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SCAN Group CEO Sachin Jain: Medicare Could Use a Major Facelift

Hospice News

The mission and function of the Medicare program have evolved over time, and the agency that runs it also may need to adapt to the new ways that health care organizations are doing business, according to SCAN Group CEO Dr. Sachin Jain. billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members.

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Congress Grills HHS on Hospice Program Integrity

Hospice News

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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Fraudulent Hospice Providers May Be Moving Between States

Hospice News

Centers for Medicare & Medicaid Services has also taken steps to bolster program integrity. Clark County, Nevada, has emerged as an unfortunate case study in how these issues affect patients and families, as well as legitimate operators. What concerns me more is not the competition, it’s about poor patient care.”

Hospice 278
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NAHC President Bill Dombi: History Repeating Itself on Hospice Program Integrity

Hospice News

Centers for Medicare & Medicaid (CMS) this year introduced a number of new regulations, many of which were modeled after some in place for home health agencies and skilled nursing facilities. Back in the 1990s, the microscope ended up focusing on the Medicare Home Health Program. What I’m seeing is history repeating itself.

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CMS: Nearly 400 Hospices Considered for ‘Administrative Action’ as Program Integrity Efforts Heat Up

Hospice News

Centers for Medicare & Medicaid Services (CMS) is considering administrative action against 400 hospices, which could include revocation of their Medicare certification. As part of this strategy, CMS embarked on a nationwide hospice site visit project, making unannounced site visits to every Medicare-enrolled hospice.

Medicare 246
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Medicare Gives Consumers a New Hospice Rating System

1-800-HOSPICE

Hospice Care Index: A Perfect 10. In August 2022, Medicare included a new overall quality measure for Hospice Care Compare: the Hospice Care Index. For each quality measure where the hospice has good performance, one point is added to the Hospice Care Index. How Are Hospice Care Index Scores Calculated?

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Value-Based Care: What Hospices Can Learn from Home Health Companies

Hospice News

Home health value-based purchasing Home health providers have two primary inroads to value-based care — HHVBP and Medicare Advantage. Centers for Medicare & Medicaid Services (CMS) kicked off the HHVBP demonstration on Jan. I’m concerned that the hospice industry writ large is not looking at this.

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