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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. Hospice providers have been expanding the depth of their interdisciplinary disease-specific programs to meet that need, Ware said.
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. Palliative care models have been gaining traction in terms of demonstrating cost savings and improved quality for several years running, Farrand said.
Montana-headquartered Stillwater Hospice has found a successful rhythm to strategic rural-based growth and sustainability. Launched in 2017, the hospice company serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. How have the challenges of rural care delivery evolved in recent years?
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.
Petros Fichidzhyan, 44, of Granada Hills, California, has been sentenced to 12 years in prison and three years of supervised release for his role in a mulit-year scheme to defraud Medicare of more than $17 million. Fichidzhyan committed the fraud through sham hospice companies and a home health company that he owned, according to the U.S.
Rising competition in the hospice space has fueled pivotal changes in end-of-life care delivery both for better and for worse, according to Arizona-based Hospice of the Valley Executive Director Debbie Shumway. We began in 1977 as a nonprofit hospice, and we are still a nonprofit today.
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.
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. Ho told local news.
Underserved patient populations are facing a growing deficit when it comes to accessing quality, inclusive hospicecare at the end of life. When we look specifically at hospice, we still have a lot of gaps to close [and] we continue to see two significant disparities, Bloom said at the Hospice News ELEVATE conference in Florida.
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. Texas-based New Day provides home health, hospice, palliative and personal care services across 31 locations in Illinois, Kansas, Missouri and in its home state.
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.
Mahogany Home Health and Hospice recently launched services in southwestern Ohio. The new hospice startup is the first Black-owned hospice and home health organization statewide with a drive to improve utilization among underserved populations. Couzens has also held hospice chaplain roles at St.
Nevada lawmakers have introduced a bill to curb hospice fraud in that state. 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.
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. million annually.
Beth Van Duyne (R-Texas) and Jimmy Panetta (D-California) have introduced a bill that would reform aspects of the hospice Special Focus Program (SFP). If enacted, the Enhancing Hospice Oversight and Transparency Act also would increase the penalty for hospices that do not report quality measure data to 10% by 2027, up from 4% currently.
NuHealth is partnering with Hospice of New York to offer inpatient end-of-life care to its patients. Holly Patterson Extended Care Facility. NuHealth was formally known as Nassau Health Care Corp. “By Centers for Medicare & Medicaid Services (CMS). Ryan, NuHealth interim president and CEO, in a statement.
NYSE: EHAB) is projecting strong hospice growth in the next year fueled in part by investments in technology and workforce development. The home health and hospice provider is in part leveraging technology to fuel its plans, Jacobsmeyer said during the Bank of Americas Securities 2024 Home Care Conference. Enhabit Inc.
Hospice News spoke with a group of industry leaders about the most pressing market forces and trends that will shape the space during 2025. Their comments carried some common threads, including rising demand for care in the home, continued labor pressures, industry consolidation and intensifying regulatory scrutiny.
Hospice News explores the issues garnering growing attention in end-of-life care delivery in seven of this years hidden gem stories. Topics span trends related to program integrity, workforce development, health equity, service diversification and the keys to hospices growth strategies. Optum completed its $5.4
Today’s hospice leaders need to take a wide view into the range of challenges facing their interdisciplinary care teams, according to Dr. Andrew Mayo, chief medical officer at St. Croix Hospice. Croix Hospice in 2014 as an associate medical director. Mayo joined St. Paul, Minnesota and going on to practice in St.
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%
Some hospices have delved deeper into service diversification to improve timely access and expand their patient reach, while others remain focused on end-of-life care delivery. The San Antonio, Texas-headquartered company provides hospice, home health, veterans services, assisted living and skilled nursing services.
s (Nasdaq: AMED) hospice segment has seen headwinds impact admissions growth as the company awaits its pending acquisition by the UnitedHealth Group (NYSE: UNH) subsidiary Optum. The company’s hospice segment revenue reached $207.9 Gross margin for the hospice segment fell slightly to 42.9% Amedisys Inc.’s year-over-year.
Dual pieces of legislation are circulating in New York proposing to block the entry of new for-profit hospices and limit expansion of existing entities in the state. If enacted, the bills would prohibit the establishment of new for-profit hospices in New York. Despite growing demand, hospice utilization runs low in the Empire State.
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% Census Bureau.
Centers for Medicare & Medicaid Services (CMS), the National Institutes of Health, the U.S. Chronically ill seniors need better access to affordable quality care options, Kennedy stated. He cited a goal to work with Medicare, Medicaid and Medicare Advantage programs in varied ways that improve health outcomes for beneficiaries.
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.
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.
The hospice industry is undergoing a transformative period of rising demand and regulatory changes. This is according to Scott Levy, chief government affairs officer at National Alliance for Care at Home (the Alliance). working hand-in-glove on policy issues with colleagues across the home health and hospice industries.
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. Hospice of the Ozarks also has a veterans program and offers pet therapy services. DBA Hope HealthCare Services.
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. Heath Bartness, CEO, St.
Rising demand for end-of-life care is pushing hospice growth opportunities to the forefront in value-based reimbursement. More payers in this arena are increasingly recognizing the depth of potential beneficial outcomes when it comes to collaborative hospice partnerships. billion in 2022, Medicare (MedPAC) reported.
Heart to Heart Hospices return on investment in its community-based palliative care service line has come in the form of improved quality and financial outcomes. The results are a product of the hospices recently formed value-based partnership with a leading unnamed Medicare Advantage plan in its home state.
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.
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. Van Duyne told Hospice News in an email.
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.
South Carolina-based HospiceCare of the Lowcountry is rebranding as MiraSol Health. The hospices new name contains the Latin word Sol, meaning sun. In addition to hospice, MiraSol offers community-based palliative care and counseling services.
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.
A Texas-based physician recently entered a settlement to pay nearly half a million dollars for their alleged involvement in a hospice kickback scheme that transpired roughly four years ago. Dr. John Patterson agreed to pay $486,626 to resolve allegations of kickback payments received from Nursemind Home Care. Justice Department.
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 / Merz Photography Hospice News / Merz Photography Rep.
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.
A federal court has ordered a stay on litigation intended to block the hospice Special Focus Program (SFP) after the U.S. Centers for Medicare & Medicaid Services (CMS) pledged that it would not resume implementation during 2025. The crux of a lawsuit filed by hospice organizations against the U.S. They have asked the U.S.
The hospice community is contributing input to the development of the forthcoming HospiceCare Accountability, Reform, and Enforcement (HospiceCARE) Act. Blumenauer announced the bill at the Hospice News Elevate conference in Washington D.C. Hospice News photo by Merz Photography.
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