Hospice News

MARCH 4, 2024

The palliative care field emerged in the United States during the 1980s, shortly after the Medicare Hospice Benefit came into being, according to research from Johns Hopkins Medical. In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. Volatility is the right word.

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Hospice News

JANUARY 29, 2024

Fee-for-service Medicare, for example, only covers physician and licensed independent practitioner services and does not cover the full range of interdisciplinary palliative care. Palliative care is an evolving field. Rising demand In 2024, demand will continue to rise, driven by a number of factors.

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Hospice News

JANUARY 2, 2024

Audits audits by Medicare Administrative Contractors (MACs) have proliferated during the past two years, including Targeted Probe and Educate (TPE) audits, as well as those by Unified Program Integrity Contractors (UPIC), Supplemental Medical Review Contractors (SMRC) and Recovery Audit Contractors (RAC). Hospices received nearly 5.4%

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Hospice News

APRIL 11, 2024

Roughly 82% of Medicare decedents in 2018 were Caucasian, according to the National Hospice and Palliative Care Organization. The research began in August 2022 with participation from NORC, the HAP Foundation and Arreola Research. The issues identified in the report exist across the country. I’ll say the obvious, racism.

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Hospice News

SEPTEMBER 22, 2023

Along with Medicare Advantage, ACOs are one of the few avenues towards more robust reimbursement than fee-for-service models. Centers for Medicare & Medicaid Services (CMS) has announced plans to ensure that 100% of Medicare beneficiaries become aligned with an accountable care entity. That’s not sustainable.

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Hospice News

AUGUST 16, 2023

Medicare Advantage plans are connecting the dots between quality scores and care delivery costs. When choosing a hospice to work with, payers in the Medicare Advantage (MA) realm zero in on providers’ quality scores and its patient population growth potential, according to Frontpoint Healthcare CEO Brent Korte.

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Hospice News

JANUARY 10, 2023

The company’s palliative care strategy rests on the back of risk-based payment models, primarily Medicare Advantage, Kusserow indicated at the J.P. Contessa is already forging agreements with Medicare Advantage payers to offer palliative care, which Kussersow expects to spur revenue upwards. . “We Morgan Healthcare Conference.

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Hospice News

MARCH 1, 2024

If they have not received intentional education about palliative care and the right clinical relationships within the ICU have not been developed, some ICU providers may view palliative care as antithetical to the work they are so rigorously and intentionally performing, emphasized a 2022 study co-authored by Ouchi.

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Hospice News

MARCH 4, 2024

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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Hospice News

DECEMBER 22, 2022

Combined, Asians, African Americans and Hispanics in 2018 represented only 20% of Medicare hospice patients, while the remaining 80% were Caucasian, according NHPCO. The most visible attempt began in 2020 when CMS began allowing Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit.

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Hospice News

JULY 5, 2023

A new cancer-focused payment model demonstration from the Center for Medicare & Medicaid Innovation (CMMI) could create opportunities for palliative care providers. Centers for Medicare & Medicaid Services (CMS). They are required to do symptom assessments and then come up with plans to address symptoms and side effects. “The

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Hospice News

DECEMBER 21, 2022

Hospice leaders have kept their eyes on four key numbers as 2022 progressed: clinical capacity, length of stay, labor costs and utilization. The workforce shortage had an influence on each one of these indicators, making it perhaps the most significant, though unfortunate, hospice trend of 2022. Clinical capacity. Length of stay.

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Hospice News

APRIL 15, 2024

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 program was designed to test hospice coverage through Medicare Advantage (MA). Hospice care saves Medicare roughly $3.5 Many ACOs, for example, participate in the U.S

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Hospice News

OCTOBER 4, 2022

Only 10 new Medicare Advantage (MA) plans will offer home-based palliative care as a primarily health-related benefit for 2023, but payers may be offering those services through other programs. Among Medicare Advantage supplemental benefits, in-home support services and caregiver support saw the most year-over-year growth for 2023.

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Hospice News

DECEMBER 1, 2023

A main barrier to palliative care growth in the Medicare Advantage hospice carve-in is a lack of understanding of these services among beneficiaries, as well as inconsistent service delivery. The company analyzed results of the program that spanned patient data through the calendar year of 2022. When the U.S.

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Hospice News

AUGUST 7, 2023

Insurance companies and Medicare are also starting to recognize the cost savings and improved patient outcomes the clinics can provide. “I To meet growing demand, more outpatient palliative care clinics and programs are cropping up. The patient will then be referred to an outpatient clinic or home-based provider for further care.

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Hospice News

JULY 11, 2023

Samaritan’s Palliative Medical Partners provided 17,000 patient visits during 2022 across eight hospitals in south New Jersey, Goldfine stated. Strains on reimbursement, referrals and staffing represent the biggest obstacles to palliative care providers’ viability and growth.

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Hospice News

MAY 26, 2023

The palliative care field emerged in the United States during the 1980s, shortly after the Medicare Hospice Benefit came into being, according to research from Johns Hopkins Medical. As services evolve in the palliative care field, providers may be facing tough questions around quality.

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Hospice News

APRIL 17, 2023

As the demand for palliative care continues to grow, so too has the way businesses have bolstered their programs to better serve patients. Providers are consistently looking for new methods to deliver responsive, value-based services that can generate savings and reduce high-acuity utilization. Enter UnitedHealth Group (NYSE: UNH).

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Hospice News

MAY 24, 2023

About a dozen states across the nation incorporate adult or pediatric specialized palliative care service benefits into their Medicaid programs, according to a 2022 report from the Texas Health and Human Services Department. These are often offered as part of specialized managed care programs.

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Hospice News

NOVEMBER 27, 2023

They determined accessibility by comparing these records with data on the locations of Medicare-certified physicians who specialize in hospice and palliative care. Centers for Medicare & Medicaid Services (CMS) indicated last year that health equity will be a key component of their payment model demonstrations going forward.

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Hospice News

OCTOBER 13, 2023

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. Centers for Medicare & Medicaid Services (CMS) commissioned the RAND Corp.

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Hospice News

DECEMBER 6, 2023

A look back at Palliative Care News’ five most-read stories this year paints a picture of trends shaping the serious illness care space. Securing reimbursement — and the promise of value-based contracts — continues to be top of mind for many palliative care providers as they look ahead to 2024.

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Hospice News

JUNE 20, 2023

Homebase Medical, a subsidiary of SCAN Group, is developing a new palliative care model to care for some of the Medicare Advantage organization’s most vulnerable beneficiaries. Homebase Medical previously operated as The Residential Group until SCAN acquired the company in 2022. It’s really a clinical-first model.” SCAN is a $4.3

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Hospice News

MARCH 15, 2024

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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Hospice News

MAY 18, 2023

An estimated 90% of children worldwide in need of palliative care services never receive them, according to a 2022 study from the Imperial College London’s Institute of Global Health Innovation (IGHI). But defining the range of communities that specifically lack access to hospice and palliative care can be a moving target. Hospice News photo.)

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Hospice News

AUGUST 23, 2022

One is how can we continue to diversify our services and help more people in more ways — and second, looking at how we can reduce our dependence on Medicare reimbursement. Why is it important to reduce that dependence on Medicare reimbursement? Samaritan rebranded in 2022 to reflect its expanded scope of services.

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Hospice News

APRIL 14, 2023

Centers for Medicare & Medicaid Services (CMS) currently allows Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit. Based on current trends, risk-based payment systems will likely shape the future of palliative care. The palliative care market is projected to swell during the next decade.

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Hospice News

MAY 4, 2022

Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care. The United States lacks a robust reimbursement system for palliative care. Historically, the U.S.

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Hospice News

FEBRUARY 3, 2023

Going into 2022, Prospero decided to focus on making responsiveness a defining element of its palliative care service, according to Smith. Prospero Health has leveraged education and responsiveness to grow its palliative care business. That’s up from 1,700 patients in three states as of January 2020.

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Hospice News

APRIL 13, 2023

In 2022, Hospice & Palliative Care of the Wood River Valley performed 2,622 registered nurse visits and assisted 1,638 individuals in its community, according to a recent newsletter. Wood River reportedly provides care free of charge and does not bill insurance companies or Medicare. We are working with St. Census Bureau.

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Hospice News

DECEMBER 6, 2022

Kusserow – who holds a reputation as a successful turnaround executive – held the Amedisys CEO role from 2014 until early 2022. The leadership change, at least in part, was due to the Baton Rouge, Louisiana-based Amedisys underachieving Wall Street expectations throughout much of 2022. “We So that’s the reason I’m back.”.

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Hospice News

FEBRUARY 15, 2023

million in all of 2022, Amedisys’ higher-acuity care segment currently makes up a fraction of its overall revenue mix. Medicare Advantage plans recognize the value of palliative care, of paying for palliative care, and [they] understand that it leads to hospice, which leads to a better experience,” Kusserow previously told Hospice News. “It

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Hospice News

MARCH 6, 2024

At a time when the population is aging rapidly, the demand for high-quality end-of-life care is increasing and only half of people with Medicare who die each year use any hospice at all, it is concerning that Congress would use the [Medicare Hospice Benefit] as a ‘piggybank’ to fund programs totally unrelated to the provision of hospice services.”

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Hospice News

MARCH 17, 2023

The term “true risk” refers to the reimbursement models that are prevalent in Medicare Advantage (MA) — a per member, per month payment married with cost savings through reductions in institutional care. (NASDAQ: AMED) sees a changing of the guard in its C-suite, the company will not be slowing down on palliative care.

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Hospice News

OCTOBER 18, 2023

Oncology practices have increasingly collaborated with palliative care providers — or built their own service lines — to better support cancer patients throughout their health care journeys. Integrating palliative care deeper into oncology practices “empowers” these providers to improve utilization and quality, she indicated. An estimated 1.9

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Hospice News

NOVEMBER 28, 2023

Providers see sustainability and expanded service growth as main draws to participating in the Medicare Advantage hospice carve-in. Centers for Medicare & Medicaid Services (CMS) recent webinar. The company analyzed results of the program that spanned patient data through the calendar year of 2022. The RAND Corp.

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