Hospice News

SEPTEMBER 14, 2023

A pilot program by an Accountable Care Organization (ACO) reduced per capita health care expenditures at a rural hospital by 70% and admissions by 98%. A key component of the initiative was a “Four Questions” framework for goals-of-care conversations. Clinicians also did home visits with nurses on call 24/7.

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Hospice News

AUGUST 6, 2024

The nonprofit senior care provider Empath Health is partnering with the Medicare Advantage organization American Health Plans (AHP), a division of American Health Partners to serve patients who are enrolled in Institutional Special Needs Plans (ISNP).

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Registered Nurse Geriatrics Long-term care 2023 278

Hospice News

SEPTEMBER 12, 2022

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Some hospice patients rely on these plans for other health needs, such as nursing home costs. Close to 12 million people in the United States qualify for both Medicare and Medicaid.

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Hospice News

OCTOBER 21, 2024

Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules. If GIP billing exceeds that metric, the hospice must refund those payments to Medicare.

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Hospice Document Medicare Long-term care 290

Hospice News

OCTOBER 8, 2024

Hospice utilization rates among Medicare descendents in Florida reached 55.97% in 2022, according to the National Hospice and Palliative Care Organization’s Facts and Figures report. Census Bureau. Senior populations are projected to more than 30% of Florida’s population by 2045, reported the state’s Department of Elder Affairs.

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Hospice News

SEPTEMBER 29, 2022

Many people will never be able to really afford long-term care, and I think there’s a big equity issue here. Among the company’s goals is to reduce both the burden on patients and caregivers as well as the financial strain on the health care system. . So how do we provide that infrastructure to keep them at home?”.

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Long-term care Medicare 2022 Caregiver 246

Hospice News

SEPTEMBER 20, 2023

Its technology platform connects patients and family members to palliative and hospice nurses, social workers, spiritual coordinators and other interdisciplinary staff. Guaranteed serves Medicare and Medicaid patients across five counties in southern California, including the Los Angeles region. The funding follows a $6.5

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Hospice News

SEPTEMBER 20, 2024

This is particularly true for people living in the nation’s 15,000-plus nursing homes. 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 nursing home residents in clinical trials. Centers for Medicare and Medicaid Services , approximately 1.2

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Hospice News

JULY 6, 2022

Founded in 1984, CommuniCare Health Services is a family-owned company that provides post-acute services including skilled nursing, assisted living, independent living, behavioral health and long-term care. Hospice utilization among Medicare decedents in West Virginia reached 43.6% that year.

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Rehab Realities by Renee Kinder

NOVEMBER 7, 2024

The Medicare Physician Fee Schedule (MPFS) is the system through which the Centers for Medicare & Medicaid Services determines payment rates for services provided by physicians and other healthcare professionals. This year’s Medicare Physician Fee Schedule rule was released last Friday (Nov.

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Hospice News

JANUARY 11, 2023

Centers for Medicare & Medicaid Services (CMS) requires operators to report incidents of patient abuse and neglect that involve their staff. This would bring the hospice rules in line with those used in long term care. Government Accountability Office (GAO) has recommended.

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Hospice News

AUGUST 5, 2022

We contract with [the Center for Medicare & Medicaid Innovation (CMMI)] as a direct contracting entity, and our job is to coordinate a network of providers, called DCE participants, and then also preferred providers, which would be hospices, home health agencies that can help coordinate the care as the patients move into the home setting.”.

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Hospice News

JUNE 6, 2023

Most of the hospital’s revenue shortfall comes from its long-term care facility — a 20-bed outfit. Another caregiving agency in the area serves patients on Medicaid or Medicare, but their availability is limited. Patients in the program will be served by their primary care physician, a nurse case manager, and EMTs.

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Palliative care Palliate 2017 Long-term care 246

Hospice News

OCTOBER 30, 2024

Where they start in terms of considering hurdles is probably just the baseline structure of how they want to set it up, and the enrollment, since a lot of them will be targeting Medicare reimbursement. Centers for Medicare & Medicaid Services (CMS)] has limited the amount of times those can change hands.

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Hospice News

DECEMBER 11, 2023

She was most recently its corporate compliance officer, previously serving as both an admission and a triage nurse, long-term care manager, quality improvement specialist and senior director of quality, among other roles. Ervin joined Avow Hospice in 2003, working in various clinical and non-clinical roles.

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Caregiver Support Services

MARCH 7, 2024

The likelihood of needing long-term care increases as you age, and the expenses that come with long-term care also increase. These costs are normal, but the high price point can still catch many off guard, which is why it’s important to prepare for long-term care expenses sooner rather than later.

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Hospice News

AUGUST 1, 2023

Tennessee Quality Care is a portfolio company of American Health Partners, which operates companies in the home health and hospice; long term care, senior living and rehabilitation industries, as well as behavioral health care. Allison attributed the decline primarily to the return of Medicare sequestration.

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Homecare 2030 2017 Long-term care 246

Hospice News

OCTOBER 6, 2022

The Johns Hopkins School of Nursing launched CAPABLE in 2009 and since then has overseen the program nationally. With this new agreement, Care Synergy will be taking over those management functions. “We In post-acute care, we see people further down in their health trajectory. Medicare is thinking about it.

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Hospice News

OCTOBER 16, 2024

Sometimes they might be doing consultations either inpatient or in the nursing home or in assisted living. Oftentimes, we say the hospital, but the hospital also manages the home care and the long term care. You can bill for advanced care planning. You can bill for chronic care coordination.

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Hospice News

NOVEMBER 20, 2024

Palliative interventions should be integrated into primary care for patients living with symptomatic multiple chronic conditions (MCC), a recent consensus paper indicated. According to Bruera and Kuebler, an integrated palliative care model requires collaboration. adults have MCC, including 80% of Medicare beneficiaries.

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Hospice News

AUGUST 18, 2022

It extends the organizations’ existing partnership for hospital-based palliative care services, bringing this care into more settings such as hospitals, physician offices, long-term care facilities and in the home. independent of the JV. About 47.6% This trailed behind the national average of 50.3%

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Hospice News

MAY 2, 2023

We are also building out programs in the long-term care environment in collaboration with our robust SNFist program (skilled nursing facility specialist). All our efforts will be guided by our goal of making health, and health care, easy for our patients and members. To some degree that will be dictated by policy.

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Nurse.com

OCTOBER 26, 2022

Unmet needs for mental health care is creating opportunities for nurses, both new and experienced, in multiple care settings. With the demand for mental health nurses, the possibilities are wide-open, well-paying — and impressively diverse. You can care for pediatric patients, students, adults, or geriatric patients.

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GeriPal

MARCH 10, 2022

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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Chicago Caregiving

JULY 6, 2024

How to vet care facilities — and make a decision under pressure Fact checked by Catherine Gianaro What happens when an older adult leaves the hospital but still needs care? In 2023, The Joint Commission expanded its certification to independent and assisted living memory care facilities. This often results in poor care.

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Hospice News

JANUARY 31, 2024

. — Samantha Black, executive director of PACE services, TRU Community Care Individuals eligible for PACE services include seniors 55 and older who live in a service catchment area defined by zip codes. Most PACE participants are reimbursed through the long-term care programs within Medicare and Medicaid, according to Black.

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Daily Nurse

APRIL 24, 2023

According to “The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition,” claims again nurse practitioners (NPs) are rising. To find out what this means and what NPs can do about it, Daily Nurse interviewed Georgia Reiner, MS, CPHRM, Risk Analyst, Nurses Service Organization (NSO).

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Comforcare Home Care

APRIL 28, 2022

There are significant differences between the type of care available through private duty home care agencies and Medicare/Medicaid government funded home care services. Doctor Order Required - Medicare YES Private Duty NO. Length of Service - Medicare 30-60 Days Private Duty Unlimited.

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Rehab Realities by Renee Kinder

JULY 21, 2022

But onward to post-acute care and what we see coming in the future. . Last week we as an industry saw RTI International release a report titled: CMS Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care Analysis and Development of the Prototype Unified PAC Prospective Payment System Called for in the IMPACT Act.

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Rehab Realities by Renee Kinder

APRIL 27, 2023

PEPPER is a report that uses National SNF claims data to identify areas within the SNF prospective payment system (PPS) that could be at risk for improper Medicare payment. N: count of SNF claims where the third character of the HIPPS code, representing the nursing payment group, is one of the following: A, B, C, D, H, or L D.

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Definition Document Medicare Long-term care 97

Daily Nurse

SEPTEMBER 12, 2023

Anne Dabrow Woods has incredible insight into nursing as a practicing critical care nurse practitioner and nursing educator with over 39 years of experience and counting. How long have you been in nursing, and what are some of your roles during that time? I know what nurses need in practice.

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Rehab Realities by Renee Kinder

SEPTEMBER 1, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2023. . • Two walking items. What changes in FY 2023, you ask?

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Hospice News

NOVEMBER 17, 2023

.” Pallitus has also entered into some value-based arrangements with other payers and hospital systems to provide high quality palliative care more on a per-member-per-month fee schedule. Principal care management is something that [the U.S. “That’s been very, very successful,” Dillon said.

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Long-term care Palliative care Social worker 2024 130

Hospice News

OCTOBER 19, 2023

They were advanced practice nurses, some of them were doctors that were actually reviewing the medical eligibility documentation requirements and CTI. I think it’s the first one that’s ever been done on hospice nurses in the hospice industry, done by the Amity Group. There’s a significant cost.

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Rehab Realities by Renee Kinder

AUGUST 18, 2022

The Centers for Medicare & Medicaid Services has contracted with Acumen LLC and Abt Associates to develop quality and cost measures for use in the IRF, LTCH, SNF, and HH QRPs and the Nursing Home Quality Initiative (NHQI). What was this group’s aim you ask? Project Overview. She can be reached at rkinder@broadriverrehab.com.

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Rehab Realities by Renee Kinder

APRIL 11, 2024

I am still in awe of the posts, shares and stories I hear about how the skilled nursing facilities embraced the day and found ways to allow those residing in their communities to experience this event. Nurses are passionate and gladly speak their minds to achieve the best outcomes. How fascinating was the solar eclipse this week?

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Hospice News

NOVEMBER 28, 2022

That assumes that you have somebody at home who’s willing and able to take care of you. And if we don’t make that happen, those patients end up in the hospital or they end up in nursing homes. It is skilled care even when you have no skills, and you have no license, but you’re doing this 24 hours.

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