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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.
Eden Health of Northern Nevada, dba Eden Hospice, has acquired A Plus HospiceCare in its home state. Through the transaction, A Plus HospiceCare patients will have access to Eden Health’s additional services, including home health, home care and palliative care. Financial terms were undisclosed.
The future of palliative care payment is reaching an uncertain, but potentially promising time in the Medicare landscape. The Alliance has been looking at additional opportunities to provide sustainable reimbursement for palliative care, whether that is through concurrent care approaches or something like a MedicareCare Choices 2.0
While some innovative technology trends have aided in improved rural hospicecare delivery, regulatory and reimbursement challenges remain a pain point for providers trying to burgeon access among hard to reach, underserved communities, Graham told Hospice News. How does Stillwater Hospice approach growth?
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.
Centers for Medicare & Medicaid Services (CMS), the National Institutes of Health, the U.S. Kennedy voiced a commitment to tackling the root drivers of escalating health care spending across the continuum, much of which is focused on managing chronic diseases, he indicated in the Senate hearing. HHS subagencies include the U.S.
Among the significant changes that the legislation proposed was having newly licensed hospice programs in Nevada undergo enhanced regulatory oversight for the first two years of operations. Goals of the legislation include an aim to decrease fraud and improve hospicecare statewide, according to Edgeworth.
Carol Miller (R-West Virginia) and Jared Golden (D-Maine) have reintroduced the Hospice Recertification Flexibility Act. If enacted, the bill would allow hospices to conduct face-to-face recertification visits via telehealth. Hospicecare exists to provide comfort and compassion during heartbreaking times.
Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all. Some individuals also hold management positions at several of these hospices simultaneously.
A California hospice owner and a freelance marketer have been convicted of Medicare fraud, totalling $3.2 Nita Palma of Glendale, California, in 2025 purchased Magnolia Gardens Hospice through her daughter and concealed her ownership from Medicare, according to the U.S. million in claims for purported hospicecare.
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. This fell below the national average of 49.1% that year, the Alliance reported.
The MedicareHospice Benefit could use an “upgrade” to ensure greater flexibility that may be necessary to fully support patients’ needs. Centers for Medicare & Medicaid Services (CMS) should consider is retiring the six-month terminal prognosis requirement and allowing for some concurrent care, Wallace and Wladkowski indicated.
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.
Despite years of scrutiny over the duration of hospicecare, new data show that longer stays reduce health care costs in the last year of life by as much as 11%. All told, hospicecare — regardless of length of stay — saves Medicare approximately $3.5 billion for patients in their last year of life, a 3.1%
Growth in the number of Medicare Advantage beneficiaries will likely overtake that for traditional Medicare in 2025, according to new estimates from the U.S. Centers for Medicare & Medicaid Services (CMS). The hospice component of VBID is slated to end on Dec. This is up from 34.3 million as of September 2024.
Calvary Hospitals newly appointed president Michael Fosina is embarking on a deeper journey to improve quality and access to hospicecare amid rising demand. Research and workforce growth will play large roles in the future of palliative and end-of-life care delivery, according to Fosina.
Centers for Medicare & Medicaid Services (CMS) will allow hospice patients to receive concurrent care through the Medicare Advantage hospice carve-in, and will permit health plans to further restrict utilization of out-of-network providers.
Scott Herman said in a statement shared with Hospice News. Bill is an icon in the industry and a staunch Medicare beneficiary advocate, always putting patients first and fighting for their rights and benefits. Dombi has litigated home health care policy matters since 1976. million in philanthropic funding to launch the shelter.
Hospices’ public outreach efforts have evolved in recent years, with providers finding new strategies to dispel myths that have long impeded access to care. Nearly half, or 49.1%, of all Medicare decedents utilized hospice services in 2022, reported the National Alliance for Care at Home.
The soon-to-be-implemented hospice Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care. It might make them even fearful about hospicecare, which is the last thing we want to see happen.
Examining the future of dementia end-of-life care The findings demonstrate how the different approaches to dementia care can lead to comparable clinical outcomes, Reuben indicated. The post Dementia Support Gaps Compromise HospiceCare, Help Inform GUIDE Models appeared first on Hospice News.
Allowing patients to receive concurrent hospice and curative care reduces health care costs and improves quality. The model’s 7,263 enrollees were Medicare fee-for-service beneficiaries with a six-month terminal prognosis due to cancer, congestive heart failure, chronic obstructive pulmonary disease, or HIV/AIDS.
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.
How can we really partner with them on the talking points to broach these goals-of-care conversations so they understand what is included through Medicare and Medicaid services while still being comfortable in their homes. What are the services that Mahogany Home Health and Hospices is offering?
Margin pressures from the proposed cuts to Medicare home health rates could impact palliative care and hospice. Centers for Medicare & Medicaid Services (CMS) in June released its proposed home health reimbursement rule for 2023, which included a 4.2% pay hike for hospicecare in 2023.
Centers for Medicare & Medicaid Services has made public its first cohort for the hospice Special Focus Program (SFP). Finalized in the 2024 home health payment rule, the program is designed to identify poor performing hospices, mandate quality improvement and in some cases impose additional penalties.
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.
Medicare fee-for-service programs made $31.23 billion in improper payments during 2023, though a smaller proportion of those dollars went to hospices than in years prior. Hospices received nearly 5.4% of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S.
Medicare Advantage (MA) beneficiaries are less likely to receive intensive treatments or burdensome transfers during the last six months of life compared to those in traditional Medicare, a new study has found. However, they identified gaps in which patients don’t always receive sufficient post-acute care. “We
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.
Holly Patterson Extended Care Facility. NuHealth was formally known as Nassau Health Care Corp. “By By offering inpatient hospicecare at NUMC, we are ensuring all of Nassau County’s residents have access to compassionate end-of-life services regardless of their ability to pay,” said Megan C.
Earl Blumenauer (D-Oregon) has introduced the HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act in the U.S. House of Representatives, which, if enacted, could revolutionize the MedicareHospice Benefit. Hospice News photo by Merz Photography. The Alliance shares Rep.
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.
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.
The research examined Medicarehospice 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.
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.
The workforce shortage and value-based care will shape the future of hospice, according to some providers. The health care reimbursement environment is moving towards significant change. Hospice is a great space in health care. We can really compete in flexibility, whereas other areas of health care can’t as much.”
Development of the HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act has signaled that a wave of change may be on the horizon in end-of-life care delivery – including how patients are certified to receive these services. The area of end-of-life care was ripe for a pilot project.
Longer stays yield greater savings Regulators have fixed their gaze on longer hospice stays as signals of potential fraud, waste and abuse. Hospicecare saves Medicare roughly $3.5 The longer the hospice stay, the more potential savings.” That’s a huge difference and a huge value to Medicare,” Munevar said.
Patterson is accused of certifying patients for hospicecare who did not have a terminal condition and were not eligible to receive these services. The allegations also include receiving kickback payments for hospice patient referrals. He violated his oath as a physician to fight against health care fraud and waste.
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.
The most recent iteration of HospiceCare Accountability, Reform and Enforcement (HospiceCARE) Act, currently in a discussion draft phase, could have some unintended consequences in the future of end-of-life care delivery. What are some of the effects on the business models in terms of profit over patient care?
The forthcoming HospiceCare Accountability, Reform and Enforcement (HospiceCARE) Act from U.S. Blumenauer announced the bill in June at the Hospice News Elevate conference in Washington D.C. Hospice News / Merz Photography Hospice News / Merz Photography Rep. Hospice News photo by Merz Photography.
Identification of risk factors for ADRs may prevent occurrences in the complex palliative care patient.” Impacts on quality, compliance Adverse drug reactions can detract from the overall experience of hospicecare for patients and their families, Krout said. Hospices have come under closer scrutiny in recent years as the U.S.
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