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Medicare Made $190M in Improper Hospice Payments to Hospitals

Hospice News

Medicare made an estimated $190 million in improper payments to acute-care hospitals for outpatient hospice services between 2017 and 2021. Most acute-care hospitals reviewed only whether outpatient services palliated or managed terminal illnesses, not related conditions. An audit by the U.S. In addition to the $190.1

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Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

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How Hospices Can Leverage Palliative Care to ‘Stay Relevant’ in Value-Based Care

Hospice News

health care is moving steadily towards value-based reimbursement, and having a robust palliative care program can help hospices ensure they are not left behind. Centers for Medicare & Medicaid Services is working to ensure that 100% of Medicare beneficiaries are aligned with a risk-based payment model by 2030.

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‘Upgrading’ the Medicare Hospice Benefit

Hospice News

The Medicare Hospice 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.

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Key Research Trends: Long Hospice Stays, Palliative Care Save Medicare Dollars

Hospice News

The health care space — including hospice — is increasingly shaped by numbers. During the past several years hospice providers have had to become experts in data management in order to remain competitive. Hospices’ cost-savings potential A study published in March revealed that hospice saved Medicare roughly $3.5

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CMMI Analysis: Palliative Care Reduces Medicare Costs, Improve Patient Satisfaction

Hospice News

Despite this potential, existing programs hit barriers created by misconceptions about palliative care among referring physicians, as well as health equity concerns, among others, according to an analysts of four payment model demonstrations carried out by the Center for Medicare & Medicaid Innovation.

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MA Enrollment to Outstrip Traditional Medicare in 2025

Hospice News

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.

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