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MA Enrollment to Outstrip Traditional Medicare in 2025

Hospice News

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). The hospice component of VBID is slated to end on Dec. This is up from 34.3 million as of September 2024.

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CMS Rolls Out 2025 Hospice Final Rule With 2.9% Pay Increase

Hospice News

Centers for Medicare & Medicaid Services (CMS) has unveiled its final 2025 hospice rule, which includes a 2.9% The increase represents an estimated $790 million rise in total hospice payments compared to Fiscal Year (FY) 2024. The finalized hospice cap amount for FY 2025 is $34,465.34, up from $33,494.01

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CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

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

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MedPAC to Congress: Freeze Hospice Rates in 2025

Hospice News

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. Close to 5,900 hospices operated in the United States during 2002.

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2025 Proposed Rule Seeks to Clarify Physician Certification of Hospice Patients

Hospice News

Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. However, federal regulations are inconsistent as to which physicians can certify a patient as being terminally ill under Medicare.”

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C-TAC: CMS’ ‘Palliative’ Definition in 2025 Proposed Hospice Rule ‘Misaligned, Problematic’

Hospice News

Efforts to establish potential payment mechanisms for high-acuity palliative services within the Medicare Hospice Benefit will require greater clarity from regulators, according to the Coalition to Transform Advanced Care (C-TAC). The use of the term ‘palliative’ for treatments in this RFI was problematic.”

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CMS to Allow Concurrent Hospice Care During VBID Extension

Hospice News

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.

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