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Medicare Advantage Crackdown Could Dampen Palliative Care Growth

Hospice News

Federal regulators are cracking down on the private insurers that administer Medicare Advantage (MA) plans. Centers for Medicare & Medicaid Services (CMS) began giving plans more flexibility around the definition of “primarily health-related.” billion, a 287% increase in profits since 2012,” Sens. Elizabeth Warren (D-Mass.)

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Survey: 77% of Hospices Undergo Multiple Audits Simultaneously

Hospice News

Centers for Medicare & Medicaid Services (CMS). “The findings from our collaborative survey offer valuable insights into the auditing and adjudication processes of Medicare hospice benefit claims,” NPHI CEO Tom Koutsoumpas told Hospice News in an email. In addition to those my Medicare Contractors, last year the U.S.

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California’s Leads the State-Level Battle Against Hospice Fraud

Hospice News

The first report indicated that about 20% of hospices surveyed by regulators or accreditors between 2012 and 2016 had a condition-level deficiency that posed a serious safety risk. In one instance, 15 new hospices received Medicare certification, all operating from the same two-story building in Los Angeles, ProPublica reported.

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Gentiva Expands with Mississippi De Novo

Hospice News

By 2023, the bureau estimates that more than a quarter of the state’s residents will be older than 60, an increase of close to 40% since 2012. About 19,000 Medicare beneficiaries elected hospice in the state last year, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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Advanced Home Care Acquires Dignity Hospice

Hospice News

This would be a 33% increase from 2012 More than 32,200 Medicare decedents elected hospice in Massachusetts in 2021, according to the U.S. Centers for Medicare & Medicaid Services (CMS). More than a quarter of the state’s residents will be 60 or older by 2030, according to U.S. Census Bureau projections.

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Palliative Care a ‘Natural Fit’ for Home Health Agencies

Hospice News

Currently Medicare reimburses for palliative care physician and licensed independent practitioner services through fee-for-service payment programs that do not sufficiently cover the full range of interdisciplinary care. The company entered the home health space in 2012 and moved into hospice in 2018.

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Residential Hospice Acquires Safe Haven

Hospice News

Centers for Medicare & Medicaid Services (CMS). In 2012, the company purchased its first hospice provider, Celtic Healthcare. .” By 2030, seniors are projected to make up nearly a quarter (22.3%) of the overall Illinois population, up from 16.6% currently, according to the U.S. Census Bureau.

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