Hospice News

SEPTEMBER 9, 2024

About 25,271 Medicare decedents in 2021 elected the hospice benefit, according to the U.S. Centers for Medicare & Medicaid Services. Currently 22.62% of the Maryland population is 60 or older, a number expected to rise to 26.6%

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Hospice News

AUGUST 26, 2024

Landers is a board-certified physician in hospice and palliative care, as well as family and geriatric medicine. Centers for Medicare & Medicaid Services (CMS) and Medicare Payment Advisory Commission (MedPAC) officials. He most recently served as president of the consulting and advisory company Landers StratAGEy.

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Hospice News

AUGUST 6, 2024

The nonprofit senior care provider Empath Health is partnering with the Medicare Advantage organization American Health Plans (AHP), a division of American Health Partners to serve patients who are enrolled in Institutional Special Needs Plans (ISNP).

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Hospice News

SEPTEMBER 27, 2022

Building partnerships with other providers can help mitigate these barriers, according to Dr. Nathan Goldstein, professor of geriatrics and palliative medicine for the Icahn School of Medicine at Mount Sinai. Centers for Medicare & Medicaid Services (CMS) allows Medicare Advantage plans to cover palliative care as a supplemental benefit.

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Hospice News

MAY 1, 2024

Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. The process of negotiating reimbursement was often unfavorable to providers, with rates lower than fee-for-service Medicare at times.”

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Hospice News

MARCH 23, 2023

On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed in any setting outside of an annual wellness visit. the bill proposed to remove Medicare beneficiary cost-sharing while also widening the scope of staff who can bill for these services. Introduced by U.S.

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Hospice News

DECEMBER 14, 2022

The new nonprofit will combine SCAN’s Medicare portfolio with CareOregon’s predominantly Medicaid health plans. The legacy SCAN would become the Medicare division of the company. billion and will serve nearly 800,000 health plan members through Medicare and Medicaid managed care offerings. Humana Inc.’s

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Hospice News

JUNE 9, 2023

Increasingly, both policymakers and providers are seeing potential opportunities to reform the Medicare Hospice Benefit, including the prospect of concurrent care. Centers for Medicare & Medicaid Services (CMS). A lot has happened since the [Medicare Hospice Benefit] was first initiated. trillion , according to the U.S.

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Hospice News

MAY 8, 2023

The company has about a dozen different insurance companies in its payer mix, in addition to Medicare and Medicaid. “We On a Part A benefit, you’re getting that benefit from Medicare, so you want to have like 80/20 Medicare versus private payers. We really haven’t come up with the perfect payer mix yet,” he said. “It’s

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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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Hospice News

MAY 29, 2024

However, he also emphasized the challenge of deploying skilled professionals to the home-based arena, where he said the best providers typically have combined skills in primary care, palliative care and even geriatrics. “We Centers for Medicare & Medicaid Services (CMS) is affecting the palliative care space. “We

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Hospice News

JULY 11, 2023

The ability to scale a palliative care program comes with an understanding of how reimbursement takes shape within the scope of Medicare, Medicaid and private insurance realms, according to Lynn Spragens, founder and partner of Spragens & Gualtieri-Reed, a North Carolina-based health care consulting company. “A

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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. The gradual move of reimbursement systems to value-based care models is partly fueling a resurgence in home-based primary care, according to a 2018 study in the journal Geriatrics.

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Hospice News

JUNE 20, 2023

Homebase Medical, a subsidiary of SCAN Group, is developing a new palliative care model to care for some of the Medicare Advantage organization’s most vulnerable beneficiaries. It provides Medicare welcome visits, transitional care visits and palliative care for frail older adults. SCAN is a $4.3

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Hospice News

JULY 25, 2023

Patients with dementia often have longer hospice stays and require more intensive and expensive levels of care compared to others, drawing the attention around a potential call to change around how the Medicare Hospice Benefit is structured from providers, industry stakeholders and policymakers alike.

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Hospice News

OCTOBER 6, 2023

Dr. Nathan Goldstein, professor of geriatrics and palliative medicine for the Icahn School of Medicine at Mount Sinai, said he agrees. So often the JV needs to work with insurers, including Medicare and Medicaid, to engage in risk-contracting to help cover some of the costs of these programs.” These partnerships are a win-win-win.

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Hospice News

SEPTEMBER 20, 2024

Unroe has worked in advance care planning and palliative care, dating back to experience at the Duke University Medical Center as a Geriatric Fellow and as a fellow for the Office of Disability, Aging, and Long Term Care Policy at the U.S. Centers for Medicare and Medicaid Services , approximately 1.2

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Hospice News

AUGUST 22, 2024

Recipients of home health and hospice distinction must demonstrate their ability to proactively ensure patient safety and provide goal-concordant care, in addition to implementing four evidence-based practices in geriatric care known as the “4Ms”: What Matters, Medication, Mentation and Mobility. These metrics are rooted in the U.S.

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Hospice News

MAY 25, 2023

Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. I think from our perspective, that’s where we believe that Medicare Advantage plans are starting to see that value add. Standard, those that have new entrants and then the high-risk population ACOs.

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Hospice News

DECEMBER 12, 2022

The divestiture fits into Humana’s stated goal of raising its enterprise value by $1 billion , while building out its health care services and Medicare Advantage business. The company began as the fourth largest provider of Medicare-certified home health services and the 12th largest provider of Medicare-certified hospice services nationally.

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Hospice News

JANUARY 1, 2024

“We have an existing group of primary care providers, but we’re very aggressively pursuing acquiring as many primary care providers who are already in the geriatric care space, because when you look at most of the risk-based models — the GUIDE model that’s coming out and ACO REACH,” Ponder Stansel said. “[The

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GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today? Alex 12:52 Yeah.

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NHPCO

AUGUST 26, 2024

During his most recent tenure as the president and CEO of Hebrew SeniorLife, he led an organization known for superior senior living, geriatric health care, research and teaching. Landers has dedicated his career to seeking home- and community-based health care solutions for people of all ages.

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Hospice News

NOVEMBER 14, 2023

In total hospice care saves Medicare roughly $3.5 This paradigm shift will force continued consolidation and collaborations across the industry [and] will require growth through expansion into non-hospice services such as home health, geriatric medical services and other senior care programs.

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Hospice News

APRIL 22, 2024

Hospice providers with higher volumes of assisted living-based patients are 7% more likely to receive lower quality scores than those in other settings, according to a recent study , published in the Journal of the American Geriatrics Society.

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Hospice News

DECEMBER 4, 2023

Though far more resources are needed, more opportunities for clinical palliative care training have been emerging in recent years, according to Dr. Nathan Goldstein, currently professor of geriatrics and palliative medicine at Icahn School of Medicine at Mount Sinai.

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GeriPal

APRIL 27, 2023

And I think with the Medicare hospice benefit not meeting the needs of older adults, it’s very hard to even have a segue to have those conversations because you can’t really offer people a path forward in a way that aligns with their values. It is not in any way sponsored by AAHPM or HPNA. And with that, thanks everybody.

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GeriPal

JUNE 8, 2023

Alex Smith: And we’re delighted to welcome back Alex Lee, who’s an epidemiologist and assistant professor at UCSF in the division of geriatrics. Nadine: I think for our geriatric friends that listen to the podcast, there’s a lot of discussion about de-intensifying management as people age. Happy to be here.

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Hospice News

JUNE 9, 2022

I am an acute care and adult and geriatric certified nurse practitioner. We have 10,000 Americans becoming Medicare-eligible per day. Tina Taylor: I’m Tina Taylor, vice president of palliative care at Compassus. I am responsible for our national palliative care programs across the nation.

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Seasons Hospice

MAY 21, 2024

Medicare, the primary health insurance program for seniors in the United States, does not typically cover routine dental care, leaving many seniors to pay out-of-pocket for dental services or rely on supplemental insurance plans that may have limited coverage.

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GeriPal

MARCH 14, 2024

Nicole: One other thing to mention with that analysis though, is we didn’t have Medicare, we didn’t have claims data for the hospitalization. The post Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

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Daily Nurse

AUGUST 7, 2023

“For example, an analysis by McKinsey & Co found that telehealth accounted for less than 1% of Medicare services before the onset of the pandemic, but by July of 2021, telehealth services accounted for about 13-17% of claims submitted to Medicare.

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Hospice News

DECEMBER 5, 2022

My clinical experiences have been foundational to my growth, but my aging health policy experience with the Centers for Medicare & Medicaid Services, and my time with The California Endowment were equally important. Additionally, I draw on my own personal experience as a caregiver to my older adult father, which started when I was twelve.

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Comfort Home Care

NOVEMBER 5, 2021

In fact, research published by the Centers for Medicare & Medicaid Services reported that nursing home residents were 14 times more likely to be diagnosed with COVID-19 than those living elsewhere in their community. By staying in the home, seniors are exposed to significantly fewer communicable diseases and related health risks.

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Hospice News

DECEMBER 3, 2024

Centers for Medicare & Medicaid Services recently recognized Bloom as a top performing High-Needs Accountable Care Organization under the agency’s Realizing Equity, Access and Community Health (ACO REACH) model. We have Medicare-Medicaid dual eligibles, Medicare Advantage, Medicare fee-for-service.

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Hospice News

NOVEMBER 8, 2024

The research examined Medicare hospice beneficiary data including timely start of care following patient admission, disenrollment and live discharge rates, volume of patient visits, length of stay and billing claim amounts. Centers for Medicare & Medicaid Services’ (CMS) Care Compare site. Morrison is also the Ellen and Howard C.

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Pallimed

NOVEMBER 21, 2020

But through a mixture of trust built on our relationship and exploring her underlying concerns, I think she ultimately listened to my reassurance that she would not lose her Medicare. Her Medicare coverage wasn’t changing, and this truth would bear out for her regardless of her belief. The truth was the truth.

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