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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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5 ‘Hidden Gem’ Palliative Care News Stories in 2024

Hospice News

Centers for Medicare & Medicaid Services value-based insurance design (VBID) model. Launched in 2017 by the Center for Medicare and Medicaid Innovation (CMMI), the VBID demonstration tested new approaches to reimbursement across a variety of health care settings.

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Mission Health Services Acquires Angel’s Crossing Home Hospice

Hospice News

The long term care company Mission Health Services has acquired Utah-based Angel’s Crossing Home Hospice. Mission is a nonprofit provider of nursing home, assisted living, short term care, memory care and therapy services. About 15,900 Medicare decedents in Utah elected hospice in 2022, a rate of slightly more than 59%.

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Hospice Execs: Medicaid Reform Needed for Better Grip on Hospice RCM

Hospice News

Fielding room-and-board reimbursement for hospice patients in nursing home settings represents a significant challenge plaguing hospices, according to Stephen Phenneger, president and CFO of St. The PIP methodology involves careful claim reviews to ensure that Medicare billing is appropriate and accurate. Croix Hospice.

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Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. Centers for Medicare & Medicaid Services (CMS).

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‘NEXT STEPs’ Program Focuses on Enhancing Nursing Homes Services, Including Palliative Care

Hospice News

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. As the U.S. Dr. Kathleen T.

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The Senior Living Opportunity for Hospices

Hospice News

My generation, baby boomers, were not going to a nursing home. In 2022, more than 907,000 Medicare hospice decedents were older than 85, out of 1.7 million total patients, according to the National Alliance for Care at Home. The lions share of assisted living residents are aged 85 or older, AHCA/NCAL reported.