article thumbnail

2025 Proposed Rule Seeks to Clarify Physician Certification of Hospice Patients

Hospice News

Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. Clarification from CMS in these areas will be helpful to hospices, physicians and those reviewing hospice records for compliance.”

2025 274
article thumbnail

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.

2025 199
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

The 2025 proposed hospice rule is raising some questions along with payment rates. increase in hospice per diems for 2025. The agency also proposed two new quality measures and 2025 implementation of the Hospice Outcome and Patient Evaluation (HOPE) assessment tool to replace the Hospice Item Set.

2025 257
article thumbnail

CMS to Allow Concurrent Hospice Care During VBID Extension

Hospice News

Centers for Medicare & Medicaid Services (CMS) will allow hospice patients to receive concurrent care through the Medicare Advantage hospice carve-in, and will permit health plans to further restrict utilization of out-of-network providers. But today’s update from CMS contained another critical change from prior years.

2026 334
article thumbnail

CMS May Be Mulling Changes to the Hospice Benefit

Hospice News

Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit.

2025 261
article thumbnail

NHPCO Responds to CMS FY 2025 Hospice Proposed Rule

NHPCO

proposed rate increase for hospices is not enough to support the continued delivery of hospice care amidst rising cost pressures and ongoing workforce constraints affecting hospices nationwide,” said NHPCO COO and Interim CEO, Ben Marcantonio. “The We know that hospice care has demonstrated $3.5

2025 75
article thumbnail

MedPAC Calls for Freeze on Hospice Payment Rates

Hospice News

The Medicare Payment Advisory Commission (MedPAC) has voted to recommend a freeze on hospice payment increases starting in 2025. This recommendation is offered at a time when hospice care costs have risen faster than any inflation update provided by CMS,” Dombi told Hospice News in an email. “A

2025 273