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LeadingAge recently penned a letter to Congress requested a two-year extension of the temporary hospice recertification rule, along with several other Medicare telehealth waivers including the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 and the Telehealth Modernization Act of 2024.
Among the temporary flexibilities set to end includes the ability for all Medicare patients to receive telehealth services in their home, as well as the waiver of geographic restrictions around where and how non-behavioral health services can be delivered. This is according to a recent study analysis published in Cureus found.
House of Representatives Ways and Means Committee held a hearing to markup a new bill that would extend those flexibilities through the end of 2026. Patients with advanced cancer prefer to receive palliative care via telehealth rather than visiting a clinic, a recent study has found. Since then, virtual services have boomed.
State of telepalliative regulations Congress currently is weighing a bill, the Preserving Telehealth, Hospital, and Ambulance Access Act , that proposes to extend the expiration of regulatory flexibilities tied to telehealth through 2026. People would suffer. Currently set to sunset Dec.
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. If enacted, the bill proposes to reimburse for those services at 200% of the routine home care rate for Fiscal Year 2026. 1, 2026 through Sep.
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).
Telehealth is an effective means of conducting these administrative visits without increasing Medicare costs,” the coalition stated in its letter to Congress. Congress is currently mulling legislation that could extend current telehealth regulations through 2026. The National Alliance for Care at Home spearheaded the effort.
A bill currently before Congress would extend through 2026 regulatory flexibilities related to telehealth, including the ability to recertify patients for hospice care. Centers for Medicare & Medicaid Services (CMS), they would not be able to recertify via telehealth. It also includes some exceptions. Mike Thompson (D-Calif.)
Centers for Medicare & Medicaid Services (CMS) included the updates in its proposed hospice payment rule for 2025. 1, 2026 at the earliest. 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.
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. I feel also signals that they’re probably not going to roll out mandatory [participation] as they were expecting to, we’ve heard, in 2026, potentially.”
Further, the bill would create a short-term home respite level of care for when respite care is provided for at least eight hours during a 24-hour period for no more than five days during an election period, effective on or after October 1, 2026. These care days would would also count toward the hospice’s payment cap.
Legislators have recently introduced a bill , the Preserving Telehealth, Hospital and Ambulance Access Act, which proposes to extend the flexibilities through 2026. million of “high risk” telehealth Medicare fee-for-service billing claims during the first year of the pandemic alone. We have to get ready either way.”
Centers for Medicare & Medicaid Services (CMS) allowed hospices to perform routine home care visits virtually, as well as face-to-face recertification visits. A bill recently introduced to Congress proposed to extend these telehealth flexibilities until 2026. During the COVID-19 public health emergency, the U.S.
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 hospice care going forward.
I, I think as the continuum moves towards value-based purchasing, and we know that CMS is extremely invested in this, I I think the last info I read was that the CMS trust fund was due to run out in like something like 2026 and that far away, right? But I always feel like hospice has been the caboose on the Medicare train.
More Medicare Advantage organizations are developing customized plans for patients with special needs, including for those who may need palliative care or are nearing the end of life. The move preempts new policies by the Biden Administration that do not take effect until 2026.
Center for Medicare & Medicaid Innovation is currently testing coverage of hospice care through Medicare Advantage through the Value-Based Insurance Design (VBID) program. Often called the Medicare Advantage hospice carve-in, the program is more than halfway through its second year. The path forward is value-based care.”.
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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