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Medicare Advantage Transparency Efforts Could Impact Hospices

Hospice News

Subscribe to Palliative Care News today ! Recent efforts to increase transparency within Medicare Advantage may impact hospice reimbursement. Centers for Medicare & Medicaid Services (CMS) recently released a Request for Information (RFI) on ways to improve data sharing and increasing transparency in Medicare Advantage.

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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Centers for Medicare & Medicaid Services (CMS) or any Medicare Advantage plans spoke at this hearing. No representatives from the U.S.

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MedPAC Calls for Freeze on Hospice Payment Rates

Hospice News

The Medicare Payment Advisory Commission (MedPAC) has voted to recommend a freeze on hospice payment increases starting in 2025. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS). The 2021 aggregated Medicare hospice margin was 13.3%, according to MedPAC.

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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. The 2021 aggregated Medicare hospice margin was 13.3%, according to MedPAC. More than 49% of Medicare decedents enrolled in hospice care during 2022, up from 47.3% decline from 2018.

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Partners in Care Sues HHS Over Claims Denials

Hospice News

Partners in Care took this unusual step after pursuing every other available means of redress, including the U.S. Centers for Medicare & Medicaid Services’ (CMS) review and appeals process, according to CEO Greg Hagfors. Partners in Care refuted the findings in a Jan. This represented $11.2 million in denied claims.

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California’s Leads the State-Level Battle Against Hospice Fraud

Hospice News

Beginning in 2021, numerous reports emerged of unethical or illegal practices among hundreds of newly licensed hospices, particularly among new companies popping up in California, Texas, Nevada and Arizona. California’s Department of Justice (CDOJ) in 2021 issued a report detailing the state’s history of lax oversight. “The

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

Hospice News

Our shared approaches to serving patients advocate for care with the highest quality of life possible, including in-home services for patients with chronic illnesses and home-based end-of-life care.” In 2021, 48,644 Medicare beneficiaries in New York state elected the hospice benefit, according to the U.S.