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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.

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Advance Care Planning Billing Rules Impede Equitable Access

Hospice News

On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed in any setting outside of an annual wellness visit. the bill proposed to remove Medicare beneficiary cost-sharing while also widening the scope of staff who can bill for these services. Introduced by U.S.

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Palliative Care Providers Walk a Reimbursement Tightrope

Hospice News

Trying to manage care delivery needs while running a palliative care business can be frustrating for leaders and “really throw [them] for a loop” financially, Spragens said, speaking at the American Academy of Hospice and Palliative Medicine (AAHPM) and the Hospice and Palliative Nurses Association (HPNA) Annual Assembly.

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Providers Work to Solve Palliative Care’s Biggest Growing Pains

Hospice News

Last year and early 2023 has brought the launch of palliative care programs at organizations such as Florida-based Big Bend Hospice and Virginia-based Blue Ridge Hospice , among others. That’s a different payer mix. It also raises the bar on collaboration with geriatric populations.” “This is something where the field continues to evolve.

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More States Integrating Palliative Care Into Medicaid Programs

Hospice News

Case in point, New Jersey legislators are currently mulling a bill that would create a community-based palliative care benefit within the state’s Medicaid program. And it’s not only the social needs, there’s a stage of life difference, at least between Medicare patients and Medicaid patients. It’s a lot of complex needs.”

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AAHPM CMO Joe Rotella: Hospice Does Not Exist to Save Money

Hospice News

I’m proud that we had a project we did with the Hospice and Palliative Nurses Association called Measuring What Matters. We brought together experts in the field and said, “What quality measures are out there that would really indicate we’re providing good quality palliative care, and what’s missing?”

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Key Research Trends: State CON Laws, Dementia Patient Trajectories Reshaping Hospice

Hospice News

Patients with dementia often have longer hospice stays and require more intensive and expensive levels of care compared to others, drawing the attention around a potential call to change around how the Medicare Hospice Benefit is structured from providers, industry stakeholders and policymakers alike.

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