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 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 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 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. million assigned beneficiaries, according to CMS.

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Hospice News

MAY 1, 2024

Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. The impending demise of the hospice component of U.S. That problem was mirrored in the environment outside of the program.

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Hospice News

JANUARY 3, 2024

The bill builds upon the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, designed to speed transitions to patient-centered, value-based care. Lawmakers recently introduced the Value in Health Care Act, which, if enacted, could create inroads toward improved palliative care reimbursement.

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Hospice News

JUNE 24, 2024

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). The role of a palliative care provider is crucial in this model.

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Hospice News

JULY 23, 2024

Centers for Medicare & Medicaid Services (CMS) unveiled a newly planned demonstration for those working with dementia patients and their families. Being selected as a participant in this program — set to start on July 1, 2025 — will allow us to continue to fulfill our mission.” In July 2023, the U.S.

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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

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

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 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

NOVEMBER 27, 2024

Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all. Centers for Medicare & Medicaid Services’ (CMS) 2024 home health rule, the SFP is set for 2025 implementation.

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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

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

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

DECEMBER 15, 2022

Commonly known as the Medicare Advantage hospice carve-in, the Value-Based Insurance Design (VBID) model officially launched on January 1, 2021, with 53 Medicare Advantage Plans offering the benefit in 206 counties within 13 states and Puerto Rico for 4 years ending in 2025. The difference is Medicare Advantage vs Humana VBID.

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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. 1, 2025, could potentially lead patients away from quality providers and into the arms of bad actors in the space, according to Dr. The program, set to begin Jan. The program, set to begin Jan.

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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

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

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 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 19, 2024

Earl Blumenaur (D-Oregon) and announced in June at the Hospice News Elevate conference, the bill proposed massive reimbursement and regulatory changes to the Medicare Hospice Benefit. Developed by U.S. NAHC recently completed its affiliation with the National Hospice and Palliative Care Organization to form the NAHC-NHPCO Alliance.

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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

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

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

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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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

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

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

MAY 16, 2024

Centers for Medicare & Medicaid Services (CMS) is currently developing quality measures that will be included in the HOPE tool, which will replace the current Hospice Item Set (HIS). After years of development, the agency in its recent hospice proposed rule indicated that the HOPE tool’s implementation would begin in 2025.

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Hospice News

SEPTEMBER 26, 2024

Looking ahead to 2025, what do you foresee as being different about the hospice industry? Centers for Medicare & Medicaid Services’ (CMS)] efforts there. There are a lot of people that are a little negative right now, but I’m going to be the optimist for the [Medicare Hospice] Benefit and for the future.

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Hospice News

MARCH 20, 2024

The Centers for Medicare & Medicaid Innovation (CMMI) has unveiled a new primary care-oriented Accountable Care Organization (ACO) payment model that holds opportunities for hospices. 1, 2025, with the application period starting May 20 and ending June 17. This demonstration reflects a push by the U.S.

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Hospice News

DECEMBER 13, 2024

Palliative services that address patients social needs, manage their pain and symptoms and provide caregiver support have increasingly become critical aspects of value-based payment demonstrations coming out of the Center for Medicare and Medicaid Innovation (CMMI), she said. Centers for Medicare & Medicaid Services (CMS).

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Hospice News

DECEMBER 12, 2023

Many established services for the purpose of selling the license at a profit or defrauding Medicare. Centers for Medicare & Medicaid Services (CMS) has rolled out a swath of new measures to reduce fraud, waste and abuse in the space. They could also face financial penalties or expulsion from the Medicare program.

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Hospice News

MARCH 13, 2024

More importantly, CDPH is collaborating with stakeholders, such as CHAPCA, to create more stringent hospice regulations that will come into effect from January 1, 2025. In one instance, 15 new hospices received Medicare certification, all operating from the same two-story building in Los Angeles, ProPublica reported.

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