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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.
If enacted, the HospiceCare Accountability, Reform and Enforcement (HospiceCARE) Act could open up reimbursement pathways for high-acuity palliative services during a time when demand and costs are rising. The drafted HospiceCARE Act included potential avenues to improve payment for high-acuity palliative treatments.
The HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act, if enacted, would make changes to the ways hospices provide respite care. Earl Blumenauer (D-Oregon) is in the process of drafting the bill that would represent the most significant reforms to date for hospice payment and oversight.
A bill currently before Congress would extend through 2026 regulatory flexibilities related to telehealth, including the ability to recertify patients for hospicecare. If a hospice is undergoing a period of enhanced oversight by the U.S. If a hospice is undergoing a period of enhanced oversight by the U.S.
Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. Originally slated to end in 2024, CMS recently extended the hospice component of the value-based insurance design model (VBID) to 2023. SCAN is a $4.3
Hospice industry organizations have voiced support for proposed updates to the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, but raised questions on the implementation timeline. Centers for Medicare & Medicaid Services (CMS) included the updates in its proposed hospice payment rule for 2025.
Research trends can help hospice providers improve their understanding around the impacts of their services and where quality gaps may exist. Their research found that coordinated telehealth visits with hospice interdisciplinary staff helped ease care transitions among young adults and children.
Legislators have recently introduced a bill , the Preserving Telehealth, Hospital and Ambulance Access Act, which proposes to extend the flexibilities through 2026. If enacted, the legislation could allow hospices more time to assess the impacts of telehealth utilization and steer their future care delivery approaches.
For Immediate Release April 28, 2023 (Alexandria, VA) – Earlier this month, the Center for Medicare & Medicaid Innovation (CMMI) published details on the extension of the Medicare Advantage Value-Based Insurance Design (VBID) Model that may have significant implications for hospicecare going forward.
The nations hospice utilization rate among Medicare decedents has once again surpassed 50%, for the first time since the pandemic. However, fraud issues in the space create questions around the quality of care patients are receiving. Hospice utilization reached 51.7% Total Medicarehospice payments in 2023 reached $25.7
Jennifer Kennedy ( 04:13 ): Well, you know, I always say this when I’m, when I’m out and about talking in hospicecare, you get really one chance to do it. So they’re invested in not only high quality care provision for the beneficiaries, but also in cost savings, obviously.
Hospices have taken their first steps towards value-based reimbursement during the past two years, but signs point to a long journey ahead. Center for Medicare & Medicaid Innovation is currently testing coverage of hospicecare through Medicare Advantage through the Value-Based Insurance Design (VBID) program.
Centers for Medicare & Medicaid Services (CMS) plans to increase payments to Medicare Advantage plans for 4.3% in 2026, but implementation will depend on what happens with the new presidential administration. billion in additional payments in 2026 that the agency has called not necessary to support stability in the program.
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