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Payers to CMMI: We Need a Standardized Definition for Palliative Care

Hospice News

A group of health plans, policymakers, and insurance companies recently told the Center for Medicare & Medicare Innovation (CMMI) that they needed a standardized definition for palliative care in order to improve access. Centers for Medicare & Medicaid Services (CMS). There are different domains of care that need to be addressed.

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C-TAC: CMS’ ‘Palliative’ Definition in 2025 Proposed Hospice Rule ‘Misaligned, Problematic’

Hospice News

This definition could complicate hospices’ ability to accurately and appropriate bill for palliative care, C-TAC stated. This definition could complicate hospices’ ability to accurately and appropriate bill for palliative care, C-TAC stated. The use of the term ‘palliative’ for treatments in this RFI was problematic.”

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The Nexus Between Palliative Care and PACE Programs

Hospice News

PACE programs are definitely open to capitated arrangements — per-participant, per-month. Palliative care is becoming an increasingly prevalent component of Programs for All-Inclusive Care of the Elderly (PACE) programs. PACE programs are also Part D providers that are responsible for their patients’ medications and pharmacy services.

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Palliative Care Integration on the Rise

Hospice News

The biggest barrier to achieving more widespread palliative care integration is the lack of a clear definition of that term, a lagging reimbursement system and fragmentation in the health care system, according to Tiffany Hughes, COO of Texas-headquartered palliative care provider PalliCare Inc. You ask them questions.

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The Barriers Creating Pediatric Palliative Care Inequities

Hospice News

Recent research has uncovered some of the leading barriers preventing greater pediatric palliative care utilization across underserved communities. Seriously ill children of color are among the most underserved patient populations , with a recent analysis digging into the focal points of systematic racial issues tied to health disparities.

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The Case for Palliative Care in the ICU

Hospice News

An intensive care unit (ICU) stay often challenges everyone involved. Integrating palliative care could alleviate some of the suffering through symptom management, improved communication about goals and treatment, and better training and resources for staff. Nearly 75% of patients admitted to the ICU experience distressing symptoms.

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The Tangled Web of Pediatric Palliative Care Payment and Policy

Hospice News

Having standardized definitions around these services and clearer quality measures could go a long way toward improving access, he stated. A complex web of state regulations and reimbursement systems can challenge pediatric palliative care access for seriously ill children and their families. There’s no consistency.”