This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
New trends in hospicecare delivery are pointing to a growing need for improved equitable access and diversified services that address a broader range of disease-specific patient needs. of Medicarehospice decedents terminal conditions in 2023, according to a recent joint report by the Alliance and the Research Institute for Home Care.
Centers for Medicare & Medicaid Services (CMS) recently elaborated on its plans to expand public education campaigns designed to help protect hospice beneficiaries from fraudulent actors in the space. Program integrity concerns have heated up in the hospice industry.
He was so intrigued that he gathered a few volunteers and began Hospice of the Valley, which was largely a volunteer organization living off of a few grants here and there prior to when hospiceMedicare reimbursement came around in the early 1980s. Over the years, Hospice of the Valley has grown.
Underserved patient populations are facing a growing deficit when it comes to accessing quality, inclusive hospicecare at the end of life. Claritza Rios and Alicia Bloom at the Hospice News ELEVATE conference. Health equity gaps have swelled in hospicecare in recent years. Hospice utilization rates fell by 9.4%
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.
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.
Patient, Staff Satisfaction Biggest ROIs of Trauma-InformedHospiceCare Investing in trauma-informed training can come with improved hospice patient and staff satisfaction. Hospices that have invested in trauma-informed training have seen improved retention and organizational reputation.
Levy recently sat down with Hospice News to discuss the array of regulatory and legislative evolutions on the horizon in hospicecare delivery. How will your past experiences help inform your future policy and advocacy efforts in the home-based landscape? Centers for Medicare & Medicaid Services (CMS)] and Congress.
Calls have grown louder for an overhauled design of the MedicareHospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. One part of the issue is that hospice reimbursement has not kept pace with evolving patient needs, Grant said.
But providers can also benefit from considering data that comes from outside their organizations to identify prevailing trends, inform their marketing efforts and guide their decision making. Hospices’ cost-savings potential A study published in March revealed that hospice saved Medicare roughly $3.5
and Susan Collins (R-Maine) introduced the Improving Access to Advance Care Planning Act to the Senate designed to promote greater access to those services among Medicare beneficiaries. Racial and socioeconomic disparities also exist when it comes to hospice referrals and quality of care. million, Grant told Hospice News.
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.
If enacted, the HospiceCare Accountability, Reform and Enforcement (HospiceCARE) Act could open up reimbursement pathways for high-acuity palliative services during a time when demand and costs are rising. The drafted HospiceCARE Act included potential avenues to improve payment for high-acuity palliative treatments.
More than a dozen hospice advocacy groups have called on congressional leadership to intervene in a proposed 2.7% bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. The organizations signed a letter to party leaders in both chambers of Congress. Congress should urge [the U.S.
“It’s challenging when a patient is in a facility-based setting, because they keep their own medical records and sometimes the medication changes don’t transfer to the hospice side. Another really important intervention is making sure patients, families and informal caregivers have sufficient understanding of the medications.
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
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. Theres some anxiety with the HOPE tool about submitting the information correctly, Wood said.
NPHI is a membership organization comprising more than 100 nonprofit, community-integrated hospice and palliative care providers from 38 states and the District of Columbia. The organization recently submitted comments in response to a Request for Information from the U.S. compared to 6% for nonprofits, according to NPHI.
Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. Often called the “hospice carve-in,” the program was designed to test coverage of hospicecare through Medicare Advantage, in addition to some coverage of palliative care and transitional care.
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.
These regions have seen a swarm of new hospices emerging and receiving federal funding. In some cases, dozens of new operators were billing Medicare from the same location without a corresponding increase in eligible patient populations. Multiple reports of unethical or illegal practices have surfaced, particularly among new companies.
Centers for Medicare & Medicaid Services (CMS) has unveiled its final 2025 hospice rule, which includes a 2.9% The increase represents an estimated $790 million rise in total hospice payments compared to Fiscal Year (FY) 2024. The agency set a 5% cap on any year-over-year wage index decrease that hospices experience.
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.
Efforts to establish potential payment mechanisms for high-acuity palliative services within the MedicareHospice Benefit will require greater clarity from regulators, according to the Coalition to Transform Advanced Care (C-TAC). The use of the term ‘palliative’ for treatments in this RFI was problematic.”
Both organizations bring a rich history and awareness of the challenges and opportunities in home health and hospicecare delivery, said Bill Dombi, interim Co-CEO of the NAHC-NHPCO Alliance. It will serve as a hub to connect providers with a wide spectrum of important information. Earl Blumenauer (D-Oregon).
clinical power means mastering timely initiation of care. 30% of home health patients dont get initiated into care for seven days as an industry, we have to look at those numbers and decide, as leaders, its unacceptable, Compassus CEO Mike Asselta said last month during a panel discussion at the Home Care 100 conference.
Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. Clarification from CMS in these areas will be helpful to hospices, physicians and those reviewing hospice records for compliance.”
“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. This exceeds the national average that year at 49.1%.
Hospice News sat down with providers, advocacy groups, legal experts and other stakeholders to uncover the most significant hospice regulatory trends from this year and their anticipated impacts heading into 2024 and beyond. Many established services for the purpose of selling the license at a profit or defrauding Medicare.
The data come at a time when regulators are mulling over the future outlook of high-acuity services in end-of-life care. Legislators have also increasingly recognized a need to open up reimbursement pathways for high-acuity palliative care services as demand and costs swell.
Centers for Medicare & Medicaid Services (CMS) is mulling over the creation of a National Directory of Healthcare Providers and Services (NDH). . We look forward to hearing from our stakeholders on the need for a single source for this information for the entire health sector.”.
Centers for Medicare & Medicaid Services (CMS) is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days. CMS internal data has identified a potential area of vulnerability beginning with the second benefit period, or 91st day in hospice,” Noridian indicated in an announcement.
Centers for Medicare & Medicaid Services (CMS) is insufficient to support hospice patients’ care needs, a major industry group said. CMS earlier this month released its 2024 hospice proposed rule , which included the 2.8% After a moratorium during the pandemic, full Medicare sequestration resumed on July 1, 2022.
Centers for Medicare & Medicaid Services (CMS) may not have accounted for the financial and administrative burdens associated with its implementation of the Hospice Outcomes and Patient Evaluation (HOPE) Tool. The tool will replace the Hospice Item Set (HIS) quality reporting system.
While most agencies will never encounter a Targeted Probe and Educate (TPE) audit under the Centers for Medicare and Medicaid Services (CMS), prudent hospicecare providers will understand the purpose and process of the TPE program in order to best prepare should they encounter an audit in the near or long term.
Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. Originally slated to end in 2024, CMS recently extended the hospice component of the value-based insurance design model (VBID) to 2023. SCAN is a $4.3
Centers for Medicare & Medicaid Services (CMS) is seeking answers from the hospice community — including some around utilization patterns and non-hospice spending. The recently proposed 2024 hospice payment rule contained a 2.8% This includes items and services covered under Medicare Parts A, B, and D.
Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9% of hospicecare days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO).
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.
Fraudsters have bilked Medicare for millions, with some cases resulting in criminal charges and even imprisonment. Navigating compliance Calls are growing louder for increased hospice program integrity oversight. The Maryland-based nonprofit provides hospice and supportive care services across four counties in the state.
“When the [hopital] patient is discharged, thosewho have instructions to seek hospice are making up a greater percentage of that pool,” Bakkun told Hospice News. And that means that the the knowledge and awareness of hospicecare is growing.”. This perspective is backed by other research. Case in point, the U.S.
Caris Healthcare provides adult and pediatric hospicecare to more than 40,000 patients and families across 28 locations in Georgia, Missouri, South Carolina, Tennessee and Virginia. Additional services include palliative care, a veterans program and care coordination. On Wednesday, the U.S.
A bill introduced in February proposes to expand limitations within the Freedom of Information Act that prohibit the disclosure of certain personal and background information of state and public agency employees, including health workers.
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.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content