Hospice News

SEPTEMBER 25, 2024

We want to have money for our chaplains program and our bereavement services, and you could easily spend all of the money that we get from Medicare on pharmacy. There are certain areas that Medicare is focused on right now. Just making sure that your hospice is financially solvent is important. So we try to be judicious about that.

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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

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.

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Hospice News

FEBRUARY 14, 2024

PACE programs offer a comprehensive approach to care for participants who meet certain eligibility criteria, mainly to seniors who have significant medical and non-medical needs to help them age in place and avoid the hospital or nursing homes. Most PACE participants are dually eligible for both Medicare and Medicaid, the U.S.

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Palliative care Palliate Medicare Definition 286

Hospice News

MARCH 21, 2024

Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all.

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2010 Hospice Medicare 2024 264

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.

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Healthcare Law Insights blog

OCTOBER 17, 2023

Many long-term care residents live in Missouri nursing homes for years. In certain cases, nursing homes may discharge or transfer a resident even if the resident does not consent to the discharge or transfer – this is known as an “involuntary discharge” or an “involuntary transfer.” 19 CSR 30-82.050(2)(A)-(F).

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Nursing home Long-term care Document Nursing 59

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). The ISNP program will in time extend throughout the state of Florida, according to Fleece.

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Registered Nurse Long-term care Geriatrics 2023 277

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. Of those, about 3.8

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Hospice News

OCTOBER 22, 2024

The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. Centers for Medicare & Medicaid Services set the cap at $33,394. If a hospice has a cap liability, they will have to repay that amount to Medicare. For Fiscal Year 2024, the U.S.

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Hospice Assisted living 2025 Care at home 205

Hospice News

FEBRUARY 14, 2023

Nationwide, about half of all hospice agencies are freestanding, while the remaining half are owned by other types of providers mainly home health agencies, hospitals and skilled nursing facilities, according to a report from the Medicare Payment Advisory Commission (MedPAC). Among the 1.6 Among the 1.6 Anthony’s Hospice.

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Assisted living Hospice Nursing Nursing home 263

Hospice News

FEBRUARY 27, 2023

Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. In 2011, for example, 50% of MA patients came to hospice from the community, compared to 39% of those in traditional Medicare. This is close to half of all Medicare beneficiaries.

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Hospice News

OCTOBER 3, 2023

About 143,284 Medicare decedents elected the hospice benefit in 2021, according to the U.S. Centers for Medicare & Medicaid Services (CMS), the third highest in the nation. By 2030, an additional 5.2 million residents of the Lone Star State are expected to enter that age group, Elder Options of Texas reported.

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2030 Hospice Medicare 2021 278

Hospice News

JANUARY 26, 2024

These include the home, skilled home care and institutional care. The study spanned data among 199,828 Medicare decedents 50 and older who died in 2018. More than half (59%) spent the last three years of life in the home. About 27% were in skilled nursing home care with “heavy use” of home health and hospice.

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Geriatrics 2018 Medicare End-of-life care 304

Hospice News

AUGUST 29, 2024

Transitions Care has expanded its service region to include the Rock Island community in its home state. The organization is a portfolio company of the Transitions Group, which also holds skilled nursing, home health, medical equipment and therapy assets. Centers for Medicare & Medicaid Services. million people.

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Hospice News

JUNE 13, 2024

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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Hospice End-of-life care Medicare Palliative care 305

Hospice News

OCTOBER 25, 2024

To achieve this kind of connection, hospice nurses must actively listen to their patients and get to know their needs, wishes and goals, nurse case manager Janet Winegarner, also from By the Bay Health, told Hospice News. Winegarner came into the field in 1976, making her one of the longest serving hospice nurses in the country.

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Hospice Nursing End-of-life care Hospice nursing 279

Hospice News

MARCH 29, 2023

Are you in an outlier scenario with your data that Medicare contractors are looking at? Centers for Medicare & Medicaid Services (CMS) and the U.S. In 2020, the average length of stay for Medicare patients enrolled in hospice was 97.0 according to the Medicare Payment Advisory Commission. Young told Hospice News.

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Hospice News

JUNE 2, 2023

In 2021, more than 22,000 Medicare decedents elected hospice care in Kentucky. Centers for Medicare & Medicaid Services (CMS). Because most of the individuals accessing PACE are going to be Medicare and Medicaid beneficiaries,” Cook told Hospice News in January. “A It currently serves six Kentucky counties.

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Hospice Bereavement Grief Medicare 224

Hospice News

SEPTEMBER 27, 2023

Critics argue that PE and PTCs could prioritize short-term, above-market returns, which may lead to agencies selectively enrolling and targeting patients who require less complex care and longer hospice stays, such as those with dementia and nursing home residents.”

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Hospice News

MAY 8, 2023

The provider’s executive team combines Fluhart’s business experience with the clinical expertise brought by Hughes, a nurse practitioner herself. We’re growing pretty exponentially right now, especially in skilled facilities like nursing homes and such. It’s not the same as home health and hospice.

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Palliative care Palliate Medicare Geriatrics 245

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. 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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Hospice Long-term care 2019 Nursing home 244

Hospice News

SEPTEMBER 29, 2023

They enrolled patients with long-term incurable diseases such as Alzheimers and dementia as well as patients with limited mental capacity who lived at group homes, nursing homes and in housing projects.” Justice Department indicated in a statement.

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Medical director Hospice 2019 Hospice companies 272

Hospice News

FEBRUARY 14, 2023

The Medicare Hospice Benefit should allow some concurrent care, and Congress should support greater access to palliative care, among other reforms, according to LeadingAge. The senior care advocacy organization wrote to Congressional leaders today calling on lawmakers to devote attention to improving the 40-year-old benefit.

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Palliative care Palliate Hospice Bereavement 290

Hospice News

APRIL 4, 2024

Current reimbursement structures within the federally established Medicare Hospice Benefit do not sufficiently support the level of care needed in rural-based communities, according to the National Hospice and Palliative Care Organization (NHPCO). “We House of Representatives’ Ways and MeansCommittee.

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Hospice News

FEBRUARY 24, 2023

VITAS saw nursing home admissions rise 9.4% and home-based admissions also dipped 7.5%. The decline resulted from the reinstated 2% Medicare sequestration, a 2.8% reduction in total days of care and a geographically-weighted average Medicare reimbursement rate increase of approximately 3.2% in Q4, along with a 2.7%

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2023 2022 Social worker Medicare 242

Hospice News

AUGUST 22, 2024

The Home Health Distinction in Outcomes is designed to recognize strong performance in three domains — patient outcomes, patient satisfaction and health care utilization. The post ACHC Ushers in 2 Home-Based Care Distinction Programs appeared first on Hospice News. These metrics are rooted in the U.S.

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Hospice News

MARCH 27, 2024

Centers for Medicare & Medicaid Services (CMS) expanded a Condition of Participation pertaining to disaster preparedness planning. For hospice and palliative care providers, many were unable to reach patients in facilities and at times could not provide care in some homes, Baker Rogers indicated. In 2017, the U.S.

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Hospice End-of-life care 2017 Bereavement 279

Hospice Nurse Hero

SEPTEMBER 13, 2022

Hospice care is delivered anywhere the patient calls home and for many elderly, this includes the nursing home. Learn how you can build better relationships with nursing homes while delivering quality hospice care. As a hospice nurse, it’s likely that you will provide care to nursing home patients.

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Nursing home Nursing Document Hospice nursing 52

Hospice News

JUNE 3, 2024

Centers for Medicare & Medicaid Services (CMS) included the updates in its proposed hospice payment rule for 2025. Hospice industry organizations have voiced support for proposed updates to the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, but raised questions on the implementation timeline.

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2025 2026 Hospice Palliative care 245

Hospice News

JANUARY 25, 2023

Centers for Medicare & Medicaid Services (CMS) for a PACE license, according to CEO David Cook. Because most of the individuals accessing PACE are going to be Medicare and Medicaid beneficiaries,” Cook told Hospice News at the Home Care 100 conference in Orlando, Florida. “A

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Grief Palliative care Medicare 2021 237

Hospice News

SEPTEMBER 29, 2022

The Alzheimer’s Association projects the total cost of care for dementia patients to reach $321 billion in 2022, including $206 billion in Medicare and Medicaid. These patients experience high rates of hospitalizations, readmissions, emergency department visits, and nursing home admissions, the association reported.

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Long-term care Medicare 2022 Caregiver 242

GeriPal

NOVEMBER 7, 2024

As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursing home. Let it be (hint hint).

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2009 Article Nursing home Medicare 230

Hospice News

MAY 4, 2022

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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Palliative care Palliate Medicare Social worker 298

Hospice News

DECEMBER 5, 2022

CommCare’s purchase of Notre Dame’s home health and hospice operations marks the transaction of this divestiture Its nursing home services are next in line as part of a separate deal set to close in 2023. For us, home health is a new business that we believe has great future potential.”. currently, according to the U.S.

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Rehabilitation services Hospice 2030 2008 239

Hospice News

NOVEMBER 1, 2022

Since 2020, the company has been beleaguered by the staffing shortage, reduced lengths of stay, and disruption in skilled nursing, senior housing, and to some extent acute-care referrals. These factors, along with the return of Medicare sequestration, have contributed to declining revenues. drop among those referred from hospitals.

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Social worker 2020 Assisted living Medicare 222

Hospice News

JANUARY 16, 2023

They included VA hospice encounters in the outcome but not enrollment in a home hospice program, nursing home hospice center or Medicare-paid hospice.

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Social worker Palliative care Palliate Social work 278