Hospice News

JUNE 21, 2022

Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, calling for a payment model demonstration designed to support greater access to palliative care. Many hospices are currently participating in other CMMI programs, including the value-based insurance design demonstration (Medicare Advantage carve-in.

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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. If a hospice has a cap liability, they will have to repay that amount to Medicare. For Fiscal Year 2024, the U.S.

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Hospice News

SEPTEMBER 12, 2022

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Some hospice patients rely on these plans for other health needs, such as nursing home costs.

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Hospice News

JUNE 30, 2022

Patients have already begun receiving care through EdenHospice, which is currently awaiting Medicare certification. EdenHill Communities, established in 1906, offers a continuum of care that includes independent and assisted living, memory care, skilled nursing, rehabilitation, caregiving and now hospice services.

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Hospice News

JULY 25, 2022

“In total, Atoyan, Karapetyan and others caused the agencies to submit over 8,000 claims to Medicare for the cost of home health care and hospice services. Based on those claims, Medicare paid the agencies approximately $31 million,” the U.S. Justice Department indicated in a statement. Attorney Phillip Talbert.

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Hospice News

JANUARY 24, 2024

” Hospice utilization in Texas runs high, with 143,284 Medicare decedents using these services in 2021, according to the U.S. Centers for Medicare & Medicaid Services (CMS). Legacy Care Partners offers home care, assisted living, memory care, hospice and funeral services.

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Hospice News

OCTOBER 21, 2024

Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules. If GIP billing exceeds that metric, the hospice must refund those payments to Medicare.

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Hospice News

AUGUST 1, 2024

Centers for Medicare & Medicaid Services (CMS) to establish an hourly rate for short-term home respite care starting in fiscal year 2027. Finally, we ask that assisted living be a site of care for in-home respite. These care days would would also count toward the hospice’s payment cap. It would also require the U.S.

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Hospice News

JUNE 13, 2024

The bill would also implement a temporary, national moratorium on the enrollment of new hospices into Medicare, to help stem the tide of fraudulent activities among recently established providers concentrated primarily in California, Arizona, Texas and Nevada. “We

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Hospice News

JANUARY 12, 2023

Justice Department accused the pair of submitting thousands of false claims to Medicare and of arranging more than $2 million in kickbacks in exchange for referrals. In total, Atoyan, Karapetyan and others caused the agencies to submit over 8,000 claims to Medicare for the cost of home health care and hospice services. “In

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Hospice News

JULY 17, 2024

Through Alivia Care @ Home, the nonprofit offers rehabilitation (occupational, physical and speech) therapies to homebound patients in community- and facility-based settings, such as assisted living facilities. Centers for Medicare & Medicaid Services (CMS), according to Ponder-Stansel.

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Hospice News

AUGUST 25, 2022

Centers for Medicare & Medicaid Services (CMS), the U.S. FCA cases often hinge on whether a hospice billed Medicare for services a patient was not eligible to.i Centers for Medicare & Medicaid Services (CMS)] can impose CMPs for each day a hospice is deemed in an ‘immediate jeopardy’ situation of condition level deficiencies.

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Hospice News

FEBRUARY 11, 2025

Centers for Medicare & Medicaid Services (CMS). The organization offers inpatient and home-based hospice and palliative care services, collaborates with upwards of 50 hospitals, assisted living and skilled nursing facilities and home care providers.

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Elder Care Matters

MAY 2, 2022

I’m often surprised how many people are shocked to learn that Medicare and Supplemental Insurance does not cover Long-Term care costs. Medicare and Supplemental… The post Does Medicare and Supplemental Insurance Pay for Long-Term Care? appeared first on Elder Care Directory - ElderCareMatters.com.

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Hospice News

NOVEMBER 8, 2022

The Pennant Group (NASDAQ: PNTG) expects emerging rebounds in skilled nursing and assisting living — and its pipeline of forthcoming acquisitions — to offset the impact of continuing labor headwinds. Pennant is also starting to see occupancy rates improve among its skilled nursing and assisted living referral partners.

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Hospice News

MAY 7, 2024

The company in December 2023 picked up Arizona-based Southwestern Palliative Care & Hospice after acquiring five Medicare hospice providers in multiple states the prior month. Recent senior living real estate transactions include the purchase of two Utah-based communities, Capitol Hill Senior Living and Southgate Senior Living.

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Hospice News

FEBRUARY 24, 2023

jump from assisted living facilities. The decline resulted from the reinstated 2% Medicare sequestration, a 2.8% reduction in total days of care and a geographically-weighted average Medicare reimbursement rate increase of approximately 3.2% Admission rates, for instance, varied depending on the referral source.

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Hospice News

APRIL 19, 2024

Established in 1974, the nonprofit’s more than 200 employees provide care to upwards of 50 hospitals, assisted living and skilled nursing facilities, as well as in the home. The organization was the first established hospice in the United States.

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Hospice News

JULY 6, 2022

Founded in 1984, CommuniCare Health Services is a family-owned company that provides post-acute services including skilled nursing, assisted living, independent living, behavioral health and long-term care. Hospice utilization among Medicare decedents in West Virginia reached 43.6% that year.

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Hospice News

AUGUST 5, 2022

We contract with [the Center for Medicare & Medicaid Innovation (CMMI)] as a direct contracting entity, and our job is to coordinate a network of providers, called DCE participants, and then also preferred providers, which would be hospices, home health agencies that can help coordinate the care as the patients move into the home setting.”.

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Hospice News

JULY 6, 2022

The state in 2018 ranked sixth nationally for hospice utilization among Medicare decedents, reaching a rate of 56.7%, according to the National Hospice and Palliative Care Organization. Commonly called the Medicare Advantage hospice carve-in , the demonstration took effect Jan. Utah held the highest rate that year at 60.5%.

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Hospice News

JULY 11, 2022

million seniors who reside in Illinois are 85 or older, and 40% of Medicare beneficiaries in the state have four or more chronic conditions, according to HCCI. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. About 12% of the 2.1

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Freedom Home Care and Medical Staffing

MARCH 21, 2022

When considering care the two most highly considered options are home health care and assisted living. It is easier for family and friends to visit elderly loved ones at home than at a hospital or assisted living. The post The Pros of Home Health Care Over Assisted Living appeared first on Freedom Home Care.

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Hospice News

NOVEMBER 27, 2022

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Some hospices have already begun seeing penalties from a rise in UPIC audit activity, including reimbursement suspensions or Medicare claim repayments.

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Hospice News

NOVEMBER 1, 2022

These factors, along with the return of Medicare sequestration, have contributed to declining revenues. They also saw a 7% decline in assisted-living facility admissions. But some indicators in Q3 point to an upturn in some areas as 2023 approaches. Admission rates in Q3 were mixed depending on the referal source.

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Hospice News

JULY 10, 2023

million seniors who reside in Illinois are 85 or older, and 40% of Medicare beneficiaries in the state have four or more chronic conditions, according to HCCI. Patients in assisted living facilities, group homes, and other facilities received 3.2 About 12% of the 2.1 Patients in the United States received more than 2.2

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Hospice News

AUGUST 21, 2024

Centers for Medicare & Medicaid Services (CMS) defines these services as care that eases symptoms associated with serious illnesses, which may be offered alongside curative treatments. Palliative care can encompass a range of services that help address physical, emotional, spiritual and psychosocial needs among seriously ill patients.

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Hospice News

DECEMBER 13, 2024

Centers for Medicare & Medicaid Services (CMS) ramped up auditing activity in the space while also sunsetting the hospice component of its value-based insurance design (VBID) model demonstration ahead of its initial expiration. The financial incentives in Medicare Advantage are designed to reduce overutilization, researchers indicated.

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Hospice News

SEPTEMBER 9, 2024

Becoming Medicare-certified in April 2023, the hospice served its first patient last June. Owens: We are a home hospice provider and take care of patients wherever they call home, whether it’s with family or in their own home or at a skilled nursing, memory care or assisted living facility.

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GeriPal

JANUARY 16, 2025

So for example, you know, the director of the assisted living facility could be the person who knows the patient the best. Were you saying you started off by talking about somebody who might have conflicts of interest, like the person who runs the assisted living facility or something like that.

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Hospice News

APRIL 5, 2024

Patients in assisted living-based memory care facilities have higher mortality rates and are more likely to enroll in hospice, a new study indicates. We find a higher mortality rate and higher rate of hospice use among memory-care residential care/assisted living residents,” the study authors wrote.

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Hospice News

OCTOBER 16, 2024

Sometimes they might be doing consultations either inpatient or in the nursing home or in assisted living. We do strongly encourage, obviously, the clinic, the hospital, the long term care, the home care (if it exists), hospice (if it exists), assisted living, all the sort of clinical services that might be in the community.

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Hospice News

OCTOBER 14, 2022

We’re future makers, and we want to be able to see the [Medicare] hospice benefit preserved and to be the program that is covering and meeting the community’s needs. We have started in skilled nursing facilities and assisted living facilities, and we have done some home-based palliative care.

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Hospice News

AUGUST 18, 2022

The organization provides services at its three inpatient hospice centers, in patient homes, and in facilities like assisted living, skilled nursing and other residential community care centers. of Medicare decedents elected hospice during 2018, according to the National Hospice and Palliative Care Organization. About 47.6%

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Hospice News

OCTOBER 6, 2022

“We really do see the opportunity to make a difference in people’s lives — especially as people are aging — and you think of the costs associated with leaving their homes and going into assisted living or a long-term care environment,” Tricia Ford, vice president of operations for Care Synergy, told Hospice News. “In

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Hospice News

FEBRUARY 16, 2024

Dementia-related conditions and cancer in 2021 were the most frequently occurring principal diagnoses for Medicare decedents who elected the hospice benefit, according to the National Hospice and Palliative Care Organization (NHPCO). Among those, roughly 6.7 Centers for Disease Control and Prevention (CDC).

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Hospice News

NOVEMBER 16, 2023

Hospice of Wichita Falls provides hospice at its inpatient center, in patients’ homes, and at hospitals and assisted living and skilled nursing facilities. Hospice of the EUP became Medicare certified in 1990 and offers facility-based hospice and grief support services.

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