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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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Providers Leverage Efficiency to Boost Palliative Care ROI

Hospice News

Payers, including Medicare, like to see providers reduce the costs of care. Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care.

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Untangling the Hospice GIP Conundrum

Hospice News

Centers for Medicare & Medicaid Services (CMS). of hospice care days in 2013, CMS reported. Scrutiny of GIP utilization has been ongoing for a number of years, dating back to 2013 reports from the OIG. Roughly one-third of Medicare GIP claims are submitted in error, the OIG reported. GIP represented 1.8%

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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. Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9%

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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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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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Ohio’s Hospice Expands Partnership with Senior Living Provider United Church Homes

Hospice News

Ohio’s Hospice is a statewide alliance of nonprofit providers established in 2013. In 2021, close to 80,150 Medicare beneficiaries in Ohio utilized the hospice benefit, according to the U.S. Centers for Medicare & Medicaid Services (CMS). The collaborative began with three hospice members and now includes 11 affiliates.

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