article thumbnail

Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

Medicare 264
article thumbnail

How Medicare Budget Neutrality Impacts Hospice Payment

Hospice News

Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. For example, CMS wouldn’t cut hospital payments to increase rates for hospices. These reductions occur within each service.

Medicare 246
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How an Advance Care Planning Bill Could Impact Hospice and Medicare

Hospice News

and Susan Collins (R-Maine) introduced the Improving Access to Advance Care Planning Act to the Senate designed to promote greater access to those services among Medicare beneficiaries. We’re trying to make this conversation as easy as possible to have,” Gurian told Hospice News. Warner (D-Va.) House of Representatives by Rep.

Medicare 299
article thumbnail

Small Hospices at a Disadvantage in Medicare Star Ratings

Hospice News

Centers for Medicare & Medicaid Services’ (CMS) star ratings system for hospice quality may have unintended consequences for small providers. CMS began posting star ratings for hospices on its Care Compare website last month. It’s a relatively low number,” Barnett told Hospice News. “So

Medicare 246
article thumbnail

CMS May Be Mulling Changes to the Hospice Benefit

Hospice News

Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit.

2025 287
article thumbnail

MedPAC to Congress: Freeze Hospice Rates in 2025

Hospice News

The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress a freeze on hospice payment increases starting in 2025. In its annual report to Congress, MedPAC urged policymakers to eliminate hospice base-rate increases for 2025. The 2021 aggregated Medicare hospice margin was 13.3%, according to MedPAC.

2025 238
article thumbnail

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. Broadly, MA plans have been expanding supplemental benefits to include palliative care since 2018, when the U.S. In turn, that could dampen the growth of palliative care supplemental benefits in MA moving forward.

Medicare 246