Hospice News

FEBRUARY 23, 2024

31, 2023, Contessa was a stakeholder in at least 10 joint ventures that were actively admitting patients, according to the SEC filing. Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. Subscribe to Palliative Care News today !

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Hospice News

DECEMBER 6, 2023

The following are the most-read Palliative Care News articles of 2023. #1 A look back at Palliative Care News’ five most-read stories this year paints a picture of trends shaping the serious illness care space. Operators have their eyes on the ever-shifting payment landscape and the headwinds and opportunities that come with it.

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Hospice News

DECEMBER 12, 2023

Program integrity issues that have heated up in the hospice space during the past five years reached a boiling point in 2023. Hospice providers have seen an array of increased regulatory oversight in 2023. Many established services for the purpose of selling the license at a profit or defrauding Medicare. In response, the U.S.

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Hospice News

MARCH 5, 2024

Both Medicare and managed care don’t reimburse appropriately to cover the cost of salaries and education in palliative care,” McInnes said. This is down from 56% of respondents in 2023. A wide variety of palliative care services have cropped up nationwide in recent years, but not all have remained viable. It’s really the funding.

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Hospice News

DECEMBER 13, 2023

Since at least 2022, Contessa has been pursuing palliative care reimbursement through Medicare Advantage. Earlier this year, the Amedisys subsidiary entered into its first full-risk Medicare Advantage contract to include palliative care with Blue Cross Blue Shield of Tennessee. based research and consulting firm ATI Advisory. “I

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Hospice News

JANUARY 3, 2024

The bipartisan legislation was introduced in December 2023 by Sens. The bill builds upon the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, designed to speed transitions to patient-centered, value-based care. With that alignment, palliative care has a stronger case to greatly improve quality and reduce spending.

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Hospice News

FEBRUARY 12, 2024

In 2023, Gentiva began looking for ways to care for a broader swatch of the seriously ill population, including those who were not expected to recover but were also not yet eligible for hospice. Gentiva seeks to embody this vision through the AIM program, with plans to circumvent the need to work directly with Medicare or other payers.

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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

DECEMBER 19, 2022

Both hospice providers and regulatory agencies are expected to continue efforts toward establishing a new normal, post-pandemic; 2023 could also bring operational impacts associated with the likely lifting of some of the waivers that have been in place during the public health emergency. Stephen Phenneger, president and CFO of St.

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Hospice News

MAY 12, 2023

Patients with ovarian cancer who have received palliative care had fewer hospital readmissions compared to others, according to a recent study presented at the 2023 Annual Meeting on Women’s Cancer from the Society of Gynecologic Oncology (SGO) in Tampa, Florida. The results help to demonstrate palliative care’s value proposition.

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Hospice News

OCTOBER 20, 2022

SCAN Health Plan is among the Medicare Advantage (MA) payers entering the hospice component of the value-based insurance design (VBID) payment demonstration in 2023. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. Hospice VBID enters its third year in 2023.

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Hospice News

AUGUST 26, 2022

Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. Budget neutrality has stirred up controversy in recent months due to its role in proposed payment cuts for home health care in Fiscal Year 2023.

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Hospice News

SEPTEMBER 29, 2023

Palliative care providers may be uniquely positioned to develop partnerships that support patients through the new Guiding an Improved Dementia Experience (GUIDE) Model recently unveiled by the Center for Medicare & Medicaid Innovation. CMS will release the application for GUIDE in Fall 2023.

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Hospice News

DECEMBER 14, 2022

SCAN Group and CareOregon have agreed to join forces in 2023 as a new organization called HealthRight Group. The new nonprofit will combine SCAN’s Medicare portfolio with CareOregon’s predominantly Medicaid health plans. The legacy SCAN would become the Medicare division of the company. Humana Inc.’s

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Hospice News

OCTOBER 20, 2023

Furthermore, poor transitions can spark hospital readmissions within 30 days, adversely affecting hospital quality ratings and Medicare reimbursement. A 2023 study by Front Public Health indicated that transitions from hospitals to home settings tend to be particularly complex and tricky. . Krmpotic said.

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Hospice News

JULY 11, 2023

Strains on reimbursement, referrals and staffing represent the biggest obstacles to palliative care providers’ viability and growth. The New Jersey-based nonprofit offers hospice and palliative care, among other services. The New Jersey-based nonprofit offers hospice and palliative care, among other services.

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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 13, 2022

Most hospices are sliding into 2023 between a rock and a hard place, beset by headwinds, labor shortages and questions with no easy answers. Government oversight of hospice providers will tighten during 2023. These concerns will be a hot topic in the new year, but other regulatory actions are also underway for 2023.

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Hospice News

OCTOBER 16, 2023

Centers for Medicare & Medicaid Services’ (CMS) updated risk adjustment policy could lead to tightened belts — or a golden opportunity — for palliative care providers in Medicare Advantage. patients is now reimbursed through risk-based models like Medicare Advantage and Accountable Care Organizations (ACOs).

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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

MAY 18, 2023

Mertz Photography Mertz Photography Atonia Garret at the 2023 Palliative Care Conference. About 9% of nearly 330 hospice professionals indicated that they planned to launch pediatric end-of-life care services for the first time this year during 2023 in this year’s Hospice News Outlook Survey , prepared in collaboration with Homecare Homebase.

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Hospice News

MAY 30, 2023

The number of hospices operating nationwide rose to 5,3,58 in 2021, according to the Medicare Payment Advisory Commission. Though nonprofit hospices now represent a smaller slice of the industry than in years past, they continue to care for more than half of patients in the United States who elect the benefit. NYSE: CVS) subsidiary Aetna.

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Hospice News

SEPTEMBER 30, 2022

billion by 2023, a climb from $49.42 billion by 2023, a climb from $49.42 The Center for Medicare & Medicaid Innovation is currently testing coverage of hospice care through Medicare Advantage with the Value-Based Insurance Design (VBID) program. But ongoing labor pressures remain a risk point.

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Hospice News

MAY 1, 2023

Traditional Medicare only covers physician consults and doesn’t support the full range of interdisciplinary care. Two emerging pathways to payment include supplemental benefits within Medicare Advantage and relationships with Accountable Care Organizations (ACOs). Centers for Medicare & Medicaid Services (CMS).

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Hospice News

DECEMBER 6, 2023

Close to 60% of nearly 330 hospice professionals indicated that their organizations planned to launch palliative care programs for the first time during 2023, according to Hospice News’ Industry Outlook Survey , prepared in collaboration with Homecare Homebase. In addition to the expansion of existing programs, more are cropping up.

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NHPCO

DECEMBER 13, 2023

The findings in this report reflect patients who received care in Calendar Year (CY) 2021, or Fiscal Year (FY) 2021, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. Most beneficiaries switch to Traditional Medicare. of White, 36.3%

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Hospice News

JANUARY 12, 2024

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). set in 2023. set in 2023. for next year, up from $32,486.92

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Hospice News

MARCH 20, 2023

In 2023, the focus for many is to not only expand their core business but to spread further into the care continuum. The below comments were taken from original interviews, conducted in person and via the phone, throughout early 2023. Because most of the individuals accessing PACE are going to be Medicare and Medicaid beneficiaries.

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Hospice News

SEPTEMBER 12, 2022

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Of those, about 3.8

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Hospice News

SEPTEMBER 5, 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. But by April of this year, accounting practices related to Contessa’s palliative care business threw a monkey wrench into the negotiations.

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Hospice News

DECEMBER 15, 2022

Commonly known as the Medicare Advantage hospice carve-in, the Value-Based Insurance Design (VBID) model officially launched on January 1, 2021, with 53 Medicare Advantage Plans offering the benefit in 206 counties within 13 states and Puerto Rico for 4 years ending in 2025. The difference is Medicare Advantage vs Humana VBID.

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Hospice News

JANUARY 19, 2024

About 143,284 Medicare dcedents utilized the hospice benefit in Texas during 2021, according to the U.S. Centers for Medicare & Medicaid Services (CMS). Houston Hospice in October 2023 began opening up its inpatient unit for use to other providers across its service region.

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Hospice News

OCTOBER 20, 2022

Currently Medicare reimbursement for palliative care includes physician and licensed independent practitioner services through fee-for-service payment programs that do not sufficiently cover the full range of interdisciplinary care. What are the clinical components that we’re looking for in a patient? What are the guidelines?

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NHPCO

DECEMBER 19, 2023

President and the first known President to utilize the Medicare Hospice Benefit. While in office, the Carter administration tested hospice care as a model, which later led to the Medicare Hospice Benefit we know today. This year’s HAN award recipients are as follows: The Courageous Conversations Award, 2023 Honoree 39 th U.S.

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Hospice News

FEBRUARY 15, 2023

(Nasdaq: AMED) has repeatedly voiced its enthusiasm for its palliative care business in early 2023. Amedisys projects its higher-acuity care segment’s revenue to more than triple in 2023, however, largely driven by growth in the Palliative Care at Home arm. million members overall. million in Q4 and $787.8

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Hospice News

SEPTEMBER 27, 2023

For calendar year 2024, 13 Medicare Advantage Organizations (MAOs) will participate in the program’s hospice component, providing coverage through 78 health plans in 19 states. In 2023, 15 MAOs participated in hospice VBID, including 119 health plans in 23 states. million Medicare beneficiaries next year, up from 9.2

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Hospice News

FEBRUARY 26, 2024

Meanwhile, providers are also rolling with the ups-and-downs of a market ripe for further consolidation after 2023’s M&A slump as workforce headwinds persist. While some hospice companies reported hiring and capacity gains in 2023, often driven by bonus programs, the problem persists for many providers.

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