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MA Enrollment to Outstrip Traditional Medicare in 2025

Hospice News

Growth in the number of Medicare Advantage beneficiaries will likely overtake that for traditional Medicare in 2025, according to new estimates from the U.S. Centers for Medicare & Medicaid Services (CMS). Researchers examined Medicare claims data for more than 1 million patients who died between 2016 and 2018.

2025 278
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Longer Hospice Stays Among Dementia Patients Save Medicare Dollars

Hospice News

Massachusetts Institute of Technology (MIT) researchers analyzed Medicare fee-for-service claims spanning between 1999 and 2019, including data on hospice billing, patient enrollment, hospitalizations, health costs and chronic condition indicators. Hospice has saved money for Medicare by offsetting other expensive care for ADRD patients.”

Medicare 293
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Medicare Made $190M in Improper Hospice Payments to Hospitals

Hospice News

Medicare made an estimated $190 million in improper payments to acute-care hospitals for outpatient hospice services between 2017 and 2021. Our medical reviewer found that Medicare paid acute-care hospitals for outpatient services that palliated or managed hospice enrollees’ terminal illnesses and related conditions,” the OIG report stated.

Medicare 161
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‘Upgrading’ the Medicare Hospice Benefit

Hospice News

The Medicare Hospice Benefit could use an “upgrade” to ensure greater flexibility that may be necessary to fully support patients’ needs. Centers for Medicare & Medicaid Services (CMS) should consider is retiring the six-month terminal prognosis requirement and allowing for some concurrent care, Wallace and Wladkowski indicated.

Medicare 290
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Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

Medicare 264
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NHPCO Speaks Out on 2025 Proposed Medicare Hospice Rates

Hospice News

Centers for Medicare & Medicaid Services (CMS) in March issued its 2025 proposed hospice rule, which if finalized would include a 2.6% Most hospices also do not have a diversified payer mix and are dependent on the Medicare Hospice Benefit. “We The proposed 2.6% increase in the per diem base rate.

2025 306
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Medicare Advantage Beneficiaries Less Likely to Receive Aggressive End-of-Life Care

Hospice News

Medicare Advantage (MA) beneficiaries are less likely to receive intensive treatments or burdensome transfers during the last six months of life compared to those in traditional Medicare, a new study has found. For the study, researchers examined Medicare claims data for more than 1 million patients who died between 2016 and 2018.