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

CMMI Analysis: Palliative Care Reduces Medicare Costs, Improve Patient Satisfaction

Hospice News

Despite this potential, existing programs hit barriers created by misconceptions about palliative care among referring physicians, as well as health equity concerns, among others, according to an analysts of four payment model demonstrations carried out by the Center for Medicare & Medicaid Innovation.

Medicare 317
professionals

Sign Up for our Newsletter

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

article thumbnail

Medicare Home Health Cuts Could Have Ripple Effect on Hospice, Palliative Care

Hospice News

Margin pressures from the proposed cuts to Medicare home health rates could impact palliative care and hospice. Centers for Medicare & Medicaid Services (CMS) in June released its proposed home health reimbursement rule for 2023, which included a 4.2% reduction in aggregate payments totaling an estimated $810 million.

Medicare 317
article thumbnail

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. Part of the problem is that the [Medicare] Hospice Benefit is 40 plus years old. of terminal diagnoses in 2020, while cancer accounted for 7.2%.

Medicare 289
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. The clearest example of how this works was the 2020 rebasing of payments for the four levels of hospice care.

Medicare 246
article thumbnail

Inside agilon health’s Palliative Care Game Plan

Hospice News

The company is a value-based organization that partners with primary care physicians nationwide to jointly take on the total cost and quality of care for their senior patients through Medicare Advantage or the the U.S. agilon health CMO Dr. We can bring powerful data and care pathways. We do it through our partners. They stay involved.

article thumbnail

CMS Will No Longer Enforce COVID-19 Vaccine Requirements For Hospices, Other Medicare-Certified Providers

Hospice News

Centers for Medicare & Medicaid Services (CMS) will no longer enforce the COVID-19 vaccine requirement for hospice staff and other health care workers. Department of Health and Human Service (HHS) was doing the same for Medicare- and Medicaid-certified health care providers, which include hospice organizations. Approximately 1.1

Medicare 246