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CMS to Sunset Look-Alike Dual-Eligible Special Needs Plans in 2023

Hospice News

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Some hospice patients rely on these plans for other health needs, such as nursing home costs.

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Regulatory Focus in Hospice Giving Buyers Pause in M&A Deals

Hospice News

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Two OIG reports in 2019 shook the industry with findings that condition-level deficiencies posed safety risks to patients.

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Gilchrist and Luminis Health Form Joint Venture, Find ‘Sweet Spot’ in Health Care Delivery

Hospice News

It extends the organizations’ existing partnership for hospital-based palliative care services, bringing this care into more settings such as hospitals, physician offices, long-term care facilities and in the home. Luminis Health was established in 2019 and generates an annual $1.1 independent of the JV.