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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Centers for Medicare & Medicaid Services (CMS) or any Medicare Advantage plans spoke at this hearing. No representatives from the U.S.

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What Hospices Can Learn from Home Health Agencies on New Program Integrity Rules

Hospice News

Hospices seeking to gauge the potential impact of new regulatory actions in the space can look to their counterparts in the home health field. CMS is no doubt hoping for similar results for the Medicare Hospice Benefit. In that time frame, Nevada saw 56 newly certified hospices, and 369 emerged in Texas.

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Pennant Group Acquires Guardian Hospice

Hospice News

(NASDAQ: PNTG) has acquired Guardian Hospice and Guardian Hospice of Oklahoma for an undisclosed amount. Guardian Hospice of Oklahoma received Medicare certification in 2015 and has since grown its presence in the state and across Texas. Centers for Medicare & Medicaid Services (CMS).

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Three Key Gauges of Hospice Business Performance

Hospice News

Medicare Administrative Contractor (MAC)] audits and those sorts of things add overhead expenses, and those indirect costs are going to be something that we all will have to deal with. Because as more [Accountable Care Organizations (ACOs), Medicare shared-savings health plans negotiate with hospices, they’re going to want a discount.”.

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CMS Proposes ‘36-Month Rule’ to Curb Hospice License ‘Flipping’

Hospice News

The practice appears to stem from a rash of newly licensed hospices that have emerged in California, Nevada, Texas and Arizona. Some of these providers have secured licenses, as well as Medicare certification and, sometimes, accreditation. By not billing, they are better able to avoid regulators’ attention.

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Program Integrity, Health Equity, Workforce Pressures Top of Mind for Hospice Leaders in 2024

Hospice News

CEOs and other hospice executives also noted emerging themes. Among them is an evolving conversation around potential changes to the Medicare Hospice Benefit, an increasing focus on equitable access and service diversification to engage patients further upstream. Hospice care reduces Medicare expenditures by about $3.5

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Addus Orients M&A Strategy Away From Hospice, Towards Home Health, Personal Care

Hospice News

Addus HomeCare Corporation’s (NASDAQ: ADUS) is shifting its M&A strategy away from hospice deals to focus on its home health and personal care businesses. Texas-based Addus provides personal, home health and hospice care across 207 locations in 22 states, reaching roughly 46,500 patients annually.