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Hospice News explores the issues garnering growing attention in end-of-lifecare delivery in seven of this years hidden gem stories. Stakeholders are projecting a more frothy market in 2025, with renewed signs of life among a diverse range of investors and available hospice assets.
Bill is an icon in the industry and a staunch Medicare beneficiary advocate, always putting patients first and fighting for their rights and benefits. His insights will be invaluable as we continue to innovate home care and Burn the Ships to rethink and redesign care delivery models.
The 2025 proposed hospice rule is raising some questions along with payment rates. Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% increase in hospice per diems for 2025. We know that hospice care has demonstrated $3.5 Hospice care saves Medicare roughly $3.5
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 Medicare hospice margin was 13.3%, according to MedPAC.
Rising demand for end-of-lifecare is pushing hospice growth opportunities to the forefront in value-based reimbursement. Swelling aging populations have fueled rising health care costs across the country, with payers and providers alike seeking ways to ensure affordable access and sustainable services.
Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-lifecare. Centers for Medicare & Medicaid Services (CMS) or any Medicare Advantage plans spoke at this hearing. No representatives from the U.S.
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). The 2021 aggregated Medicare hospice margin was 13.3%, according to MedPAC.
The report details the largest hospice chains in the United States by Medicare claims. Using a mix of publicly available and proprietary data, including Medicare payments and SEC filings, the report tracks changes in ownership and acquisitions, offering a comprehensive view of the industry landscape. Click here to download the report.
Recent research has found that receiving high-acuity services alongside supportive care can help ease pain. The findings come as regulators navigate the future outlook of these services in end-of-lifecare delivery.
The Medicare Hospice Benefit is ripe for change nearly four decades after its establishment, but moving the needle will include a heavy lift around evolving regulations. This is according to Bill Dombi, president of the National Association for Home Care & Hospice (NAHC). But hospice has moved into a new era.
1, 2025, the Center for Medicare and Medicaid Services (CMS) Innovation Center will begin implementing a payment model for primary care known as the Accountable Care Organizations (ACOs) Primary Care Flex Model under the Medicare Shared Savings Program (MSSP). This fits nicely into palliative care.
This year saw regulatory evolutions spurred by program integrity concerns, as well as the introduction of landmark legislation, shifts in reimbursement trends and a change in presidential administration with unknown impacts across the care continuum. Defendants were charged with wire fraud, health care fraud and money laundering.
31, these flexibilities allowed hospices to perform routine home care visits virtually and conduct face-to-face recertification visits. The National Alliance for Care at Home spearheaded the effort. Introduced in May, the Preserving Telehealth, Hospital, and Ambulance Access Act, would as of 2025 extend the flexibilities by two years.
The bill builds upon the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, designed to speed transitions to patient-centered, value-based care. extension of MACRA’s advanced APM incentive in the Consolidated Appropriations Act of 2023, which expired at the end of last year.
We identified numerous indicators of such fraud and abuse by hospice agencies, which typically offer palliative end-of-lifecare to individuals with medical diagnoses of fewer than six months to live.” “The state’s weak controls have created the opportunity for large-scale fraud and abuse,” CDOJ indicated in its report. “We
As much as $265 billion in health care dollars could shift from facilities to the home setting by 2025, according to a McKinsey & Company survey. Respondents were physicians who care predominantly for Medicare fee-for-service or Medicare Advantage patients.
Among Addus biggest deals was its $350 million purchase of Gentivas personal care business line in December 2024. The Gentiva acquisition significantly expanded not only Addus geographic footprint in Texas, but also its potential for other growth opportunities in 2025, Brian Poff, executive vice president and CFO, previously stated.
The Oregon-based hospice, palliative care and home health provider recently celebrated the 45th anniversary of its founding, which preceded the establishment of the Medicare Hospice Benefit. A 35-year health care veteran, Hagfors has led Partners In Care for more than two years. How do you tackle that problem?
proposed rate increase for hospices is not enough to support the continued delivery of hospice care amidst rising cost pressures and ongoing workforce constraints affecting hospices nationwide,” said NHPCO COO and Interim CEO, Ben Marcantonio. “To We know that hospice care has demonstrated $3.5
For Immediate Release March 4, 2024 (Alexandria, VA) – The National Hospice and Palliative Care Organization (NHPCO) responded to today’s announcement from the Centers for Medicare & Medicaid Services (CMS) that as of December 31, 2024, the hospice benefit component of the Value-Based Insurance Design (VBID) Model will conclude.
On the other hand, NHPCO is disappointed by MedPAC’s recommendation to Congress that hospice reimbursement rates for patient care should not be updated in 2025, although by law hospice payment rates are pegged to the Centers for Medicare and Medicaid Services (CMS) inpatient hospital market basket rate.
The second piece of this three-part Hospice News series will explore the leading issues in hospice marketing and community outreach in 2025. Photo by Hospice News Photo by Hospice News 2025 Outlook Survey Results by Hospice News and Homecare Homebase. was essential to the establishment of the Medicare Hospice Benefit in 1983.
Marcum is also the founder of Sarah House, a pediatric respite and end-of-lifecare center. Once open, it will be the states first respite and hospice facility for children facing life-limiting conditions. Our hope was for 2025, but that was before the pandemic hit.
This could be interpreted as a signal of interest in retaining some of these flexibilities into the future, according to Katy Barnett, director of home care and hospice operations and policy at LeadingAge. Centers for Medicare & Medicaid Services (CMS), they would not be able to recertify via telehealth.
This article is based on a Hospice News discussion with Tiffany Richter, Medical Officer at Agape Care Group, Stephen Phenneger, President and Chief Financial Officer at St. This discussion took place on April 10th, 2025 during the Hospice ELEVATE Conference. There is not a demand problem out there. .”
This article details recent key research findings on hospice care, including the effects of telehealth utilization among terminally ill pediatric patients, along with barriers to improved goal-concordant end-of-lifecare in Asia, Canada and Europe. The data comes at a time of regulatory flux around telehealth rules.
Nonprofit providers have largely made up the bulk of organizations in the end-of-lifecare space since the Medicare Hospice Benefit was established roughly four decades ago. billion for patients in their last year of life, representing an overall 3.1% Centers for Medicare & Medicaid Services (CMS).
Erin Harris: My journey in this field began with retail pharmacy, but my passion for hospice care led me to Enclara Pharmacia. Witnessing the compassionate, collaborative efforts of hospice teams during my great-grandmothers end-of-lifecare inspired me to transition into this field.
I’ve always cared about value, access and quality. This industry introduced me to those concepts in the context of end-of-lifecare. Knowing that for my family and the Black community there’s a lot of disparities in hospice care. I trained and received my graduate degree at Cleveland Clinic.
Harper’s advocacy also impacted hospice care domestically, particularly in her pivotal role in integrating hospice care benefits into Medicare. To date, the Medicare Hospice Benefit has made dignified end-of-lifecare accessible to nearly 30 million Americans, and counting.
This is the third piece of this three-part Hospice News series that explores the significant regulatory challenges facing hospice providers in 2025. Photo by Hospice News Photo by Hospice News 2025 Outlook Survey Results by Hospice News and Homecare Homebase. Centers for Medicare & Medicaid Services (CMS) website.
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