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Hospice Leaders: Change Must Come to the Medicare Hospice Benefit

Hospice News

Calls have grown louder for an overhauled design of the Medicare Hospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. One part of the issue is that hospice reimbursement has not kept pace with evolving patient needs, Grant said.

Medicare 270
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CMS to Sunset Hospice VBID in 2024

Hospice News

Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. Often called the “hospice carve-in,” the program was designed to test coverage of hospice care through Medicare Advantage, in addition to some coverage of palliative care and transitional care.

2024 330
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Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. These “unrelated” payments have been soaring.

Medicare 246
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Hospice Advocacy Groups Ask Congress for Action on Proposed 2023 Medicare Rates

Hospice News

More than a dozen hospice advocacy groups have called on congressional leadership to intervene in a proposed 2.7% bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. CMS in April released the 2023 proposed payment rule for hospice providers, including the 2.7%

Medicare 250
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Home Health Care Linked to Increased Hospice Utilization

Hospice News

Recent research has uncovered ties between improved hospice utilization rates among patients receiving home health services. Researchers from New Jersey-based Rutgers University’s School of Nursing have found that patient preferences leaned toward home-based hospice services following home health experiences.

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[UPDATED] CMS Finalizes Hospice Special Focus Program, 36-Month Rule

Hospice News

Centers for Medicare & Medicaid Services (CMS) has finalized its 2024 home health rule, including the implementation of a hospice Special Focus Program (SFP). The rule also finalizes the proposed “36-month”rule for hospice providers.

Hospice 307
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Support Mounts for Increased Hospice Accreditor Oversight

Hospice News

Calls are growing louder in support of increased accreditation organization oversight that could help curb fraudulent activity in the hospice space. Rising concerns about maleficence among accredited hospice organizations was a leading reason that CMS cited for the proposed increased oversight.

Hospice 147