Hospice News

JUNE 28, 2023

Lauren Templeton began her medical career in a surgical internship before transitioning to internal medicine. Templeton now is a hospice physician consultant at Weatherbee Resources as well as medical director for Texas-based Hendrick Hospice Care. What qualities or characteristics would such a person possess?

Medical director 246

Medical director Hospice Medicare Definition 246

Hospice News

JUNE 12, 2024

Candidates for palliative care position need to have a strong understanding of what the job entails, Dr. Jennifer Blechman, palliative care medical director at the Oregon-based nonprofit Partners in Care said at the Hospice News Virtual Staffing Summit. Palliative care is relatively a new field.

Palliative care 297

Palliative care Palliate Medical director 2018 297

Hospice News

MAY 22, 2024

Jennifer Blechman, palliative care medical director at the Oregon-based nonprofit Partners in Care. Centers for Medicare & Medicaid Services’ (CMS) value-based insurance design (VBID) demonstration, which is slated to end on Dec. In today’s predominant reimbursement structure, palliative care programs are often loss leaders.

Palliative care 289

Palliative care Palliate Medicare Medical director 289

Hospice News

DECEMBER 13, 2023

Since at least 2022, Contessa has been pursuing palliative care reimbursement through Medicare Advantage. Earlier this year, the Amedisys subsidiary entered into its first full-risk Medicare Advantage contract to include palliative care with Blue Cross Blue Shield of Tennessee. based research and consulting firm ATI Advisory. “I

Palliative care 305

Palliative care Palliate Social worker Medicare 305

Hospice News

JUNE 15, 2023

After more than a decade working in hospice leadership, Alli Collins came across something she had never seen before — a financially viable, all-volunteer provider that is not Medicare-certified. I am the new executive director for Hospice and Palliative Care of the Wood River Valley. She never instituted a Medicare provider number.

Medicare 246

Medicare Palliative care Palliate Hospice 246

Hospice News

APRIL 24, 2024

But primarily, Medicare still reimburses for palliative care through fee-for-service payment programs that cover physician and licensed independent practitioner services. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit.

Palliate 278

Palliate Palliative care Medicare Medical director 278

Hospice News

JULY 20, 2022

Payers, including Medicare, like to see providers reduce the costs of care. 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.

Palliative care 290

Palliative care Palliate 2013 Medicare 290

Hospice News

SEPTEMBER 27, 2024

In addition to these types of partnerships, Contessa also contracts directly with some payers, primarily Medicare Advantage plans. “We The joint ventures’ boards have a 50/50 split among members from each partner with oversight by a dedicated medical director. Amedisys acquired Contessa in 2021 for $250 million.

Palliative care 264

Palliative care Palliate Medical director Social worker 264

Hospice News

JUNE 4, 2024

The bill’s introduction follows legislation floated last year that proposed to expand Medicare coverage of telehealth and make permanent some of the flexibilities implemented during the COVID-19 public health emergency. People would suffer. Currently set to sunset Dec.

Palliate 290

Palliate Palliative care 2026 Medical director 290

Hospice News

JULY 11, 2024

Efforts to establish potential payment mechanisms for high-acuity palliative services within the Medicare Hospice Benefit will require greater clarity from regulators, according to the Coalition to Transform Advanced Care (C-TAC). This could result in deepening conflation of hospice and palliative care, the organization indicated. “We

Definition 243

Definition 2025 Palliate Hospice 243

Hospice News

FEBRUARY 23, 2024

Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. Want to read more palliative care-focused content like this? Subscribe to Palliative Care News today ! The company acquired Contessa in 2021 for $250 million. million beneficiaries.

Palliative care 278

Palliative care 2024 Palliate Social worker 278

Hospice News

OCTOBER 25, 2023

Centers for Medicare & Medicaid Services (CMS) allowed palliative care providers to perform patient care visits virtually. Centers for Medicare & Medicaid Services (CMS) allowed palliative care providers to perform patient care visits virtually. During the pandemic, the U.S. In June U.S.

Palliative care 264

Palliative care Palliate Medicare Webinar 264

Hospice News

OCTOBER 1, 2024

Centers for Medicare & Medicaid Services (CMS) has signaled its intention to align every Medicare beneficiary with a value-based payment system by 2030. The workforce shortage and value-based care will shape the future of hospice, according to some providers.

Hospice care 297

Hospice care 2030 Hospice Medical director 297

Hospice News

APRIL 12, 2024

Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. The CoPs require that a hospice medical director or physician designee review patient clinical information and provide written certification of their terminal illness.

2025 279

2025 Medical director Hospice Document 279

Hospice News

DECEMBER 15, 2022

Commonly known as the Medicare Advantage hospice carve-in, the Value-Based Insurance Design (VBID) model officially launched on January 1, 2021, with 53 Medicare Advantage Plans offering the benefit in 206 counties within 13 states and Puerto Rico for 4 years ending in 2025. The difference is Medicare Advantage vs Humana VBID.

Palliative care 264

Palliative care Palliate Hospice 2003 264

Hospice News

APRIL 26, 2024

Centers for Medicare & Medicaid Services (CMS) has delayed the implementation of hospice certifying physician Medicare enrollment requirements. CMS delayed the date to enroll in or opt out of Medicare until June 3 for physicians who certify hospice services.

Hospice 283

Hospice Medicare Medical director 2024 283

Hospice News

MARCH 29, 2024

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.

2025 288

2025 Medicare Medical director Palliate 288

Hospice News

SEPTEMBER 20, 2023

Guaranteed serves Medicare and Medicaid patients across five counties in southern California, including the Los Angeles region. Prior to that, she was chief nursing officer at the Spotsylvania Regional Medical Center, also holding leadership roles at Evercare Hospice and Palliative Care and Capital Hospice, now Capital Caring.

Hospice 260

Hospice Medical director 2016 Palliative care 260

Hospice News

MAY 7, 2024

Centers for Medicare & Medicaid Services has also taken steps to bolster program integrity. In Clark County, they have added 70 Medicare-certified agencies in the past two years, and the market is collapsing,” a hospice executive told Hospice News on condition of anonymity. “It’s But the problem is not going away.

Hospice 290

Hospice Medical director Medicare 2023 290

Hospice News

JUNE 14, 2023

Meanwhile, Medicare hospice spending is expected to more than double by 2032. Centers for Medicare & Medicaid Services (CMS) Office of the Actuary also project that health care expenditures will represent 19.6% However, the annual Medicare Trustees Report for 2023 provides a more detailed look at hospice spending.

Medicare 264

Medicare Hospice 2022 2021 264

Hospice News

JUNE 17, 2024

Joe Rotella, chief medical officer of the American Academy of Hospice and Palliative Medicine (AAHPM), calls on hospices to maintain their core principles amid a churning sea of regulatory and economic changes. We’ve seen the development of hospice and palliative medicine as a recognized medical specialty.

Hospice 298

Hospice Palliative care Palliate Medical director 298

Hospice News

NOVEMBER 2, 2023

Centers for Medicare & Medicaid Services (CMS) finalized its home health rule for 2024 containing a new policy that will require anyone who holds 5% ownership or more in a hospice to submit a criminal background check, including fingerprints. Additional services include palliative care, a veterans program and care coordination.

2024 263

2024 Hospice Medicare Document 263

Hospice News

OCTOBER 10, 2024

Muir also has served as the medical director for the Center for Medicare and Medicaid Innovations’ (CMMI) high-needs Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) program. Muir joined the organization in 2019 as its chief of clinical innovations.

Hospice 290

Hospice 2002 2019 Bereavement 290

Hospice News

OCTOBER 4, 2023

He went on to become the organization’s medical director. “ He went on to become the organization’s medical director. “ John Mulder, chief consultant for hospice and palliative care medicine for Michigan’s Faith Hospice, was drawn to the field after witnessing his father’s difficult end-of-life experience.

Hospice 277

Hospice Medical director Palliative care Palliate 277

Hospice News

JUNE 8, 2022

Thus far, the initiative has yielded positive results, but the process hasn’t always been easy, according to Dr. Gregg VandeKieft, executive medical director of the institute’s Palliative Practice Group. For starters, rural regions are less likely to have a Medicare-certified hospice than urban counties. palliative?care

2015 306

2015 Palliative care Medical director Palliate 306

Hospice News

NOVEMBER 11, 2022

The Improving Access to Advance Care Planning Act would expand utilization of these services by removing Medicare payment barriers faced by both providers and patients. The bill proposes to “wave,” or remove, Medicare beneficiary cost-sharing for advance care planning services. Susan Collins (R-Maine) and Mark Warner (D-Va.)

Social worker 263

Social worker Social work Medicare Medical director 263

Hospice News

MARCH 12, 2024

Centers for Medicare & Medicaid Services (CMS). “The findings from our collaborative survey offer valuable insights into the auditing and adjudication processes of Medicare hospice benefit claims,” NPHI CEO Tom Koutsoumpas told Hospice News in an email. In addition to those my Medicare Contractors, last year the U.S.

Hospice 246

Hospice 2012 Medicare Medical director 246

Hospice News

FEBRUARY 10, 2023

District Judge Debra Brown has sentenced a Mississippi hospice physician to five years in prison for taking $16 million in fraudulent Medicare claims. He had served as medical director for several hospice organizations. attorney for northern Mississippi, said in a statement. billion in the fiscal year ending Sept.

Hospice 246

Hospice End-of-life care Medical director 2022 246

Hospice News

JUNE 29, 2023

Gross is also a medical director at ANX Hospice Care. There isn’t a guideline as to what would be considered best practice or appropriately fulfilling the Medicare requirements for bereavement,” Gross said. There’s no guideline in place for fulfilling this Medicare requirement in an economically feasible way.”

Bereavement 264

Bereavement Grief Hospice Social worker 264

Hospice News

MARCH 6, 2023

Centers for Medicare & Medicaid Services (CMS) on reported instances of hospice fraud in several states. “I In some cases, numerous licensed hospices have been operating from the same addresses, often with the same CEOs, medical directors and staff. Beth Van Duyne (R-Texas). The congresswoman and fellow legislator Rep.

Hospice 246

Hospice Medical director Palliative care Medicare 246

Hospice News

DECEMBER 13, 2024

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. The financial incentives in Medicare Advantage are designed to reduce overutilization, researchers indicated.

2024 240

2024 Hospice 2025 Medicare 240

Hospice News

MARCH 25, 2024

The hospice provider also offers palliative care, veteran and bereavement services, and durable medical equipment (DME) and supplies. In February that year we got our corporation licenses for a business and in November we became Medicare-certified. Stoneridge Hospice launched in 2020. The questions become, ‘Where are the patients?

Hospice 264

Hospice 2020 Bereavement End-of-life care 264

Hospice News

MARCH 24, 2023

according to the Medicare Payment Advisory Commission. We’re not going to take the place obviously of a medical director or a certified hospice nurse, but we are going to give them another tool to question their thinking and make sure that what needs to be documented is being documented.”

Hospice 130

Hospice Document Homecare 2020 130

Hospice News

NOVEMBER 17, 2023

Dr. Dustin Dillon, medical director of palliative care services at Pallitus, said it was important for the palliative care provider to stand on its own. The majority of these patients are greater than the age of 65 with multiple medical conditions. “We do that through expert symptom management,” Dillon said.We

Long-term care 130

Long-term care Palliative care Social worker Palliate 130

NHPCO

JULY 25, 2023

These program integrity efforts include: Revocation of Medicare enrollment: CMS has identified fraud schemes and increased its operational ability to revoke Medicare enrollment more quickly. Organizational Deactivation: CMS proposes to revoke Medicare certification if a provider has not billed any claims within six months.

Hospice 77

Hospice Medicare 2023 Medical director 77

Shining Light Hospice

APRIL 19, 2021

You’re able to continue receiving hospice care as long as the hospice doctor or the medical director certifies that you are still terminally ill. You’re allowed an unlimited number of 60-day periods, so long as your doctor, the hospice doctor, or the medical director will certify your condition as terminally ill.

Hospice care 45

Hospice care Hospice Medical director Medicare 45

AAHPM (American Academy of Hospice and Palliative)

JUNE 27, 2023

Thomson, DO MBA HMDC FACOI FAAHPM As one of AAHPM’s delegates, I had the privilege of representing the field of Hospice and Palliative Medicine at the American Medical Association (AMA) House of Delegates (HOD) 2023 Annual Meeting held in Chicago in mid-June. We know this issue also leads to moral distress for Hospice Medical Directors.

Medical director 40

Medical director Hospice Medicare 2023 40