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Hospice leaders would like to see some changes in the space this year, particularly around staffing, payer relationships and regulation. Hospice executives in December 2022 shared their predictions for what would happen in the space during 2023. Providers have reported shortages among socialworkers and nonclinical staff as well.
Hospice providers will be looking to Congress in 2024 to address issues related to program integrity, quality improvement and industry-wide workforce pressures. As legislative efforts develop, hospices may want to focus their attention on a few key legislators. We don’t have confidence in the algorithm that they proposed.
Hospice operators in 2024 are navigating a rapidly transforming environment. The prior three years have laid the groundwork for change, particularly in the regulatory space as well as gradual migration towards value-based reimbursement and in tandem, the proliferation of business lines beyond hospice.
However, this model is not designed to fully support an interdisciplinary approach involving physicians, nurses, socialworkers, chaplains and other professionals, making sustainability a challenge. Currently, palliative care providers have a few avenues into value-based care. However, that program is slated to end on Dec.
Collaborations with participants in the Centers for Medicare & Medicaid Innovation’s (CMMI) Accountable Care Organization (ACO) Primary Care Flex demo could allow hospices to leverage their skill sets to access more patients. Hospices and palliative care providers can come to ACOs by two main avenues.
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