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.

2025 195

2025 Hospice Medicare 2024 195

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.

2015 264

2015 Hospice 2025 Medicare 264

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.

2025 105

2025 Medicare Long-term care 2024 105

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.

2025 297

2025 Medicare Care at home Palliate 297

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.

2025 250

2025 Palliative care Palliate Medicare 250

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.

Hospice 312

Hospice 2025 2019 Care at home 312

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

2026 222

2026 2025 Hospice Medicare 222

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.

Hospice 269

Hospice Medicare 2025 Hospice companies 269

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%

2025 306

2025 Hospice 2024 Medicare 306

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.

2025 278

2025 Care coordinator Care coordination Medicare 278

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.

Hospice 276

Hospice 2006 2025 Palliative care 276

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.

Medicare 264

Medicare 2025 2023 2019 264

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.

2025 130

2025 Homecare Personal care Definition 130

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

Assisted living 256

Assisted living Hospice 2025 Homecare 256

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.

2025 211

2025 2024 Assisted living Medicare 211

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.

Hospice 260

Hospice 2025 Medical director Care coordinator 260

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.

Palliative care 278

Palliative care 2024 Palliate 2030 278

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.

2025 290

2025 Hospice Medicare 2024 290

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.

2025 288

2025 Medicare Medical director Palliate 288

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.

2025 253

2025 2002 Hospice Medicare 253

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%

Healthcare 264

Healthcare Hospice 2025 2020 264

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

2024 264

2024 Bereavement Hospice Grief 264

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.

Caregiver 278

Caregiver 2025 Palliative care Bathing 278

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.”

2025 279

2025 Medical director Hospice Document 279

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

Hospice 147

Hospice 2025 Medicare Hospice companies 147

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.

Medicare 260

Medicare 2017 2025 2021 260

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.”

Definition 243

Definition 2025 Palliate Hospice 243

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.

2025 241

2025 2019 Palliative care Palliate 241

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.

2025 290

2025 Hospice 2026 2019 290

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%

2025 130

2025 Hospice 2024 Medicare 130

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.

Hospice 179

Hospice Webinar Rehabilitation services Medicare 179

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.

Palliative care 191

Palliative care Palliate Social worker Chaplain 191

Hospice News

APRIL 18, 2025

Goals-of-care conversations are an important opportunity to set the bar for positive hospice experiences, according to Beckwith Patients and families need to both the range of interdisciplinary services included in the Medicare Hospice Benefit in order to set reasonable expectations for their care, she stated.

Hospice 194

Hospice Social worker Bereavement 2025 194

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.

2025 173

2025 2028 Hospice Medicare 173

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.

2030 317

2030 Demo 2025 Hospice 317

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.

2026 358

2026 Hospice care Hospice Medicare 358

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.

Hospice 306

Hospice 2025 Medicare 2022 306