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The past year has seen a slew of regulatory developments aimed at improving quality and combatting fraud in the hospice industry. The first was two July 2019 reports on hospice quality from the Office of the Inspector General (OIG) in the U.S. Some individuals also hold management positions at several of these hospices simultaneously.
Hospices nationwide have been diversifying their services to include palliative care, PACE, home-based primary care and a host of other business lines. However, some organizations have found success with disease-specific programs reimbursed through the MedicareHospice Benefit. Also in 2024, The Connecticut Hospice Inc.
Hospice News explores the issues garnering growing attention in end-of-life care delivery in seven of this years hidden gem stories. Topics span trends related to program integrity, workforce development, health equity, service diversification and the keys to hospices growth strategies. Optum completed its $5.4
Hospices coast-to-coast have undergone leadership transitions, including changes in legal executives and a slew of newly appointed CEOs, among other roles in the industry. Texas-based New Day provides home health, hospice, palliative and personal care services across 31 locations in Illinois, Kansas, Missouri and in its home state.
Carol Miller (R-West Virginia) and Jared Golden (D-Maine) have reintroduced the Hospice Recertification Flexibility Act. If enacted, the bill would allow hospices to conduct face-to-face recertification visits via telehealth. Hospice care exists to provide comfort and compassion during heartbreaking times.
New trends in hospice care delivery are pointing to a growing need for improved equitable access and diversified services that address a broader range of disease-specific patient needs. Hospice providers have been expanding the depth of their interdisciplinary disease-specific programs to meet that need, Ware said.
Access was the watchword in the palliative care community during 2024, as providers sought more ways to reach the right patients at the right time. The following are the most-read Palliative Care News articles of 2024. Operators in the space anticipated diverse challenges heading into 2024.
A guilty plea has been filed in a hospice fraud scheme that allegedly bilked Medicare for $17 million in false claims. Fichidzhyan was among the five individuals that the FBI arrested in June 2024 in connection with the hospice fraud and money laundering scheme. Justice Department.
Centers for Medicare & Medicaid Services has made public its first cohort for the hospice Special Focus Program (SFP). Finalized in the 2024 home health payment rule, the program is designed to identify poor performing hospices, mandate quality improvement and in some cases impose additional penalties.
Hospice News spoke with a group of industry leaders about the most pressing market forces and trends that will shape the space during 2025. They also spoke about the need for greater integration of hospice into the larger health care continuum and the benefits of operators broadening their scope of services.
Quality, compliance and financial stability are top of mind in hospice merger and acquisitions (M&A) as this year comes to an end. Growing demand is among the constants driving investor interest in the hospice space, according to Tom Lillis, partner at the Kentucky-based firm Stoneridge Partners Strategic Consulting.
These evolving regulations have hospices concerned that a lack of virtual access to their services could have significant impacts on quality and health disparities. Weve inherited a kind of accelerated movement toward a new normal during the pandemic, Fratkin told Hospice News.
Florida-based VITAS Healthcare is anticipating fruitful hospice growth on its horizon. The hospices average daily census volume reached 22,179 patients in Q4, a 14.6% VITAS adjusted EBITDA, excluding Medicare capitation rates, reached $93.2 The Chemed Corp. VITAS $411.0 rise compared to the same period last year.
NYSE: EHAB) is projecting strong hospice growth in the next year fueled in part by investments in technology and workforce development. The home health and hospice provider is in part leveraging technology to fuel its plans, Jacobsmeyer said during the Bank of Americas Securities 2024 Home Care Conference. Enhabit Inc.
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.
Centers for Medicare & Medicaid Services (CMS) recently announced that its Medicare Shared Savings Program (MSSP) yielded more than $2.1 As of January 2024, roughly 480 ACOs are participating in MSSP, which include more than 608,000 clinicians who provide care to nearly 11 million Medicare beneficiaries.
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.
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. Van Duyne told Hospice News in an email.
Aetna, a subsidiary of CVS Health (NYSE: CVS), is leveraging a series of new benefits that, coupled with existing palliative care programs and ongoing hospice payment demonstrations, promise to keep patients in their homes and out of facilities. In 2024, we have plans that offer $0 copay for primary care visits and labs.
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.
Hospice providers will be looking to Congress in 2024 to address issues related to program integrity, quality improvement and industry-wide workforce pressures. As legislative efforts develop, hospices may want to focus their attention on a few key legislators.
Hospice operators in 2024 are navigating a rapidly transforming environment. The prior three years have laid the groundwork for change, particularly in the regulatory space as well as gradual migration towards value-based reimbursement and in tandem, the proliferation of business lines beyond hospice.
Rising demand for end-of-life care is pushing hospice growth opportunities to the forefront in value-based reimbursement. More payers in this arena are increasingly recognizing the depth of potential beneficial outcomes when it comes to collaborative hospice partnerships. billion in 2022, Medicare (MedPAC) reported.
Scott Herman, CEO of New Day Healthcare, told Hospice News in an email. The transaction adds personal care services to New Days hospice and home health operations in the Houston area, a key step in the providers efforts to build out a multi-faceted continuum of care. Hospice utilization rates hovered at 49.1% Census Bureau.
Finding the right balance of support and career development for bereavement care professionals is key to recruitment and retention as hospices combat labor strains. The weight of providing bereavement care can take a heavy toll on staff and impact turnover rates, according to Jennifer Kincaid, chief people officer at Hospice of the Piedmont.
A 2024 study published in the Journal of Pain and Symptom Management found that palliative care is associated with improved patient outcomes from palliative care enrollment until death, including fewer hospitalizations, 5.4 However, Schramm said that few freestanding hospices or palliative providers have succeeded in becoming members of ACOs.
Growth in the number of Medicare Advantage beneficiaries will likely overtake that for traditional Medicare in 2025, according to new estimates from the U.S. Centers for Medicare & Medicaid Services (CMS). million as of September 2024. The hospice component of VBID is slated to end on Dec. This is up from 34.3
Calls have grown louder for an overhauled design of the MedicareHospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. One part of the issue is that hospice reimbursement has not kept pace with evolving patient needs, Grant said.
The Texas-based home health and hospice company VitalCaring Group was built largely through acquisitions, and the company expects to step up that strategy in 2024 with an emphasis on hospice. We’re very well-poised going into 2024 to start executing on our growth strategy. We did a couple of acquisitions last year.
Greater transparency in staff evaluation processes and increased education will be keys to navigating a range of hospice compliance challenges in a post-pandemic landscape. Transparency around hospice staffing and ownership is a large focus of program integrity efforts among regulators, Piland stated. On Wednesday, the U.S.
Though the number of hospice M&A deals plummeted in 2023 compared to prior years, deals are still being made, and the industry may see a rebound in 2024. Transaction volume declined in the hospice and home-based care space in 2023, following the two record-breaking prior years. This followed its $5.4 NYSE: HUM) for $2.8
Centers for Medicare & Medicaid Services (CMS) late Friday released the 2024 proposed payment rule for hospice providers. In it, CMS proposed to update hospice payments by 2.8%, which includes a market-basket percentage increase of 3% and a 0.2 percentage point productivity adjustment. set for 2023.
Hospices have been advocating for lawmakers and regulators to take action on curbing fraud, supporting veterans and bolstering the health care workforce. Battling fraud Reports of unethical or illegal practices have surged, particularly among hundreds of newly certified hospices in California, Texas, Nevada and Arizona. Recently Rep.
Fraud and program integrity concerns dominated the news in 2024, along with large acquisitions, payment rules and regulatory changes. Meanwhile, lawmakers unveiled a bill with some of the most significant reforms proposed to date for hospice payment and oversight. The following are the most-read Hospice News articles of 2024. #1:
This year has brought both tumultuous challenges and evolving opportunities for hospices that will steer hospice leadership during 2024. Hospice News spoke with a group of industry leaders about the most impactful forces that will shape the space in the coming year. Hospice care reduces Medicare expenditures by about $3.5
Citing inflation and other headwinds, hospice providers and industry organizations are urging the U.S. Centers for Medicare & Medicaid Services (CMS) to reconsider the proposed 2.8% base rate increase for 2024. In public comments on the proposal, the National Hospice and Palliative Care Organization (NHPCO) called for a 3.7%
Centers for Medicare & Medicaid Services (CMS) will allow hospice patients to receive concurrent care through the Medicare Advantage hospice carve-in, and will permit health plans to further restrict utilization of out-of-network providers. Further changes will occur in the larger model during the extension years.
The 2024 proposed hospice rule from the U.S. Centers for Medicare & Medicaid Services (CMS) signals the agency’s earliest response to widespread calls to bolster program integrity within the benefit. We should anticipate increased emphasis on program integrity in the hospice program.” In additional to a 2.8%
Two of the nation’s largest hospice and home-based care industry organizations are merging and have announced a combined board that will guide the transition. Recently, many of those efforts have included advocacy around program integrity within the MedicareHospice Benefit. Lloyd, president and CEO, Delaware Hospice, Inc.
After the tumultuous years of the pandemic, VITAS Healthcare expects a stable growth trajectory heading into 2024. Though the company has not yet released financial guidance for 2024, VITAS anticipates a “predictable” 2024 in terms of earnings and growth, executives said at Monday’s Bank of America Healthcare Conference.
Amedisys (NASDAQ: AMED) is pushing forward on palliative care growth in 2024 through its innovation arm, Contessa. Expanding palliative care relationships and joint venture partnerships is a priority for 2024, the Louisiana-based home health and hospice provider indicated in a filing with the U.S. million beneficiaries.
Centers for Medicare & Medicaid Services (CMS) is making significant changes in 2024 to the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) payment model. In 2024, participants that achieve certain benchmarks will receive bonuses on a graduated scale based on their performance.
Centers for Medicare & Medicaid Services (CMS) has updated its guidance on the recently implemented hospice certifying physician Medicare enrollment requirement. That instruction, if implemented, could have resulted in major negative impacts on hospices and the patients and families they serve.
Federal regulators are cracking down on the private insurers that administer Medicare Advantage (MA) plans. Centers for Medicare & Medicaid Services (CMS) began giving plans more flexibility around the definition of “primarily health-related.” The rule included an increase to MA payment of 3.32% for 2024.
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