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‘Upgrading’ the Medicare Hospice Benefit

Hospice News

The Medicare Hospice Benefit could use an “upgrade” to ensure greater flexibility that may be necessary to fully support patients’ needs. Centers for Medicare & Medicaid Services (CMS) should consider is retiring the six-month terminal prognosis requirement and allowing for some concurrent care, Wallace and Wladkowski indicated.

Medicare 291
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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.

Medicare 265
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Hospice Leaders: Change Must Come to the Medicare Hospice Benefit

Hospice News

Calls have grown louder for an overhauled design of the Medicare Hospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. One part of the issue is that hospice reimbursement has not kept pace with evolving patient needs, Grant said.

Medicare 290
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Medicare Making Fewer Improper Payments to Hospices

Hospice News

Medicare fee-for-service programs made $31.23 billion in improper payments during 2023, though a smaller proportion of those dollars went to hospices than in years prior. Hospices received nearly 5.4% of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S.

Medicare 265
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Longer Hospice Stays Lead to Larger Medicare Cost Savings

Hospice News

Despite years of scrutiny over the duration of hospice care, new data show that longer stays reduce health care costs in the last year of life by as much as 11%. All told, hospice care — regardless of length of stay — saves Medicare approximately $3.5 Centers for Medicare & Medicaid Services (CMS) and the U.S.

Medicare 342
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Investigating Medicare Hospice Overpayments

Hospice News

As auditing activity by regulators continues to spike, hospices need to know how to conduct internal investigations to identify any potential improper payments. Centers for Medicare & Medicaid Services (CMS) actively works to recoup payments that it deems improper. Medicare fee-for-service programs made $31.23

Medicare 130
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Quality Data, Cost Control: Hospices’ ‘True North’ in Medicare Advantage

Hospice News

Medicare Advantage plans are connecting the dots between quality scores and care delivery costs. When choosing a hospice to work with, payers in the Medicare Advantage (MA) realm zero in on providers’ quality scores and its patient population growth potential, according to Frontpoint Healthcare CEO Brent Korte.

Medicare 246