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Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

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.

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What Hospice VBID’s Ending Means for Palliative Care

Hospice News

The impending demise of the hospice component of U.S. Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. That problem was mirrored in the environment outside of the program.

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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

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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Hospices Leverage Partnerships to Scale Palliative Care Programs

Hospice News

Building partnerships with other providers can help mitigate these barriers, according to Dr. Nathan Goldstein, professor of geriatrics and palliative medicine for the Icahn School of Medicine at Mount Sinai. However, about 50% of community-based palliative care providers are hospices, according to the Center to Advance Palliative Care.

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Obstacles and Opportunities for Palliative Care in the ICU

Hospice News

A growing body of research touts the benefits of palliative care for patients, families, and even providers. However, when evaluated through randomized clinical trials, the results tend to lean toward mediocre. I think the measures we have, it’s not so much that they’re wrong, but they certainly are imprecise,” Dr. Kathleen M.

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Providers Work to Solve Palliative Care’s Biggest Growing Pains

Hospice News

It takes time to build up the payment, referral and workforce resources needed to support a sustainable palliative care program, according to Dr. Stephen Goldfine, chief medical officer at Samaritan Healthcare & Hospice. The New Jersey-based nonprofit offers hospice and palliative care, among other services.

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PalliCare Execs: Building Scale, Payer Mix Crucial for Palliative Care Startups

Hospice News

The company has about a dozen different insurance companies in its payer mix, in addition to Medicare and Medicaid. “We It’s not the same as home health and hospice. On a Part A benefit, you’re getting that benefit from Medicare, so you want to have like 80/20 Medicare versus private payers.