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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 deal includes Intrepid’s hospice assets in Joplin and Springfield, Missouri, as well as its locations in Beaumont, Texas. Hospice utilization rates hovered at 49.1%
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.
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. New Day Healthcare LLC announced that Dombi recently joined its board of advisors. Scott Herman said in a statement shared with Hospice News.
Their comments carried some common threads, including further movement towards value-based care, a need to secure payment through business-to-business partnerships, a need for more concurrent curative and hospicecare, and a continued status quo of insufficient reimbursement.
Centers for Medicare & Medicaid Services (CMS) has not responded to congressional concerns about the hospice Special Focus Program (SFP). Set for 2025 implementation, the SFP promises to identify hospices delivering poor quality care and target them for improvement remedies.
He most recently served as hospice executive director of Hartford Healthcare at Home, part of The Pennant Group (Nasdaq: PNTG). Couzens has also held hospice chaplain roles at St. Elizabeth Healthcare and Trustbridge prior to its affiliation with Empath Health. Having community-based staff is important.
The SFP has the authority to impose enforcement remedies against hospices with poor performance based on its algorithm. Hospices flagged by the SFP also will be surveyed every six months rather than the current three-year cycle and could face monetary penalties or expulsion from the Medicare program.
After three years of investigation, a federal court in Louisiana has sentenced the former owner of Canon Healthcare, Shiva Akula, to serve 240 months in prison for his involvement in health care fraud. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.
Nonprofit organizations represent the majority of hospicecare providers in New York. The two known for-profit hospices operating in New York have both been under the supervision of the states Department of Health, which to date has not found any issues with fraud or quality of care at either company.
David Jackson, CEO, Choice Health at Home Overall, we would not expect the hospice industry to see substantial change in 2025 relative to recent history from a utilization, compliance or reimbursement perspective. Croix Hospice We’re going to continue to see the expanded acceptance and understanding of the values of the hospice benefit.
The hospice community is contributing input to the development of the forthcoming HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act. NPHI has consistently advocated for reform to the Medicarehospice benefit reimbursement methodology.
Strong staff education and reimbursement are among the keys to successfully integrating social determinants of health within a palliative care program. Catholic Hospice and Catholic Palliative Care Services is part of the Florida-based Catholic Health Services of the Archdiocese of Miami. Screening tools developed by the U.S.
Florida-based Hope Healthcare has affiliated with Chapters Health System, a nonprofit provider of hospice, palliative care and home health, among other services. Combined with its affiliates, Chapters Health is the largest nonprofit hospice provider in the nation and the sixth overall.
The barometer is falling in hospicecare delivery. Adaptability is a providers hallmark in todays current hospice landscape, according to Greg Wood, executive director at Hospice of the Ozarks. DBA Hope HealthCare Services. Florida-based Hope HealthCare is an affiliate of the nonprofit Chapters Health System.
Though Addus has focused on growing its personal care and home health services, hospice remains a pillar of its strategy. VITAS Healthcare, a subsidiary of Chemed Corp. Hospices have focused on expanding awareness and education to better equip staff in both recognizing and responding to a wide range of trauma experiences.
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
A group of providers and state associations are plaintiffs in the suit, including Texas Association for Home Care & Hospice, Indiana Association for Home & HospiceCare, Association for Home & HospiceCare of North Carolina, South Carolina Home Care & Hospice Association and Houston Hospice.
The HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act, if enacted, would make changes to the ways hospices provide respite care. Earl Blumenauer (D-Oregon) is in the process of drafting the bill that would represent the most significant reforms to date for hospice payment and oversight.
As regulators turn their eyes toward hospice program integrity, Community Healthcare of Texas CEO Viki Jingle has seen first-hand the “heartbreaking disservice” that families experience due to unethical practices. Community Healthcare of Texas Chief Strategy Officer Robin Carter (Left), o Rep. She and Earl Blumenauer (D-Ore.)
Federal regulators should increase scrutiny of private equity activity in the hospice space, according to the National Partnership for Healthcare and Hospice Innovation (NPHI). In 2022, 5,899 hospices provided care to Medicare beneficiaries, up 10% year-over-year, according to the Medicare Payment Advisory Commission (MedPAC).
The MedicareHospice Benefit is ripe for change nearly four decades after its establishment, but moving the needle will include a heavy lift around evolving regulations. This is according to Bill Dombi, president of the National Association for Home Care & Hospice (NAHC). But hospice has moved into a new era.
Centers for Medicare & Medicaid Services (CMS) has finalized its 2024 home health rule, including the implementation of a hospice Special Focus Program (SFP). The rule also finalizes the proposed “36-month”rule for hospice providers.
Two terms that often arise in these conversations are palliative care and hospicecare. In this months blog post, well break down the key differences between palliative care and hospicecare, explore how they are delivered, who can benefit from them, and when each type of care is appropriate.
The post-Medicare Advantage hospice carve-in landscape could include wider value-based reimbursement avenues in the hospice space, leading providers to pivot into MA payer relationships. The forthcoming end of the hospice component of the value-based insurance design (VBID) demonstrative takes effect Dec.
The 2025 proposed hospice rule is raising some questions along with payment rates. Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% increase in hospice per diems for 2025. We know that hospicecare has demonstrated $3.5 Hospicecare saves Medicare roughly $3.5
Earl Blumenauer (D-Oregon) is drafting a landmark bill that, if enacted, would represent the most significant reforms to date for hospice payment and oversight. Blumenauer announced the bill, the HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act, on Thursday at the Hospice News Elevate conference in Washington D.C.
Although you may have heard of hospicecare , you may not know how its actually arranged. Because hospice is for terminally ill patients, it can be difficult to talk about for yourself or your loved one. Traditions Health understands how stressful it can be to opt for end-of-life care. Why hospicecare?
The families of patients who received care from nonprofit hospices give their providers higher marks on quality than those who went with for-profits, a RAND Corp. For six of the seven measures, for-profit and nonprofit hospices had average scores of 94.7% study has found. The post RAND Corp.:
Implementation of the Medicare Advantage hospice carve-in has been challenging for both payers and providers, though a recent analysis indicates that it may get easier over time. Centers for Medicare & Medicaid Services (CMS) commissioned the RAND Corp.
Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Some of these providers engaged in referral kickback schemes, enrolled patients who were not eligible for hospice and lied to them about being terminally ill. Michelle Steel (R-Calif.)
The nation’s total health care spend is expected to swell by 5.4% Meanwhile, Medicarehospice spending is expected to more than double by 2032. Centers for Medicare & Medicaid Services (CMS) Office of the Actuary also project that health care expenditures will represent 19.6% These data from the U.S.
“For a hospice administrator or executive, you really have to be very focused on your length of stay data,” Young told Hospice News in a recent Elevate podcast episode. Are you in an outlier scenario with your data that Medicare contractors are looking at? Centers for Medicare & Medicaid Services (CMS) and the U.S.
It would have prohibited the establishment of for-profit hospices in New York state and forbid current for-profit operators from increasing capacity. . Data suggest that hospicecare is underutilized in New York compared to other states, straining other elements of the health care system,” Hochul wrote in her veto.
“For hospice services specifically, an aging population, along with better informed family members about the positive aspects of hospicecare, along with an increased dementia and Alzheimer’s disease, are all drivers of these crucial services,” he said. Among Medicare beneficiaries, 45,760 elected the hospice benefit in 2022.
Among the significant changes coming this year is the end of the hospice component of the value-based insurance design (VBID) model, as of Dec. Commonly known as the “carve-in,” the program was designed to test hospicecare coverage through Medicare Advantage, as well as some coverage of palliative care and transitional care.
Centers for Medicare & Medicaid Services (CMS). As Calvarys new president, Fosina will oversee the organizations growth across its service lines, which include acute hospital care, palliative care, hospice and community-based care.
Beginning in 2021, numerous reports emerged of unethical or illegal practices among hundreds of newly licensed hospices, particularly among new companies popping up in California, Texas, Nevada and Arizona. Thus far, California is the only state to take action on the issue, including a moratorium on hospice licensing.
This evolving mix of hospice regulation has placed staff oversight at the forefront of ensuring compliance, according to Christie Piland, director of education at Caris Healthcare. Additional services include palliative care, a veterans program and care coordination. On Wednesday, the U.S.
Centers for Medicare & Medicaid Services (CMS) is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days. The agency has contracted with Noridian Healthcare Solutions, LLC as its Supplemental Medical Review Contractor (SMRC). billion, a rate of 12%, Noridian indicated.
Though hospices operate within the dedicated Medicare benefit, market forces in the system at large wield considerable influence on how they operate — including the meteoric rise of managed care. The first, published last week, addressed the intersection of hospicecare, behavioral health and chronic disease management.
Hospices seeking to gauge the potential impact of new regulatory actions in the space can look to their counterparts in the home health field. CMS is no doubt hoping for similar results for the MedicareHospice Benefit. In that time frame, Nevada saw 56 newly certified hospices, and 369 emerged in Texas.
This year saw regulatory evolutions spurred by program integrity concerns, as well as the introduction of landmark legislation, shifts in reimbursement trends and a change in presidential administration with unknown impacts across the care continuum. Defendants were charged with wire fraud, health care fraud and money laundering.
After the tumultuous years of the pandemic, VITAS Healthcare expects a stable growth trajectory heading into 2024. Though the company has not yet released financial guidance for 2024, VITAS anticipates a “predictable” 2024 in terms of earnings and growth, executives said at Monday’s Bank of America Healthcare Conference. NYSE: CHE).
Cameron Muir has been named as the new CMO of the National Partnership for Healthcare and Hospice Innovation (NPHI). His new title signals the organization’s strategic plans to reshape hospicecare delivery through patient-centered, innovative approaches, according to NPHI CEO Tom Koutsoumpas.
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