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Former Canon Healthcare Owner Convicted for $47 Million in Hospice Fraud

Hospice News

Between 2013 and 2016, the company billed Medicare for $62 million and received $47 million in payments, according to the U.S. Between 2013 and 2017, Canon billed Medicare for 2,800 claims per month, totalling $15.3 Justice Department.

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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

Even more so, specific Medicare and Medicaid policies perpetuate this cycle. After experiencing a functional decline at the hospital, the woman, no longer able to live at home safely, was sent to an SNF for post-acute care, covered by Medicare. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).

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3 Reasons Continuous Home Care Utilization is Falling

Hospice News

Centers for Medicare & Medicaid Services (CMS). Medicare may cover CHC for as long as 24 hours a day. Continuous home care (CHC) represented 0.9% of hospice care days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO). This is down from 1.8%

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Humana CEO Broussard to Step Down in 2024, Succeeded by Envision Healthcare Exec Jim Rechtin

Hospice News

All told, he has more than 22 years of experience with value-based health care and payment models, including Medicare Advantage, according to a Humana press release. Humana is the second-largest operator of Medicare Advantage plans, representing 18% of that market, according to the Kaiser Family Foundation.

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MA Beneficiaries More Likely than Fee-for-Service Patients to Enter Hospice from Community Setting

Hospice News

Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. .” This is close to half of all Medicare beneficiaries.

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Hospice of the Foothills Joins California Hospice Network

Hospice News

Among the organization’s goals of the collaboration is to reduce overhead costs, improve the members’ bargaining position with payers and health plans and smooth the transition into value-based payment models, such as Medicare Advantage. Three hospices in 2013 established Ohio’s Hospice, for instance.

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Three Pillars of Radiant Health’s Hospice, Senior Living Partnership with CareSource 

Hospice News

Radiant Health’s new partnership with CareSource reflects three key trends impacting the health system — growth in Medicare Advantage, the rising prominence of home-based care and consolidation among payers and providers. Centers for Medicare & Medicaid Services (CMS) and the U.S. Close to 31.5

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