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Medicare Advantage Transparency Efforts Could Impact Hospices

Hospice News

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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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.

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What Hospice VBID’s Ending Means for Palliative Care

Hospice News

The impending demise of the hospice component of U.S. Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. That problem was mirrored in the environment outside of the program.

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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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How Palliative Care Generates Savings, Boosts Hospice Utilization

Hospice News

Among those demos is the Medicare Care Choices Model (MCCM), which ran between 2016 and 2021. Community-based palliative care has the potential to improve end-of-life care and Medicare program costs.” Palliative care also decreased ED visits by 14% and inpatient admissions by 26% while boosting hospice enrollment by 29%.

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Fraudulent Hospice Providers May Be Moving Between States

Hospice News

Fraudulent hospices continue to proliferate, and some may be moving between states to escape regulators. 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.

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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.