Hospice News

JUNE 24, 2024

Collaborating with ACO Flex Model participants could enable palliative care operators to utilize their unique skill sets to reach more patients. The role of a palliative care provider is crucial in this model. This fits nicely into palliative care. This is not a go-it-alone model.

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Hospice News

APRIL 21, 2023

The Center for Medicare & Medicaid Innovation (CMMI) is considering a broad spectrum of payment models that could integrate palliative care. This could include demos that fuse palliative care into Accountable Care Organization (ACO) or primary care programs, among others. “In

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Hospice News

JUNE 18, 2024

As value-based reimbursement expands, palliative care will become increasingly important when it comes to improving outcomes and reducing costs. Primarily, Medicare reimburses for palliative care through fee-for-service payment programs that cover physician and licensed independent practitioner services.

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Hospice News

JULY 5, 2023

A new cancer-focused payment model demonstration from the Center for Medicare & Medicaid Innovation (CMMI) could create opportunities for palliative care providers. And they also are required to have care partners that can meet holistic needs. That’s another CMMI program that has an obvious palliative care tie-in.”

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Hospice News

MARCH 23, 2023

The demonstration marks the first major step for hospices into the value-based care arena. While some hospice leaders question the value of the program, others have greeted the demo with more enthusiasm. Among those benefits is palliative care. This entire Medicare Advantage.

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Hospice News

APRIL 29, 2022

But for the past four years, a lesser-known payment model demo, the Medicare Care Choices Model (MCCM), has been hitting every target — reducing costs, improving quality and family satisfaction and keeping patients in their homes. If you get access to curative and palliative care, quality goes up and costs go down.

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Hospice News

MARCH 4, 2024

Often called the “hospice carve-in,” the program was designed to test coverage of hospice care through Medicare Advantage, in addition to some coverage of palliative care and transitional care. One contributing factor was that eligibility requirements can differ from plan to plan.

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Hospice News

MAY 16, 2022

CVS Health Corporation (NYSE: CVS) subsidiary Aetna has selected Ohio’s Hospice and Pure Healthcare as part of the insurance company’s hospice and palliative care preferred provider network for Value-Based Insurance Design (VBID) in the Buckeye State. The collaborative began with three hospice members and now includes 11 organizations.

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Hospice News

OCTOBER 27, 2023

Forthcoming Medicare payment models will likely focus on disease-specific programs that bear similarities to palliative care. Emerging reimbursement demonstrations have placed a stronger emphasis on addressing a more diverse group of patients with high levels of care needs and complex health trajectories.

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Hospice News

AUGUST 8, 2022

In 2019, more hospice patients had a principle diagnosis within the Dementia-Alzheimer’s-Parkison’s disease grouping than any other type of disease, according to the National Hospice and Palliative Care Organization (NHPCO). First, participation in the four-year demo is voluntary for payers and providers.

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Hospice News

DECEMBER 8, 2023

Changes to the SFP will be top priority for industry groups that will work with policymakers in the new year, according to Logan Hoover, vice president of policy and government relations at the National Hospice and Palliative Care Organization (NHPCO). “We He also wrote some sections of the Affordable Care Act.

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Hospice News

SEPTEMBER 6, 2023

Hospices have always had to compete not only with each other but with different entities in the larger health care system, rarely have they had so many players muscling in on their home turf. Programs like hospital-at-home, home-based primary care and even palliative care can siphon away or delay referrals, according to Justis.

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Hospice News

OCTOBER 20, 2022

“The hospice carve-in makes enrolling in hospice an expansion of a member’s care experience by enabling our members to continue engaging with their primary care team with transitional concurrent care while benefiting from the additional supportive services that hospice provides.”.

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Hospice News

MARCH 28, 2023

Centers for Medicare & Medicaid Services (CMS) extended the demo through 2030. Recent research has shown that hospice care reduces Medicare’s costs by nearly $3.5 While operating within Medicare Advantage can lead to challenges for hospices, it also gives them an opportunity to develop innovative approaches to care delivery.

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Hospice News

JUNE 6, 2023

Compassus and VNS Health have formed a value-based collaboration aimed at improving access, awareness and quality of hospice and palliative care services. The two home-based care organizations are joining forces in a Medicare Advantage (MA) Value-Based Insurance Design (VBID) model partnership. Recently, the U.S.

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Hospice News

APRIL 25, 2022

CMMI developed the demo to test offering hospice through MA. Close to 30% of hospice patients receive services for seven or fewer days, which means a large contingent do not experience the full range of benefits, according to the National Hospice and Palliative Care Organization.

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Hospice News

SEPTEMBER 8, 2023

About A total of 9,630 VBID beneficiaries received hospice care through the VBID demo in 2021, and 525 utilized the program’s supplemental benefits, according to a report from the RAND Corporation prepared for CMS. CMS requires MA plans to ensure they are working with providers of high-quality care.

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Hospice News

AUGUST 17, 2023

As Jimmy Carter marks his sixth month in hospice care, the provider community is raising awareness by saluting the former president. The National Hospice and Palliative Care Organization (NHPCO) convened a group of hospice leaders at Times Square in New York City to commemorate Carter’s hospice experience.

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Hospice News

MARCH 5, 2024

In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! Many operators were glad to see it go, but the questions the demo sought to answer still linger. Citing “operational challenges,” the U.S.

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Hospice News

OCTOBER 14, 2022

Last week, the hospice launched a new palliative care service and a PACE program. What led you to decide that this was the right time to move into palliative care and PACE? Can you share some more details on the palliative care pilot and how you’re approaching that service?

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Hospice News

FEBRUARY 8, 2023

While the ultimate outcome of the demo remains to be seen, many in the space expect that in time MA will become more involved in hospice. Often called the MA hospice carve-in , the four-year voluntary demonstration is designed to assess payer and provider performance within Medicare Advantage.

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Hospice News

FEBRUARY 23, 2023

However, thus far, reactions to the demo have been mixed. This applies not only to hospice care itself, but also to the upstream services many operators provide, such as palliative care and PACE, for which Medicare Advantage is one of the few pathways to reimbursement. “MA We don’t shy away from managed Medicare.

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Hospice News

FEBRUARY 26, 2024

Adapting to value-based care Another focus for providers this year should be adapting towards risk-based payment models. This includes the development and expansion of services beyond hospice, such as palliative care or Programs for All-Inclusive Care of the Elderly (PACE).

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Hospice News

APRIL 28, 2023

To date, much of this has centered around diversified programs like palliative care, PACE and other services. But this would likely change in the long run should the demo become a permanent model. But those providers’ experiences can lend some insights into how hospices can prepare themselves.

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Hospice News

JANUARY 1, 2024

Centers for Medicare & Medicaid Services (CMS)] believes that primary care is going to be the answer to this fragmented care problem. Primary care is where it’s at.” Alivia Care came into existence in 2020 when Community Hospice & Palliative Care, now an affiliate, formed a larger company with a wider range of services.

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Hospice News

APRIL 4, 2024

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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Hospice News

MARCH 12, 2024

Want to read more palliative care-focused content like this? Subscribe to Palliative Care News today ! Regulatory moves toward greater transparency in Medicare Advantage could swing into the realm of palliative care payment. The proposed changes would take effect Jan.

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Hospice News

DECEMBER 7, 2022

While the program currently does not cover hospice outside of the value-based insurance design (VBID) model demonstration , it remains one of the few reimbursement pathways for palliative care and services to address social determinants of health. The organization will begin participation in the VBID demo in 2023.

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