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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.

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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.

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Helios Care Partners with Bassett Healthcare to Expand Hospice, Palliative Services

Hospice News

The hospice and senior care provider Helios Care is partnering with the integrated health system Bassett Healthcare Network to bring more extensive access to hospice and palliative care to patients in central New York. Formerly known as Catskills Area Hospice and Palliative Care, the organization rebranded as Helios in 2019.

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

Hospice News

These results appeared in a 2019 New England Journal of Medicine study titled “Rehabbed to Death.” Even more so, specific Medicare and Medicaid policies perpetuate this cycle. After exhausting her Medicare benefits, she depleted her assets and paid out of pocket until qualifying for Medicaid.

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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.

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U.S. Senators Call on CMS to Boost Palliative Care Resources

Hospice News

Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, calling for a payment model demonstration designed to support greater access to palliative care. Many hospices are currently participating in other CMMI programs, including the value-based insurance design demonstration (Medicare Advantage carve-in.

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Palliative Care a ‘Natural Fit’ for Home Health Agencies

Hospice News

Currently, the palliative care space is dominated by hospices and health systems. Only 7% of community-based palliative care programs are operated by home health organizations, compared to about 50% for hospices and 7%, according to 2019 data from the Center to Advance Palliative Care.