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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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Investigating Medicare Hospice Overpayments

Hospice News

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’ Top 10 Stories of 2022

Hospice News

In 2022, the hospice community laid the groundwork for a transformational 2023. During late 2021 and 2022, the U.S. Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. The following are the most-read Hospice News articles of 2022. #1

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More States Integrating Palliative Care Into Medicaid Programs

Hospice News

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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5 Numbers that Shaped Hospice in 2022

Hospice News

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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Incorporating Palliative Care in Hospice: The Tech Perspective

Hospice News

However, unlike hospice services, which have a distinct payment model supported by the Centers for Medicare and Medicaid Services (CMS), palliative care has less established infrastructure for delivery. The shift does present challenges, however. But it’s proving outcomes and it’s making waves.”

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U.S. Patients Have Unequal Access to Palliative Care

Hospice News

The findings were presented at the annual American Society of Clinical Oncology (ASCO) Quality Care Symposium in Boston. They determined accessibility by comparing these records with data on the locations of Medicare-certified physicians who specialize in hospice and palliative care. Health outcomes are unequal. The post U.S.