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
Stymied Medicaid reimbursement for nursinghome room and board could threaten access to care for hospice patients in California and possibly other states. The issue centers around patients in nursinghomes who are dually eligible for Medicare and Medicaid.
The long term care company Mission Health Services has acquired Utah-based Angel’s Crossing HomeHospice. Mission is a nonprofit provider of nursinghome, assisted living, short term care, memory care and therapy services. The deal marks Mission’s first foray into the hospice space.
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. If youre a rural hospice, you may have higher reimbursement needs.
Georgia-based Hospice Savannah Inc. Relatively few CAPABLE programs exist in the Southeast, according to Kathleen Benton, president and CEO of Hospice Savannah. More importantly, in a nation that is absolutely aging, CAPABLE addresses the needs and issues with functional impairment that allow people to stay in their home and age well.
Hospices are traversing complex revenue cycle management processes that can hinder their ability to thrive amid growing demand, rising economic pressures and a complex regulatory environment. Croix Hospice. When you talk to hospice operators thats a real challenge in managing their back office.
What Hospice VBID means for Palliative Care Palliative cares future reimbursement streams may see impacts with the impending end of the hospice component of U.S. This included the addition of the hospice component in 2021, which was designed to test coverage of those services through Medicare Advantage.
Many hospices in 2025 are driving to expand in the senior housing and assisted living space. Many seniors are looking to assisted or senior living facilities as they age, Susan Ponder Stansel, CEO of Florida-based Alivia Care, said at the Hospice News ELEVATE conference in Orlando, Florida. To me, that’s a great opportunity.
Unified Program Integrity Contractor (UPIC) auditors are taking a sharper look at nursinghome room-and-board for hospice patients. Hospices have increasingly faced more regulatory scrutiny in recent years amid rising program integrity concerns, including ramped up UPIC audits , among various others.
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 Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act, on Thursday at the Hospice News Elevate conference in Washington D.C.
Todays hospice landscape is reaching a pivotal point of evolutionary growth that has come with increased oversight as regulators seek to curb fraudulent activity in the space, according to Bill Dombi, senior counsel for the law firm Arnall Golden Gregory (AGG). What are the leading legal concerns facing hospice providers right now?
This is particularly true for people living in the nation’s 15,000-plus nursinghomes. The grant, spread out over a five-year period, will be put toward the team’s creation of a national network structure that seeks to include more nursinghome residents in clinical trials. As the U.S. Dr. Kathleen T.
Hospice industry organizations have voiced support for proposed updates to the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, but raised questions on the implementation timeline. Centers for Medicare & Medicaid Services (CMS) included the updates in its proposed hospice payment rule for 2025.
Though evidence shows that longer hospice stays reduce costs, providers are still walking a regulatory tightrope. On one hand, longer hospice stays can lead to improved patient and family satisfaction and greater cost saving opportunities. Young told Hospice News. Centers for Medicare & Medicaid Services (CMS) and the U.S.
Many hospices may be unprepared to cope with a large-scale disaster or a future pandemic. Last year, The Joint Commission implemented similar requirements for hospices. However, the COVID-19 pandemic exposed gaps in preparedness when it comes to hospice and palliative care. Increasingly, this factors into compliance.
Houston Hospice is opening up its inpatient unit for use by other providers. Other hospices will soon be able to admit patients to the company’s unit in the Texas Medical Center in Houston. They will be able to coordinate with Houston Hospice and deliver General Inpatient Care (GIP), helping to avoid hospital readmissions.
Hospices should be required to report all instances of abuse and neglect, even if the perpetrator was not an employee, the U.S. This would bring the hospice rules in line with those used in long term care. The post GAO: CMS Should Update Rules for Hospices Reporting Abuse or Neglect appeared first on Hospice News.
Palliative care is grossly underutilized in nursinghome settings, but providers can develop new tools that could bring those services to more residents, a recent study has found. It’s inherent in the nature of the people we serve in the nursinghome setting.
A federal judge has sentenced Jesus Virlar-Cadena, formerly a medical director for the Texas-based hospice company Merida Group, to 50 months in prison for his role in a $152 million scheme. Evidence at the trial showed that the Merida Group marketed their hospice programs through a group of companies,” the U.S.
The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. Lindsay Nixon, administrator at Arbor Hospice, has been named a 2024 Future Leader by Hospice News. Time to adjust the sails!
Louisiana-based CommCare Corporation recently acquired Notre Dame Hospice and Notre Dame Home Health for an undisclosed sum. CommCare’s purchase of Notre Dame’s home health and hospice operations marks the transaction of this divestiture Its nursinghome services are next in line as part of a separate deal set to close in 2023.
Hospices tend to see an increase in dementia patient admissions as well as home-based utilization following an acquisition by a private equity firm or a publicly traded company. After an acquisition by a public company, hospices saw a 1.4% A little more than 20% of hospice decedents in 2020 suffered from dementia, up from 18.5%
Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Though he pledged more detailed responses at a later date, Becerra told lawmakers that CMS is certifying hospices in markets where there is a need identified in the community. “I Michelle Steel (R-Calif.)
Hosparus Health has acquired Baptist Health Deaconess Hospice in Madisonville, Kentucky, for an undisclosed sum. Founded in 1978, Hosparus Health’s 600 employees and 500 volunteers provide care for more than 10,000 patients annually, including hospice, medical care, palliative medicine, mental health and bereavement services. “Our
Errors or other inconsistencies with the payment cap can have significant consequences for providers, and sales and marketing staff can help hospices achieve a healthy balance. The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients.
Patient preferences are trending towards home-based hospice care, leaving some inpatient facilities between a rock and a hard place. Meanwhile, other hospices diversify and expand their inpatient service capabilities. More patients are choosing to receive in-homehospice care,” the organization told local news.
Pandemic-related headwinds that strained hospice referrals may have lingering impacts on how providers are approaching their community outreach and marketing efforts. Referrals from assisted living and skilled nursing facilities represent a large portion of hospice patients, along with hospital and health system referrals.
She became a hospicenurse for By the Bay Health in 1996, then named Hospice of Marin, taking on various roles in clinical leadership throughout her more than 27-year tenure. “It Previously known as Hospice by the Bay, the organization rebranded in 2021 to reflect a broadening scope of services.
Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. Centers for Medicare & Medicaid Services (CMS).
Certificate of need (CON) laws have a huge influence on hospices’ ability to expand, patients’ access to care, as well as the competitive landscape and quality of care in a given market. . It really depends on the current culture of the state,” Lund Person told Hospice News. Currently, 14 states have CON laws that include hospices.
Meanwhile, Medicare hospice spending is expected to more than double by 2032. The report, published today in Health Affairs , did not contain hospice-specific data. However, the annual Medicare Trustees Report for 2023 provides a more detailed look at hospice spending. annually between 2022 and 2031, reaching $7.1
Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. Medicare Advantage currently does not cover hospice care.
Hospices are blazing trails toward growth, each provider with its own range of strategies. Regardless of providers’ disparate methods, hospice remains a high-growth industry, expanding at an annual rate of 7% to 8% annually, Bank of America (BofA) Global Research reported in TKTK. Hospice News edited comments for length and clarity.
Home health and hospice provider Enhabit, Inc. The company’s more than 10,000 employees provide care from 105 hospice and 252 home health locations in 34 states. Enhabit plans to open 10 hospice de novos each year in its existing home health markets. The Denver Hospice Appoints New Medical Director.
Centers for Medicare & Medicaid Services (CMS) ramped up auditing activity in the space while also sunsetting the hospice component of its value-based insurance design (VBID) model demonstration ahead of its initial expiration. There were just some of the themes percolating among the most-read Hospice News coverage of 2024.
Alaska-based Bartlett Regional Hospital recently received approval from legislators to relaunch hospice and home health services nearly a year after a local provider shut down. Bartlett Regional Hospital in January began the process of taking over HHCJ’s hospice and home health patients to fill care delivery gaps in southeast Alaska.
Specialized nursing facility clinicians, or SNFists, have a strong potential to reduce hospitalizations and improve quality of care at the end of life, including access to hospice. Terminally ill nursinghome often undergo burdensome experience burdensome transitions of care that adversely affect quality.
Addus HomeCare Corporation’s (NASDAQ: ADUS) hospice segment is seeing slow but steady improvement as pandemic headwinds ease. Meanwhile, the company’s near-term acquisition sights are set more on home health than in personal care amid potential payment shifts. We believe that hospice volumes will continue to steadily improve.”
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. clinical power means mastering timely initiation of care.
Rural-based hospice providers face a range of challenges to improve access among their underserved patient populations. We hear from countless community providers and state association leaders that rural hospices are in financial trouble,” Hoover wrote in a recent letter to the U.S.
Some hospice patients rely on these plans for other health needs, such as nursinghome costs. While hospice patients transition to the Medicare benefit for their end-of-life care, some may continue to need their dual-eligibility coverage to address issues that are technically outside the scope of their terminal diagnosis. “In
Again, this was not an AHPM or HPNA sponsored thing, but we did go around people on the street asking them two questions: what’s one thing that you’re hoping for in the future of palliative care and hospice, and what’s another thing when you’re thinking about what you’re worried about for the field?
“Empath is really putting a full-life care continuum of services and programs together that is very focused on the frail, elderly population,” Empath Health CEO Jonathan Fleece told Hospice News. “As The post Empath Health, American Health Plans Launch ISNP Joint Venture appeared first on Hospice News.
PACE programs offer a comprehensive approach to care for participants who meet certain eligibility criteria, mainly to seniors who have significant medical and non-medical needs to help them age in place and avoid the hospital or nursinghomes. But they can pay us a portion of that,” Ferris told Hospice News. ”We’re
The 2025 proposed hospice rule is raising some questions along with payment rates. increase in hospice per diems for 2025. The agency also proposed two new quality measures and 2025 implementation of the Hospice Outcome and Patient Evaluation (HOPE) assessment tool to replace the Hospice Item Set.
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