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Medicaid Health Plans Failing to Pay Hospices for Nursing Home Room and Board

Hospice News

Stymied Medicaid reimbursement for nursing home room and board could threaten access to care for hospice patients in California and possibly other states. The issue centers around patients in nursing homes who are dually eligible for Medicare and Medicaid. We need to get this fixed.

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CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% billion in annual savings for Medicare, which underscores the critical importance of investing in hospice to ensure continued beneficiary access to quality end-of-life care.” Hospice care saves Medicare roughly $3.5 In a proposed rule released yesterday, the U.S.

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How 3 Home-Based Care Companies Leverage Clinical, Data and Product Power

Hospice News

Chicagoland-based BrightStar Care offers personal home care, as well as supplemental staffing and home health care. One key piece of information that has come out of tracking this information is that BrightStar Care has been able to achieve a $13,000 average in savings per person across 30 different diagnoses.

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GAO: CMS Should Update Rules for Hospices Reporting Abuse or Neglect

Hospice News

Centers for Medicare & Medicaid Services (CMS) requires operators to report incidents of patient abuse and neglect that involve their staff. GAO determined that under current rules abuse reports from hospices may be less complete or timely than those from nursing homes and hospitals.

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[UPDATED] Rep. Earl Blumenauer Plans Landmark Hospice Reform Bill

Hospice News

The bill would also implement a temporary, national moratorium on the enrollment of new hospices into Medicare, to help stem the tide of fraudulent activities among recently established providers concentrated primarily in California, Arizona, Texas and Nevada. “We

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Providers Navigate Fragmented Payment System To Bring Palliative Care to Patients

Hospice News

Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care. They also must become adept at negotiating with payers, such as Medicare Advantage plans.

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Samaritan Health Services, Laurel Brook Rehab Collaborate on Customized Palliative Care Model

Hospice News

In New Jersey, a partnership between a health services company and a nursing home is offering a new approach to long-term illness, tailoring palliative care treatment plans to individual patients. The company is open to taking part in value-based programs such as Medicare Advantage plans, Goldfine said. “We