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

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 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

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 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

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

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

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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Minority Nurse

NOVEMBER 13, 2024

A greater role for technology, especially artificial intelligence, and more states introducing legislation to allow NPs to practice at the top of their license are among the trends NPs will see in 2025. Full Practice Ferrara said that in 2025, NPs can expect more states to consider granting full practice authority.

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Hospice News

SEPTEMBER 17, 2024

Centers for Medicare & Medicaid Services (CMS) has released its first draft guidance manual for implementing the Hospice Outcomes and Patient Evaluation (HOPE) tool. The tool is slated for an October 2025 implementation, according to the agency’s 2025 final hospice rule.

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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. 30, 2024, comprising 525,000 Medicare Advantage members and 132,000 ACO model beneficiaries.

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Hospice News

OCTOBER 15, 2024

The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. Centers for Medicare & Medicaid Services set the cap at $33,394. In 2025, this will rise to $34,465. For one, if they have a cap liability, they will have to repay that amount to Medicare.

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Hospice News

SEPTEMBER 5, 2024

The home health and hospice provider recently terminated its home health contract with the Medicare Advantage payer UnitedHealthcare, a subsidiary of UnitedHealth Group (NYSE: UNH), citing nine months of unsuccessful negotiations. Centers for Medicare & Medicaid Innovation’s proposed 2025 payment rule. rate cut from the U.S.

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NHPCO

MARCH 28, 2024

billion in annual savings for Medicare, which underscores the critical importance of investing in hospice to ensure continued beneficiary access to quality end-of-life care.” nhpco.org Press Contact Elyssa Katz NHPCO Communications 571-281-0220 The post NHPCO Responds to CMS FY 2025 Hospice Proposed Rule appeared first on NHPCO.

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Hospice News

JUNE 11, 2024

“However, we believe further scrutiny of the performance of PE associated activity is warranted to ensure that all Medicare beneficiaries receive the quality of hospice care to which they are entitled. Of those, about 77% were for-profit entities, which provided care to about half of Medicare hospice decedents that year.

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Hospice News

JANUARY 12, 2024

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.

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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

AUGUST 15, 2024

The post-Medicare Advantage hospice carve-in landscape could include wider value-based reimbursement avenues in the hospice space, leading providers to pivot into MA payer relationships. You need to be at the table with Medicare Advantage plan negotiations and make yourself known. a hospice and home care consulting company.

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Hospice News

MAY 31, 2024

Centers for Medicare & Medicaid Services (CMS) inquiries into high-acuity palliative care, but expressed concern over reimbursement and staffing issues. The agency’s 2025 proposed hospice rule featured a series of requests for information (RFI) on issues like health equity, social determinants of health and future quality measures.

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Hospice News

APRIL 8, 2024

Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit.

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Hospice News

AUGUST 2, 2024

The alliance is anticipated to take shape under a new name by January 2025, he indicated. The website’s launch is projected for the spring of 2025, according to the alliance’s Co-CEO Ben Marcantonio. NAHC was born in 1982 as a merger of five national associations, so it’s in our blood to do this,” said Dombi at the conference.

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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

JUNE 3, 2024

Centers for Medicare & Medicaid Services (CMS) included the updates in its proposed hospice payment rule for 2025. If finalized as written, the changes would take effect in January 2025. Performance on these surveys is crucial as more payers and consumers use public quality data to choose a hospice.

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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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Hospice News

MAY 29, 2024

Centers for Medicare & Medicaid Services (CMS) may not have accounted for the financial and administrative burdens associated with its implementation of the Hospice Outcomes and Patient Evaluation (HOPE) Tool. The tool is slated for an October 2025 implementation, according to the proposed rule.

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Hospice News

AUGUST 2, 2024

Centers for Medicare & Medicaid Services (CMS) has proposed a new avenue of funding for Accountable Care Organizations (ACOs) with implications for palliative care providers. The Center for Medicare & Medicaid Innovation (CMMI) announced the new payment demonstration in March. This may be increasingly important going forward.

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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 company expects to develop similar partnerships in Ohio markets as well as two to three other states by early 2025, according to Weiland.

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Hospice News

AUGUST 26, 2024

Landers’ appointment as inaugural CEO represents another step in the alliance’s integration process, which is expected to continue through the beginning of 2025. Centers for Medicare & Medicaid Services (CMS) and Medicare Payment Advisory Commission (MedPAC) officials. Secretary of Health and Human Services (HHS), the U.S.

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Hospice News

NOVEMBER 7, 2024

Consistent sequential gains in Enhabit’s hospice average daily census ADC, coupled with the Fiscal Year 2025 payment increase of 2.9% Centers for Medicare & Medicaid Services (CMS). Also on Thursday, the company announced that Ryan Solomon will become its CFO effective Dec. 9, succeeding Crissy Carlysle. Hospice ADC rose 6.9%

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Hospice News

MAY 8, 2024

If enacted, the Preserving Telehealth, Hospital, and Ambulance Access Act, would as of 2025 extend the flexibilities by two years. Centers for Medicare & Medicaid Services (CMS), they would not be able to recertify via telehealth. It also includes some exceptions. Mike Thompson (D-Calif.)

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Hospice News

JULY 23, 2024

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. Centers for Medicare & Medicaid Services (CMS)] think it’s overdue for some reform. But hospice has moved into a new era. Providers will need far more than the 2.6%

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Hospice News

MAY 23, 2024

Looking ahead to 2025, some of the key metrics that hospices, payers and referral partners need to watch are changing. Centers for Medicare & Medicaid Services (CMS) plans to implement its new Hospice Outcomes and Patient Evaluation Tool (HOPE) tool, which will replace the Hospice Item Set.

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Hospice News

MARCH 26, 2024

Centers for Medicare & Medicaid Services (CMS) has honed in on hospice program integrity through a number of new regulations, including some in the agency’s 2024 hospice final rule. The regulations focused on Medicare enrollment in an effort to stifle unethical or illegal activity in the space.

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Hospice News

AUGUST 13, 2024

The Alliance currently has 24 Medicare-certified providers able to participate in the recruitment program, which is part of the New England Home Health Nurse Residency Project. Senate Appropriations Committee last week approved a bill that would create new funds for the program in Fiscal Year 2025. Department of Labor.

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Hospice News

OCTOBER 22, 2024

The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. Centers for Medicare & Medicaid Services set the cap at $33,394. In 2025, this will rise to $34,465. If a hospice has a cap liability, they will have to repay that amount to Medicare.

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Comforcare Home Care

JANUARY 5, 2023

Here are some Medicare changes you might want to know about. Medicare will be able to negotiate drug prices (starting in 2023). Out-of-pocket insulin costs will be capped at $35/month for Medicare. Out-of-pocket drug costs on Part D will be capped at $2000/year starting in. participants (starting in 2023).

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Hospice News

OCTOBER 3, 2024

Telehealth is an effective means of conducting these administrative visits without increasing Medicare costs,” the coalition stated in its letter to Congress. Introduced in May, the Preserving Telehealth, Hospital, and Ambulance Access Act, would as of 2025 extend the flexibilities by two years. The bill has since stalled on the U.S.

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