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SCAN Group CEO Sachin Jain: Medicare Could Use a Major Facelift

Hospice News

The mission and function of the Medicare program have evolved over time, and the agency that runs it also may need to adapt to the new ways that health care organizations are doing business, according to SCAN Group CEO Dr. Sachin Jain. billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members.

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Hospice, Palliative Care Leaders Foresee a ‘New Normal’ for 2023

Hospice News

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. Susan Ponder- Stansel, CEO, Alivia Care, a nonprofit.

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2023 NHPCO Facts and Figures Report Now Available

NHPCO

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.

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Voices: Maxwell Healthcare’s Jennifer Maxwell on How to Prepare for 2023

Hospice News

When I think about patient care and clinicians in the field, quality training, processes and technology are my top priorities. increase for 2023 when you put all of the data together. Additionally, the final rule delayed the OASIS for all patients, regardless of payer, and it changed the VBP modeling years from 2019 to 2022.

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Hospices Stepping Up Performance on Visits-in-Last-Days-of-Life Measure

Hospice News

Patients may be receiving several visits from these professionals during the last days of life, or multiple visits on the same day, that do not count toward the measure, she said. Centers for Medicare & Medicaid Services (CMS) has developed a financial incentive to foster better performance on the measure, the service-intensity add-on.

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Rising Per Patient Costs Spur Calls for Higher Hospice Pay Rates

Hospice News

An overwhelming majority of hospice providers have seen costs of patient care rise 3% to 10% since 2019, and many expect further increases next year. This is prompting calls for Medicare to reconsider proposed 2023 reimbursement rates. . Centers for Medicare & Medicaid Services (CMS) to reassess the 2.7%

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Going Forward, Hospice CEOs Must Be Well-Versed in Data Analysis

Hospice News

In negotiations with Medicare Advantage plans, for instance, hospice and palliative care providers will need to demonstrate their performance in terms of star ratings, other quality metrics and reduced hospitalizations. “It’s sort of this chicken-and-the-egg thing with the data piece, which is tied to technology.”

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