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Customizing Hospice, Palliative Care Payment Contracts in ACO REACH

Hospice News

Hospices and Accountable Care Organizations have the ability to customize payment contracts within the Realizing Equity, Access and Community Health (ACO REACH) program. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. Effective Jan.

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Hospices Seek Congressional Action on Staffing Constraints

Hospice News

Years after it was first introduced, hospice leaders are calling on Congress to move forward legislation that would bolster their dwindling workforce. The most significant bill in recent years is the Palliative Care and Hospice Education Training Act (PCHETA), which has come before Congress time and again but has not yet been passed.

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4 Key Trends for Hospices to Watch in 2024

Hospice News

Hospice operators in 2024 are navigating a rapidly transforming environment. The prior three years have laid the groundwork for change, particularly in the regulatory space as well as gradual migration towards value-based reimbursement and in tandem, the proliferation of business lines beyond hospice.

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CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

The 2025 proposed hospice rule is raising some questions along with payment rates. Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% increase in hospice per diems for 2025. We know that hospice care has demonstrated $3.5 We know that hospice care has demonstrated $3.5

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Federal Judge Hands Down Prison Sentences in Hospice Fraud Case

Hospice News

Justice Department has sentenced two individuals linked to California hospices on alleged False Claims Act violations, among other charges. Gayk Akhsharumov, manager and owner of San Gabriel Hospice & Palliative Care and Broadway Hospice, received a sentence of one year and one day in prison and was ordered to pay close to $9.2

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How CON Laws Influence Hospice Quality, Program Integrity

Hospice News

Variations in hospice certificate of need (CON) state laws are raising program integrity concerns. What ends up happening in states without CON is actually lower hospice utilization with way too many hospices in one service area, and often fragmented care without all four levels of hospice offered,” Ponder-Stansel told Hospice News.

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SCAN Group Invests in Guaranteed’s ‘Inclusive’ Hospice Technology Services

Hospice News

Medicare Advantage organization SCAN Group has invested an undisclosed dollar amount in tech-enabled hospice startup Guaranteed. The move comes nearly a year after California-based Guaranteed launched in August 2022, when founder and CEO Jessica McGlory began her own provider company two years after her father passed away.

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