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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Department of Health & Human Services Office of the Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC), and the Government Accountability Office.

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NAHC-NHPCO Alliance Taking Shape

Hospice News

Both organizations bring a rich history and awareness of the challenges and opportunities in home health and hospice care delivery, said Bill Dombi, interim Co-CEO of the NAHC-NHPCO Alliance. The alliance is anticipated to take shape under a new name by January 2025, he indicated.

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NAHC President Bill Dombi: History Repeating Itself on Hospice Program Integrity

Hospice News

Centers for Medicare & Medicaid (CMS) this year introduced a number of new regulations, many of which were modeled after some in place for home health agencies and skilled nursing facilities. Back in the 1990s, the microscope ended up focusing on the Medicare Home Health Program.

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M&A Volume May Shift From Hospice to Home Health

Hospice News

Centers for Medicare & Medicaid Services (CMS) has honed in on hospice program integrity through a number of new regulations, including some in the agency’s 2024 hospice final rule. The regulations focused on Medicare enrollment in an effort to stifle unethical or illegal activity in the space.

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Adena Health, ASHN Form Hospice, Home Health JV

Hospice News

In 2021, close to 80,150 Medicare beneficiaries in Ohio utilized the hospice benefit, according to the U.S. Centers for Medicare & Medicaid Services (CMS). California saw the most hospice utilization that year, with 156,000 beneficiaries electing these services.

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What Hospices Can Learn from Home Health Agencies on New Program Integrity Rules

Hospice News

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 Medicare Hospice Benefit. Their recommendations included a temporary moratorium on new hospices enrolling in Medicare.

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Three Key Gauges of Hospice Business Performance

Hospice News

Medicare Administrative Contractor (MAC)] audits and those sorts of things add overhead expenses, and those indirect costs are going to be something that we all will have to deal with. Because as more [Accountable Care Organizations (ACOs), Medicare shared-savings health plans negotiate with hospices, they’re going to want a discount.”.

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