article thumbnail

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 231
article thumbnail

Facility-Bound Hospice Patients Less Likely to Get SIA Visits

Hospice News

Hospice providers in facility-based settings may be underutilizing Medicare’s service intensity add-on (SIA). Researchers analyzed 2020 claims data to identify associations between SIA utilization and hospice Medicare beneficiaries’ characteristics such as site of service, level of care and length of stay, among others.

professionals

Sign Up for our Newsletter

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

article thumbnail

Palliative Care Providers Walk a Reimbursement Tightrope

Hospice News

Trying to manage care delivery needs while running a palliative care business can be frustrating for leaders and “really throw [them] for a loop” financially, Spragens said, speaking at the American Academy of Hospice and Palliative Medicine (AAHPM) and the Hospice and Palliative Nurses Association (HPNA) Annual Assembly.

article thumbnail

Advance Care Planning Billing Rules Impede Equitable Access

Hospice News

On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed in any setting outside of an annual wellness visit. the bill proposed to remove Medicare beneficiary cost-sharing while also widening the scope of staff who can bill for these services. Introduced by U.S.

article thumbnail

Providers Work to Solve Palliative Care’s Biggest Growing Pains

Hospice News

Stephen Goldfine, chief medical officer at Samaritan Healthcare & Hospice. The New Jersey-based nonprofit offers hospice and palliative care, among other services. Samaritan Healthcare & Hospice launched its palliative care service line in 2007, mainly providing these services in hospital-based settings.

Palliate 190
article thumbnail

Key Research Trends: State CON Laws, Dementia Patient Trajectories Reshaping Hospice

Hospice News

Data are reshaping the health care space, and hospice is no exception. Hospice providers have needed a window into access and utilization, as well as how lawmakers are shaping policies around health care. Data on CON laws has taken on new significance as regulators zero in on the hospice space.

Hospice 189
article thumbnail

More States Integrating Palliative Care Into Medicaid Programs

Hospice News

Case in point, New Jersey legislators are currently mulling a bill that would create a community-based palliative care benefit within the state’s Medicaid program. . Five states — Minnesota, North Carolina, North Dakota, Washington and Virginia — define palliative care eligibility within their Medicaid hospice programs.