, 2022

billion by 2023, a climb from $49.42 billion by 2023, a climb from $49.42 The Center for Medicare & Medicaid Innovation is currently testing coverage of hospice care through Medicare Advantage with the Value-Based Insurance Design (VBID) program. But ongoing labor pressures remain a risk point.

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Hospice News

OCTOBER 16, 2023

Centers for Medicare & Medicaid Services’ (CMS) updated risk adjustment policy could lead to tightened belts — or a golden opportunity — for palliative care providers in Medicare Advantage. patients is now reimbursed through risk-based models like Medicare Advantage and Accountable Care Organizations (ACOs).

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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

OCTOBER 20, 2023

Furthermore, poor transitions can spark hospital readmissions within 30 days, adversely affecting hospital quality ratings and Medicare reimbursement. A 2023 study by Front Public Health indicated that transitions from hospitals to home settings tend to be particularly complex and tricky. . Krmpotic said.

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Hospice News

JULY 11, 2023

Strains on reimbursement, referrals and staffing represent the biggest obstacles to palliative care providers’ viability and growth. The New Jersey-based nonprofit offers hospice and palliative care, among other services. The New Jersey-based nonprofit offers hospice and palliative care, among other services.

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Hospice News

MAY 12, 2023

’s (NASDAQ: AMED) trajectory in 2023 is a tale of three companies, and they should be watched for three reasons. Among the considerations behind that choice was his experience in working with payers outside of traditional Medicare. A forthcoming second story will focus on nonprofit providers.

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Hospice News

OCTOBER 28, 2024

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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Hospice News

SEPTEMBER 29, 2023

Palliative care providers may be uniquely positioned to develop partnerships that support patients through the new Guiding an Improved Dementia Experience (GUIDE) Model recently unveiled by the Center for Medicare & Medicaid Innovation. CMS will release the application for GUIDE in Fall 2023.

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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. In January 2023, 30.19 Since 2018, the U.S. million of the 59.82

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NHPCO

DECEMBER 13, 2023

The findings in this report reflect patients who received care in Calendar Year (CY) 2021, or Fiscal Year (FY) 2021, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. Most beneficiaries switch to Traditional Medicare. of White, 36.3%

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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

SEPTEMBER 12, 2022

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Of those, about 3.8

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