NHPCO

JULY 28, 2023

For Immediate Release July 28, 2023 New Research Shows Hospice Produces Better Outcomes, Lower Medicare Costs (Washington, D.C. billion in Medicare savings in 2019, while also providing multiple benefits to patients, families, and caregivers. In other words, earlier enrollment in hospice reduces Medicare spending even further.

Medicare 93

Medicare Hospice End-of-life care Grief 93

Hospice News

FEBRUARY 15, 2024

The Medicare Advantage organizations SCAN Group and CareOregon will not complete their plans to merge amid questions from state regulatory agencies. Among their queries, MAC sought information on how the merger could affect performance on quality metrics as well as access to care for Oregon’s Medicaid beneficiaries. 2023 memorandum.

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Care coordination Care coordinator Medicare 2023 228

Hospice News

JULY 17, 2023

Centers for Medicare & Medicaid Services (CMS) is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days. The agency has contracted with Noridian Healthcare Solutions, LLC as its Supplemental Medical Review Contractor (SMRC). Noridian will perform the reviews and submit findings to CMS.

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Hospice Document Medicare 2021 217

Hospice News

SEPTEMBER 19, 2023

Centers for Medicare & Medicaid Services (CMS) should clarify timeframes associated with a proposed informal dispute resolution process for hospice providers and retool aspects of the agency’s forthcoming Special Focus Program, according to an industry group representing nonprofits. The agency wants to move ahead with it in 2024.

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Hospice News

AUGUST 22, 2023

Centers for Medicare & Medicaid Services (CMS) is considering administrative action against 400 hospices, which could include revocation of their Medicare certification. As part of this strategy, CMS embarked on a nationwide hospice site visit project, making unannounced site visits to every Medicare-enrolled hospice.

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Medicare Hospice Blog 2021 246

Hospice News

APRIL 5, 2024

Centers for Medicare and Medicaid Services’ (CMS) proposed 2025 hospice rule is finalized as written, hospices may encounter some hurdles implementing some of the new requirements. These included NAHC, NHPCO, LeadingAge and the National Partnership for Healthcare and Hospice Innovation (NPHI). If the U.S. The proposal called for a 2.6%

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2025 Hospice Medicare 2024 278

Hospice News

NOVEMBER 2, 2023

This evolving mix of hospice regulation has placed staff oversight at the forefront of ensuring compliance, according to Christie Piland, director of education at Caris Healthcare. The rule requires providers seeking Medicare certification to report any changes in ownership and ensure the “highest level of screening,” possible, Piland said.

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2024 Hospice Medicare Document 210

Hospice News

AUGUST 8, 2023

Centers for Medicare & Medicaid Services (CMS) has put forth to strengthen hospice program integrity mirror rules implemented in years past for home health providers, including medical review processes and rules for when a provider can sell their business. CMS is no doubt hoping for similar results for the Medicare Hospice Benefit.

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Hospice Medicare 2022 2018 202

Hospice News

APRIL 11, 2024

Black Americans are frequently denied access to hospice and palliative care due to structural racism, and many of those communities lack sufficient information to make end-of-life care decisions, new research has found. Some patients with serious illnesses didn’t get enough help with managing their pain. Because Black lives don’t matter.

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Palliative care Palliate Hospice End-of-life care 267

Hospice News

FEBRUARY 2, 2024

This is a challenge for providers in light of the widespread healthcare staffing challenges that impact the hospice community.” Centers for Medicare & Medicaid Services (CMS). Medicare may cover CHC for as long as 24 hours a day.

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Home care 2013 Document 2024 236

Daily Nurse

MARCH 9, 2023

CRNAs have practiced without this regulation for nearly three years under healthcare flexibilities issued during the public health emergency. This forces patients to travel further to get the care they need and leaves others to put off necessary healthcare. More information and the opportunity to contact your local U.S.

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Healthcare 2005 Registered Nurse 2020 84

Hospice News

MAY 2, 2023

Language in the 2024 proposed rule for the Medicare hospice program gives some indication of where the U.S. Centers for Medicare & Medicaid Services (CMS) is heading when it comes to quality measurement requirements. Historically, about 18% of Medicare-certified hospices are found non-compliant, according to Wehri.

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Hospice Webinar 2024 Medicare 223

Hospice News

JULY 27, 2022

Centers for Medicare & Medicaid Services (CMS) will give hospices a 3.8% The rule also contains a model for phasing in changes to the way CMS will use the wage index to inform payment rates in future years. bump in their per diem payments for 2023, according to a final rule published today. to $32,486.92.

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2023 Hospice Medicare Information 351

Hospice News

DECEMBER 12, 2023

Many established services for the purpose of selling the license at a profit or defrauding Medicare. Centers for Medicare & Medicaid Services (CMS) has rolled out a swath of new measures to reduce fraud, waste and abuse in the space. They could also face financial penalties or expulsion from the Medicare program.

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Hospice News

SEPTEMBER 8, 2023

Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. billion nonprofit Medicare Advantage (MA) organization that covers more than 285,000 members across California, Arizona, Nevada and Texas. SCAN is a $4.3

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2026 Hospice Demo 2024 247

Hospice News

JULY 28, 2023

Centers for Medicare & Medicaid Services (CMS) is giving hospices a 3.1% Jennifer Sheets, the former president and CEO of Caring Brands International and Interim HealthCare Inc., increase to their per diem payments for 2024, according to a final rule published Friday. for next year, up from $32,486.92 set in 2023.

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2024 Hospice 2023 Medicare 216

Hospice News

DECEMBER 21, 2023

Recently, many of those efforts have included advocacy around program integrity within the Medicare Hospice Benefit. The organizations have been moving forward under the guidance of a steering committee informed by members of both NAHC and NHPCO, with support from the consulting firm McKinley Advisors.

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2024 Palliative care Homecare Palliate 249

Healthcare Law Insights blog

JUNE 5, 2023

The Department of Health and Human Services (HHS) through its Office of Inspector General (OIG), announced plans for significant updates and modernization of OIG compliance program guidance (CPG) to improve their accessibility and usability for healthcare entities. [1] 2] To join OIG’s listserv, visit [link].

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Healthcare 2023 2024 Medicare 52

Hospice News

FEBRUARY 23, 2023

Though hospices operate within the dedicated Medicare benefit, market forces in the system at large wield considerable influence on how they operate — including the meteoric rise of managed care. million beneficiaries are currently enrolled in Medicare Advantage, according to the U.S. We don’t shy away from managed Medicare.

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Hospice Demo Medicare Healthcare 217

Hospice News

OCTOBER 4, 2023

Centers for Medicare & Medicaid Services (CMS). We are committed to ensuring that the HOSPICE Act is implemented in a manner that aligns with congressional intent to improve the quality of care delivered to Medicare beneficiaries nearing the end of life,” the lawmakers wrote in the letter. Four members of Congress led by Reps.

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Hospice 2024 Medicare 2019 229

Hospice News

AUGUST 10, 2023

On the hospice front, those efforts include advocacy around the government’s ongoing program integrity push within the Medicare Hospice Benefit. The organizations have been moving forward under the guidance of a steering comment informed by members of both NAHC and NHPCO, with support from the consulting firm McKinley Advisors.

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Palliative care Medicare Palliate Home care 223

Hospice News

SEPTEMBER 22, 2023

As those problems proliferate, the National Hospice and Palliative Care Organization (NHPCO), the National Association for Home Care and Hospice (NAHC), LeadingAge and the National Partnership for Hospice and Healthcare Innovation (NPHI) have been speaking out not only individually, but collectively. This prompted the U.S.

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Hospice News

JANUARY 24, 2023

of all Black, Hispanic, American Indian, Asian and Pacific Islander Medicare beneficiaries in the study, compared to 0.9% These systems can use algorithms and statistical models to detect patterns in patient data from electronic medical records and other sources of information, helping providers predict probable changes in patient conditions.

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Vital signs 2020 Healthcare 2019 285

Hospice News

SEPTEMBER 25, 2023

Centers for Medicare & Medicaid Services (CMS) plans to launch the program in 2024, according to language included in the agency’s proposed home health rule for 2024. This conflicts with recommendations from the TEP, which would have scaled those deficiencies and complaints per 100 Medicare beneficiaries.

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Hospice 2024 Medicare 2022 221

Nurse.com

JUNE 3, 2022

COVID-19 is continuing to challenge the healthcare industry , national economy, and basic human socialization in unprecedented ways. With healthcare workers at the forefront of these challenges, their preferences for their work environments are beginning to shift. Home Healthcare Benefits for Nurses.

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Home healthcare Healthcare Home health nurse 2028 59

Hospice News

OCTOBER 13, 2022

A group of health care organizations is developing interoperable systems for sharing information on social determinants of health across care settings. Social and economic factors like these drive about 55% of individuals’ health outcomes, according to the Better Medicare Alliance. For example, 2016 research found that close to 3.6

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Medicare 2016 2020 2021 214

Hospice News

JUNE 7, 2023

” Arizona had 239 new Medicare-certified hospices appear between 2018 and 2022, representing 52% of all providers in the state. Centers for Medicare & Medicaid Services (CMS) to address this issue, providing 34 recommendations. We have to be vigilant at getting our information, getting our data and following up.

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Hospice End-of-life care Medicare 2018 274

Hospice News

JANUARY 17, 2023

Opportunities exist within risk-based payment models to improve coordination among providers and transitions of care between settings, according to Dr. Joseph Shega, executive vice president and chief medical officer for VITAS Healthcare, a subsidiary of Chemed Corp. NYSE: CHEM). Perhaps most prominently, the U.S.

Hospice 221

Hospice Care coordination Care coordinator Medicare 221

Hospice News

MAY 9, 2023

This trend has led to many new partnerships that have helped companies make better-informed decisions for patients. This is particularly the case when negotiating contracts with Medicare Advantage plans, Accountable Care Organizations (ACOs) and other value-based payment arrangements. “[It] Recently, Sharon S. Recently, Sharon S.

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Palliative care Palliate Medicare Document 171

Hospice News

OCTOBER 14, 2022

Centers for Medicare & Medicaid Services (CMS) calling on the agency to formalize data collection standards for hospices to inform development of quality measures around health equity, among other actions. CAHPS survey results are currently the key indicator informing Medicare star ratings.

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Medicare 2018 Information End-of-life care 147

Hospice News

DECEMBER 13, 2022

Centers for Medicare & Medicaid Services (CMS) to examine the issue and to consider actions like targeted moratoria on licenses. In development for subsequent years is a Special Focus Program (SFP) with a range of enforcement powers up to and including civil monetary penalties and revocation of Medicare certification, among others.

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2023 Hospice Hospice aide Medicare 279

Hospice News

NOVEMBER 27, 2022

About 72% of respondents to a National Partnership for Healthcare and Hospice Innovation (NPHI) survey said they do not believe that the U.S. Hospices may be able to use the survey data to inform their outreach to the communities they serve, according to Ethan McChesney, policy director at NPHI. “We

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End-of-life care 2017 Document Hospice 277

Hospice News

FEBRUARY 10, 2023

Bristol Hospice and VITAS Healthcare. We’ve heard from the [Medicare Payment Advisory Commission (MedPAC)] on the 20% payment cap reduction. Is Medicare Advantage going to be the path? The amount of work you have to do to collect money with Medicare has grown. We’ve heard that year after year.

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2023 Hospice Medicare Books 262

Hospice News

JANUARY 2, 2023

The Medicare Hospice Benefit turned 40-years-old in 2022, and in that time the program has remained fundamentally unchanged. Centers for Medicare & Medicaid Services (CMS) has been all-in on value-based models. NYSE: CHEM) subsidiary VITAS Healthcare recently told Hospice News. Greater reliance on technology, data.

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Hospice Medicare Palliative care 2020 227

Hospice News

DECEMBER 21, 2022

Contributing to these declines were constraints on clinical capacity stemming from the labor shortage, as well as some instances of lower reimbursement for its home health services due to the shift of more patients towards Medicare Advantage, executives said in an earnings call. NYSE: CHEM) VITAS Healthcare. “So Length of stay.

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2022 Hospice Medicare 2021 196

Hospice News

JULY 11, 2023

Josie Aquino: With 20+ years in healthcare, I have embraced a range of roles, each providing unique and invaluable experiences that have shaped my career and that I draw upon in my role today. For Medicare Advantage plans, a carve-in facilitates better care coordination and oversight.

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End-of-life care 2030 Palliative care Article 100

Hospice News

MAY 22, 2023

Though older Asian-American adults may be less likely to discuss pain and symptom management needs with their health care professionals, they may be more receptive to the psychosocial support included in hospice and palliative care, according to recent research from VITAS’ Healthcare. and 20%, respectively. They represent 1.8%

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2010 Document Palliative care End-of-life care 205