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‘Upgrading’ the Medicare Hospice Benefit

Hospice News

The Medicare Hospice Benefit could use an “upgrade” to ensure greater flexibility that may be necessary to fully support patients’ needs. Centers for Medicare & Medicaid Services (CMS) should consider is retiring the six-month terminal prognosis requirement and allowing for some concurrent care, Wallace and Wladkowski indicated.

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Medicare Making Fewer Improper Payments to Hospices

Hospice News

Medicare fee-for-service programs made $31.23 billion in improper payments during 2023, though a smaller proportion of those dollars went to hospices than in years prior. Hospices received nearly 5.4% of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S.

Medicare 242
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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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Understanding the ACO Opportunity For Hospices

Hospice News

Though the Medicare Advantage hospice carve-in is going away at the end of this year, those operators still have a role to play in value-based care. The carve-in, formally known as the hospice component of the value-based insurance design model (VBID), will expire on Dec. Hospice care saves Medicare roughly $3.5

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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. In its annual report to Congress, MedPAC urged policymakers to eliminate hospice base-rate increases for 2025. The 2021 aggregated Medicare hospice margin was 13.3%, according to MedPAC.

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10 Hospice News ‘Hidden Gem’ Stories from 2022

Hospice News

These cover the innovative partnerships, new technologies, pediatric care, health equity and other key developments in the hospice space. Pandemic Pushes Death Doula Awareness, Hospices Seek Strengthened Ties. Hospice Sustainability Rides Hand in Hand With Diversity, Equity and Inclusion.

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The First Year of Hospice VBID Is the Hardest for Payers and Providers

Hospice News

Implementation of the Medicare Advantage hospice carve-in has been challenging for both payers and providers, though a recent analysis indicates that it may get easier over time. Centers for Medicare & Medicaid Services (CMS) commissioned the RAND Corp. The RAND analysis released this week covers the calendar year 2022.

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