Hospice News
APRIL 9, 2024
Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.
Hospice News
SEPTEMBER 7, 2022
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).
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Hospice News
NOVEMBER 13, 2023
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.
Hospice News
MAY 3, 2023
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.
Hospice News
FEBRUARY 14, 2024
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.
Hospice News
MARCH 4, 2024
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. In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. Volatility is the right word.
Hospice News
FEBRUARY 20, 2024
Even more so, specific Medicare and Medicaid policies perpetuate this cycle. After experiencing a functional decline at the hospital, the woman, no longer able to live at home safely, was sent to an SNF for post-acute care, covered by Medicare. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).
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