Hospice News

MARCH 25, 2025

Centers for Medicare & Medicaid Services (CMS) pledged that it would not resume implementation during 2025. Enforcement actions could include expulsion from the Medicare program, as well as other penalties. The post CMS Will Not Resume Implementation of Hospice SFP in 2025 appeared first on Hospice News.

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Hospice News

DECEMBER 26, 2024

A Ventura County, California, physician has been sentenced to 24 months in federal prison for Medicare fraud for medically unnecessary hospice services. In total, approximately $3,917,946 in fraudulent claims were submitted to Medicare, of which a total of approximately $3,289,889 was paid. and Saint Mariam Hospice Inc.

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Hospice News

MAY 9, 2025

Petros Fichidzhyan, 44, of Granada Hills, California, has been sentenced to 12 years in prison and three years of supervised release for his role in a mulit-year scheme to defraud Medicare of more than $17 million. Medicare paid the sham hospices nearly $16 million, of which Fichidzhyan received nearly $7 million, with more than $5.3

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Rehab Realities by Renee Kinder

NOVEMBER 7, 2024

The Medicare Physician Fee Schedule (MPFS) is the system through which the Centers for Medicare & Medicaid Services determines payment rates for services provided by physicians and other healthcare professionals. This year’s Medicare Physician Fee Schedule rule was released last Friday (Nov.

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Hospice News

MARCH 17, 2025

Congress has passed the Full-Year Continuing Appropriations and Extensions Act 2025 (FY2025) , which allowed for continuation of several public health, Medicare and Medicaid authorities and programs. Centers for Medicare & Medicaid Services (CMS) temporarily instituted waivers during the public health emergency.

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Hospice News

MARCH 19, 2025

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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Hospice News

NOVEMBER 21, 2024

Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care. Hospices flagged by the SFP also will be surveyed every six months rather than the current three-year cycle and could face monetary penalties or expulsion from the Medicare program. The program, set to begin Jan.

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Hospice News

MARCH 14, 2025

The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress a freeze on hospice payment increases starting in 2026. The 2021 aggregated Medicare hospice margin was 10.4%, according to MedPAC. The commission projected an aggregate 2025 margin of 8%. Total Medicare hospice expenditures reached $25.7

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Hospice News

FEBRUARY 4, 2025

A guilty plea has been filed in a hospice fraud scheme that allegedly bilked Medicare for $17 million in false claims. As a result of the scheme, Medicare paid the sham hospices nearly $16 million, according to the Justice Department. Fichidzhyan is scheduled to receive sentencing on April 14, 2025. Justice Department.

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Hospice News

MAY 16, 2025

The nonprofit Medicare Advantage and health care services organization SCAN Group has fully acquired the myPlace Health, in which it previously held a partial stake. SCAN Health Plan is among the nations largest Medicare Advantage organizations, covering more than 300,000 lives across California, Arizona, Nevada, Texas and New Mexico.

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Hospice News

JULY 30, 2024

Centers for Medicare & Medicaid Services (CMS) has unveiled its final 2025 hospice rule, which includes a 2.9% The finalized hospice cap amount for FY 2025 is $34,465.34, up from $33,494.01 The FY 2025 hospice payment update percentage is 2.9% … results from the 3.4% It is also higher than the 2.6%

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Hospice News

MAY 31, 2024

Centers for Medicare & Medicaid Services (CMS) has announced a second cohort for its Enhancing Oncology Model payment demonstration, as well as some updates to the program. 1, 2025, CMS will implement some revisions to the program. “In For dually-eligible patients, the payment for 2025 will be $140. Effective Jan.

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Hospice News

MARCH 4, 2025

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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Hospice News

DECEMBER 12, 2024

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.

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Hospice News

APRIL 11, 2025

Many hospices in 2025 are driving to expand in the senior housing and assisted living space. In 2022, more than 907,000 Medicare hospice decedents were older than 85, out of 1.7 More than 818,000 people in the United States dwell in more than 30,600 assisted living communities nationwide with an aggregate 1.2

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Hospice News

FEBRUARY 25, 2025

Addus HomeCare Corporations (Nasdaq: ADUS) purchase of Gentivas personal care segment is bearing fruit as the company drives forward on its acquisition strategy in 2025. We will continue to selectively pursue acquisitions in 2025 that complement our organic growth and align with our strategy.

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Hospice News

DECEMBER 27, 2024

Centers for Medicare & Medicaid Services value-based insurance design (VBID) model. Launched in 2017 by the Center for Medicare and Medicaid Innovation (CMMI), the VBID demonstration tested new approaches to reimbursement across a variety of health care settings.

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Hospice News

MARCH 29, 2024

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. Hospice care saves Medicare roughly $3.5 In a proposed rule released yesterday, the U.S.

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Hospice News

APRIL 5, 2024

Centers for Medicare and Medicaid Services’ (CMS) proposed 2025 hospice rule is finalized as written, hospices may encounter some hurdles implementing some of the new requirements. CMS late last month issued its proposed hospice rule for 2025. The 2025 proposal contained nothing new related to those widespread problems.

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Hospice News

MARCH 15, 2024

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.

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Hospice News

APRIL 28, 2025

million of VITAS revenue in the first quarter of 2025. increase in days-of-care and a geographically weighted average Medicare reimbursement rate increase of approximately 3.2%. The primary Medicare cap management strategy is to increase hospital-based admissions in select locations, Westfall said in the earnings call.

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Hospice News

DECEMBER 11, 2024

Hospice utilization among Medicare decedents reached 52.23% in Texas during 2022, reported the National Alliance for Care at Home. Our pipeline for future deals is robust, and we are excited heading into 2025. Growing aging populations are fueling demand for hospice in Texas and nationwide. Seniors 65 and older represent 13.8%

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Hospice News

APRIL 25, 2025

Centers for Medicare & Medicaid Services (CMS) during the public health emergency have been extended several times. The most recent extension came last month with the Full-Year Continuing Appropriations and Extensions Act 2025. The law allows for continuation of several public health, Medicare and Medicaid authorities and programs.

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Hospice News

DECEMBER 9, 2024

Stakeholders are projecting a more frothy market in 2025, with renewed signs of life among a diverse range of investors and available hospice assets. VITAS has indicated in earnings calls that it will be on the hunt for additional deals in 2025. Centers for Medicare & Medicaid Services (CMS) fueled a total of $1.4

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Hospice News

APRIL 9, 2025

Caregiving is set to air on local Public Broadcasting Service (PBS) television stations nationwide on June 24, 2025, as well as on the PBS YouTube Channel. The two-hour documentary will also stream on PBS.org and the PBS app beginning May 27, 2025. Theres not a lot of national conversation about where we are and the support we have.

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Hospice News

JUNE 29, 2022

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Department of Health & Human Services Office of the Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC), and the Government Accountability Office.

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Hospice News

APRIL 12, 2024

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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Hospice News

JULY 11, 2024

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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Hospice News

APRIL 3, 2025

Hospice News sat down with AccentCare CEO Laura Tortorella to discuss the companys priorities for 2025 and how it plans to execute on growth and an expanded continuum of care. What are your top priorities for 2025 at AccentCare? As we think through our top priorities for a 2025 year, along three main areas.

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Hospice News

AUGUST 22, 2024

More founders who began their organizations when the Medicare Hospice Benefit was established in the 1980s are reaching retirement. If you’re looking to buy or thinking about growing, now is probably a good time, because the conditions will be more fitful toward sellers coming into 2025 and then 2026,” Kulik said.

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Hospice News

MAY 9, 2025

to a strong quarter for its hospice segment in early 2025. Enhabit opened one new location so far in 2025, with 13 more in the works, Jacobsmeyer said. Average daily census growth propelled Enhabit Inc. With shortfalls in its home health business, hospice is a prime growth driver for Enhabit. The companys hospice ADC rose 12.3%

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Hospice News

MARCH 14, 2025

The nations health care system is ripe for change when it comes to improved hospice utilization that could help curb expenditures and improve outcomes, Jackson said during Hospice News 2025 Industry Outlook webinar. This is a rise from Medicare hospice expenditures that reached $23.7 billion in 2022, Medicare (MedPAC) reported.

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Hospice News

JANUARY 29, 2025

The two organizations, which have partnered on projects related to critical care hospitals and Medicare beneficiaries, will choose five rural communities in the state with the goal of increasing their capacity to provide palliative care. Currently Saint Martin and Huse are accepting grant applications, which are due by Feb.

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Hospice News

MAY 13, 2025

Government funding reductions, transitions to a new Medicare Advantage risk adjustment model and heightened care activity led UnitedHealth Group to reduce its 2025 performance outlook to $24.65 The company has now suspended its 2025 outlook. earnings per share, down from a previously anticipated $26 to $26.50.

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Hospice News

MARCH 28, 2024

Centers for Medicare & Medicaid Services (CMS) has issued its 2025 proposed rule for hospice payment, which if finalized would include a 2.6% The proposal is a likely signal that CMS will not adopt a recent recommendation by the Medicare Payment Advisory Commission (MedPAC) to freeze rates beginning next year.

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Hospice News

MARCH 23, 2023

Centers for Medicare & Medicaid Services (CMS) is extending the value-based insurance design demonstration for calendar years 2025 to 2030, including the hospice component. The agency is also releasing applications for participation for eligible Medicare Advantage organizations (MAOs) for calendar year 2024. It makes sense.

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Hospice News

APRIL 5, 2023

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. But today’s update from CMS contained another critical change from prior years.

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