article thumbnail

Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. Centers for Medicare & Medicaid Services (CMS).

Medicare 237
article thumbnail

CMS to Sunset Look-Alike Dual-Eligible Special Needs Plans in 2023

Hospice News

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. Some hospice patients rely on these plans for other health needs, such as nursing home costs.

2023 213
professionals

Sign Up for our Newsletter

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

article thumbnail

Hospice & Community Care Affiliates with Hospice of Central Pennsylvania

Hospice News

These can represent significant expenses for hospice and palliative care providers in today’s reimbursement climate. Hospice & Community Care also has two office locations in the state, along with a 24-bed inpatient center, a residential center and a bereavement facility, the Pathways Center for Grief & Loss.

Hospice 225
article thumbnail

Guaranteed Taps SVP of Strategic Growth; Nurses Step Into C-Suite at Hospice of the Piedmont, Hudson Valley Hospice

Hospice News

Guaranteed Health is redefining the end-of-life-care experience by building a-first-of-its-kind technology and AI-enabled platform that supports patients, caregivers, providers and payers. Guaranteed serves Medicare and Medicaid patients across five counties in southern California, including the Los Angeles region.

Hospice 202
article thumbnail

Gilchrist and Luminis Health Form Joint Venture, Find ‘Sweet Spot’ in Health Care Delivery

Hospice News

Through the JV, the two organizations formed the Luminis Health Gilchrist Lifecare Institute as a way to provide an “integrative continuum of care for the elderly across multiple settings,” in communities statewide, according to a recent announcement. About 47.6% This trailed behind the national average of 50.3% that year.

article thumbnail

How Hospices Are Diversifying Their Services in 2024

Hospice News

Palliative care, pediatric end-of-life care and end-of-life doula (EOLD) services are top of mind for hospices that are diversifying their services in 2024. Most PACE participants are reimbursed through the long-term care programs within Medicare and Medicaid, according to Black.

2024 223
article thumbnail

How CON Laws Influence Hospice Quality, Program Integrity

Hospice News

Florida is among the states with hospice CON laws in place, while Georgia’s CON programs predominantly pertain to other health care facility types such as hospitals and long-term care facilities. Operating in both regulatory climates has come with challenges around program integrity, Ponder-Stansel indicated.

Hospice 231