article thumbnail

Payers to CMMI: We Need a Standardized Definition for Palliative Care

Hospice News

A group of health plans, policymakers, and insurance companies recently told the Center for Medicare & Medicare Innovation (CMMI) that they needed a standardized definition for palliative care in order to improve access. Centers for Medicare & Medicaid Services (CMS).

article thumbnail

Dynamics of Palliative Care Delivery in a Potential Medicare Benefit

Hospice News

A moving target in palliative care delivery is whether or not these services should have a dedicated benefit in the Medicare system. Most palliative care in the United States is reimbursed through fee-for-service programs, as well as Medicare Advantage, Accountable Care Organizations (ACOs) and through Medicaid in a handful of states.

professionals

Sign Up for our Newsletter

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

Trending Sources

article thumbnail

Medicare Advantage Crackdown Could Dampen Palliative Care Growth

Hospice News

Federal regulators are cracking down on the private insurers that administer Medicare Advantage (MA) plans. Centers for Medicare & Medicaid Services (CMS) began giving plans more flexibility around the definition of “primarily health-related.” based research and consulting firm ATI Advisory.

Medicare 246
article thumbnail

How an Advance Care Planning Bill Could Impact Hospice and Medicare

Hospice News

and Susan Collins (R-Maine) introduced the Improving Access to Advance Care Planning Act to the Senate designed to promote greater access to those services among Medicare beneficiaries. Another is allowing the definition of eligible providers of these services. Sunsetting the co-pays could cost Medicare roughly $104.5

Medicare 299
article thumbnail

How Hospice and Palliative Care of the Wood River Valley Built a Collaborative Care Model Without Medicare Certification

Hospice News

After more than a decade working in hospice leadership, Alli Collins came across something she had never seen before — a financially viable, all-volunteer provider that is not Medicare-certified. I’ve spent well over a decade in the Medicare-certified side of the world. She never instituted a Medicare provider number.

Medicare 246
article thumbnail

The Nexus Between Palliative Care and PACE Programs

Hospice News

PACE programs are definitely open to capitated arrangements — per-participant, per-month. Most PACE participants are dually eligible for both Medicare and Medicaid, the U.S. Centers for Medicare & Medicaid Services (CMS) reported. PACE providers receive monthly Medicare and Medicaid capitated payments for each enrollee.

article thumbnail

The Current State of Community-Based Palliative Care

Hospice News

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. “Palliative care” is becoming a buzz word in health care, even if many people don’t understand the loosely defined term.