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The future of palliative care payment is reaching an uncertain, but potentially promising time in the Medicare landscape. Palliative care models have been gaining traction in terms of demonstrating cost savings and improved quality for several years running, Farrand said.
The soon-to-be-implemented hospice Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care. It might make them even fearful about hospicecare, which is the last thing we want to see happen.
Hospices have grown increasingly frustrated by fraudulent operators in the space and how their activities affect legitimate operators’ financial health. This is the second of a two-part Hospice News series that explores how fraud, waste and abuse in the hospice space could create headwinds for the industry at large.
Hospices coast-to-coast have undergone leadership transitions, including changes in legal executives and a slew of newly appointed CEOs, among other roles in the industry. Texas-based New Day provides home health, hospice, palliative and personal care services across 31 locations in Illinois, Kansas, Missouri and in its home state.
New trends in hospicecare delivery are pointing to a growing need for improved equitable access and diversified services that address a broader range of disease-specific patient needs. Hospice providers have been expanding the depth of their interdisciplinary disease-specific programs to meet that need, Ware said.
Beth Van Duyne (R-Texas) and Jimmy Panetta (D-California) have introduced a bill that would reform aspects of the hospice Special Focus Program (SFP). If enacted, the Enhancing Hospice Oversight and Transparency Act also would increase the penalty for hospices that do not report quality measure data to 10% by 2027, up from 4% currently.
Carol Miller (R-West Virginia) and Jared Golden (D-Maine) have reintroduced the Hospice Recertification Flexibility Act. If enacted, the bill would allow hospices to conduct face-to-face recertification visits via telehealth. Hospicecare exists to provide comfort and compassion during heartbreaking times.
Centers for Medicare & Medicaid Services has made public its first cohort for the hospice Special Focus Program (SFP). Finalized in the 2024 home health payment rule, the program is designed to identify poor performing hospices, mandate quality improvement and in some cases impose additional penalties.
Six nonprofit hospice providers recently joined forces to form the Hawaii Palliative and HospiceCare Collaborative. The initiative is an effort to ensure sustainable access amid rising demand for end-of-life and serious illness care. Francis Healthcare System of Hawaiis hospice program. Ho told local news.
The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress a freeze on hospice payment increases starting in 2026. In its annual report to Congress, MedPAC urged policymakers to eliminate hospice base-rate increases for 2026. The 2021 aggregated Medicarehospice margin was 10.4%, according to MedPAC.
Mahogany Home Health and Hospice recently launched services in southwestern Ohio. The new hospice startup is the first Black-owned hospice and home health organization statewide with a drive to improve utilization among underserved populations. Couzens has also held hospice chaplain roles at St.
Centers for Medicare & Medicaid Services (CMS), the National Institutes of Health, the U.S. Chronically ill seniors need better access to affordable quality care options, Kennedy stated. He cited a goal to work with Medicare, Medicaid and Medicare Advantage programs in varied ways that improve health outcomes for beneficiaries.
Underserved patient populations are facing a growing deficit when it comes to accessing quality, inclusive hospicecare at the end of life. When we look specifically at hospice, we still have a lot of gaps to close [and] we continue to see two significant disparities, Bloom said at the Hospice News ELEVATE conference in Florida.
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.
Eden Health of Northern Nevada, dba Eden Hospice, has acquired A Plus HospiceCare in its home state. Through the transaction, A Plus HospiceCare patients will have access to Eden Health’s additional services, including home health, homecare and palliative care. About 17.4%
Dual pieces of legislation are circulating in New York proposing to block the entry of new for-profit hospices and limit expansion of existing entities in the state. If enacted, the bills would prohibit the establishment of new for-profit hospices in New York. Despite growing demand, hospice utilization runs low in the Empire State.
Texas-based New Day Healthcare LLC on Monday announced its acquisition of Intrepid USA’s hospice operations in Missouri and in its home state. The transaction expands the home-based service provider’s existing presence in those markets. The company provides hospicecare at home through its location in Joplin, Missouri.
Texas-based New Day Healthcare LLC has announced its acquisition of Good Samaritan Society’s hospice operations in its home state. The transaction includes Good Samaritans hospice assets in El Paso, Texas, expanding New Days existing presence in that market. Hospice utilization rates hovered at 49.1% Scott Herman.
The hospice industry is undergoing a transformative period of rising demand and regulatory changes. This is according to Scott Levy, chief government affairs officer at National Alliance for Care at Home (the Alliance). working hand-in-glove on policy issues with colleagues across the home health and hospice industries.
Many hospices in 2025 are driving to expand in the senior housing and assisted living space. million licensed beds, according to the American Health Care Association and the National Center for Assisted Living (AHCA/NCAL). My generation, baby boomers, were not going to a nursing home. To me, that’s a great opportunity.
Kansas-based Faith Home Health and Hospice will acquire the home-based care operations of Holton Community Hospital. The hospital in September announced that it would be closing its home health and hospice services as of Dec. Kansas is home to about 2.9 million people.
Rising demand for end-of-life care is pushing hospice growth opportunities to the forefront in value-based reimbursement. More payers in this arena are increasingly recognizing the depth of potential beneficial outcomes when it comes to collaborative hospice partnerships. billion in 2022, Medicare (MedPAC) reported.
The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospicecare, senior housing, skilled nursing, and behavioral health. What drew you to the hospice space? He had a very personal connection to hospice. To see this year’s Future Leaders, visit [link].
The crux of a lawsuit filed by hospice organizations against the U.S. Department of Health and Human Services (HHS) on Thursday is the criteria that the agency uses to select hospices for the new Special Focus Program (SFP). They have asked the U.S. District Court in the Southern District of Texas-Houston Division.
Scott Herman, CEO of New Day Healthcare, told Hospice News in an email. Having expanded PCS services in Houston allows us to engage a full homecare continuum, furthering our longitudinal care strategy. Similar to national demographic trends, a growing aging population is driving demand for hospice in Texas.
Earl Blumenauer (D-Oregon) has introduced the HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act in the U.S. House of Representatives, which, if enacted, could revolutionize the MedicareHospice Benefit. Hospice News / Merz Photography Hospice News / Merz Photography Rep.
Centers for Medicare & Medicaid Services (CMS), where he will oversee the nations largest health insurance programs including the MedicareHospice Benefit. The Medicare trust fund will be insolvent within a decade. The post Senate Confirms Dr. Mehmet Oz as CMS Administrator appeared first on Hospice News.
Bristol Hospice has acquired St. Agatha Comfort Care in Las Vegas for an undisclosed amount. The hospice provider has indeed been on a growth trajectory. In June 2024, Bristol Hospice acquired Mississippi-based Mid-Delta Hospice, a move that marked its entry into that state. The post Bristol Hospice Acquires St.
Similar to national demographic trends, a growing aging population is driving demand for hospice in Texas. Hospice utilization among Medicare decedents 52.23% in Texas in 2022, reported the National Alliance for Care at Home. Hospice utilization rates hovered at 49.1% Hospice utilization rates hovered at 49.1%
The private equity firm Renovus Capital Partners has acquired the home health and hospice provider Superior Health Holdings, Inc. The firms portfolio includes more than $2 billion of assets, about 30 companies, across its several industries, including technology, health care, and professional services markets. .
South Carolina-based HospiceCare of the Lowcountry is rebranding as MiraSol Health. The hospices new name contains the Latin word Sol, meaning sun. In addition to hospice, MiraSol offers community-based palliative care and counseling services.
A veteran of the senior services sector, Health has spent his 30-year career as a leader of hospice, senior housing, long term care, and PACE programs, in addition to a stint as a health care lobbyist. As a hospice leader, what are some of the things that have been keeping you up at night? And we see that in the hospice.
A coalition of hospice, home health and palliative care organizations has called on Congress to extend temporary telehealth flexibilities implemented during the pandemic. Doing so would help ensure continued access to quality care among vulnerable patient populations, according to the organizations.
While they may have the clinical insight to deliver these services, they may have limited experience negotiating contracts specifically for palliative care, which can be particularly challenging in the absence of a standardized care model and payment structure, he said. “At NASDAQ: AMED) subsidiary Contessa.
Todays hospice landscape is reaching a pivotal point of evolutionary growth that has come with increased oversight as regulators seek to curb fraudulent activity in the space, according to Bill Dombi, senior counsel for the law firm Arnall Golden Gregory (AGG). What are the leading legal concerns facing hospice providers right now?
Texas-based Heart to Heart Hospice has launched a de novo in the West Columbia community in its home state. The new location is branded as Heart to Heart Hospice of the Riverbend and is now accepting patients. Similar to national demographic trends, a growing aging population is driving demand for hospice in Texas.
Texas-based Choice Health at Home LLC has inked a deal to acquire Lumicare Hospice, growing its presence in two current markets while establishing services in a new state. Lumicare Hospice has locations in Texas and Arizona, two states in Choice’s existing service region. Hospice utilization in the state reached 50.4%
Errors or other inconsistencies with the payment cap can have significant consequences for providers, and sales and marketing staff can help hospices achieve a healthy balance. The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients.
Arizona-based MD Home Health has expanded its business lines to include in-clinic care, virtual care and a hospice program. Founded in 1985, the home health company will soon also offer a physician and nurse practitioner house call service and a new remote patient monitoring program.
Hospice providers and stakeholders are carefully examining the proposed changes included in the recently introduced HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act as the bill begins its journey through the legislative process. this summer. “It
Plano, Texas-based Heart to Heart Hospice will soon add a third location to its geographic footprint in Oklahoma. The de novo will open this fall, located in Durant, Oklahoma, and serve hospice patients and their families across 11 surrounding counties. Demographics are driving demand for hospice in Oklahoma. Census Bureau.
Given the critical role of family caregivers in home-based care, hospices have a vested interest in expanding their access to support. Families caring for seriously ill loved ones face systemic barriers that could threaten patients’ ability to receive care at home, including at the end of life.
The Alliance hinted that it was inching closer to a leadership decision earlier this month after completing an affiliation in June between the National Association for HomeCare & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO).
. “Interim HealthCare’s industry-leading Dementia program continues to be delivered by locally owned and operated franchise care centers, now with the added community involvement made possible by the Alzheimer’s Association, an Interim HealthCare spokesperson told Hospice News.
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