Hospice News

FEBRUARY 23, 2024

Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. Want to read more palliative care-focused content like this? Subscribe to Palliative Care News today ! The company acquired Contessa in 2021 for $250 million. million beneficiaries.

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Hospice News

JUNE 15, 2023

After more than a decade working in hospice leadership, Alli Collins came across something she had never seen before — a financially viable, all-volunteer provider that is not Medicare-certified. I am the new executive director for Hospice and Palliative Care of the Wood River Valley. She never instituted a Medicare provider number.

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Hospice News

DECEMBER 13, 2023

Since at least 2022, Contessa has been pursuing palliative care reimbursement through Medicare Advantage. Earlier this year, the Amedisys subsidiary entered into its first full-risk Medicare Advantage contract to include palliative care with Blue Cross Blue Shield of Tennessee. based research and consulting firm ATI Advisory. “I

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Hospice News

APRIL 26, 2024

Centers for Medicare & Medicaid Services (CMS) has delayed the implementation of hospice certifying physician Medicare enrollment requirements. CMS delayed the date to enroll in or opt out of Medicare until June 3 for physicians who certify hospice services.

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Hospice News

OCTOBER 25, 2023

Centers for Medicare & Medicaid Services (CMS) allowed palliative care providers to perform patient care visits virtually. Centers for Medicare & Medicaid Services (CMS) allowed palliative care providers to perform patient care visits virtually. During the pandemic, the U.S. In June U.S.

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Hospice News

JULY 20, 2022

Payers, including Medicare, like to see providers reduce the costs of care. Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care.

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Hospice News

MARCH 29, 2024

Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% billion in annual savings for Medicare, which underscores the critical importance of investing in hospice to ensure continued beneficiary access to quality end-of-life care.” Hospice care saves Medicare roughly $3.5 In a proposed rule released yesterday, the U.S.

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Hospice News

APRIL 17, 2023

As the demand for palliative care continues to grow, so too has the way businesses have bolstered their programs to better serve patients. Providers are consistently looking for new methods to deliver responsive, value-based services that can generate savings and reduce high-acuity utilization. Enter UnitedHealth Group (NYSE: UNH).

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Hospice News

MAY 1, 2023

Traditional Medicare only covers physician consults and doesn’t support the full range of interdisciplinary care. Two emerging pathways to payment include supplemental benefits within Medicare Advantage and relationships with Accountable Care Organizations (ACOs). Centers for Medicare & Medicaid Services (CMS).

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Hospice News

DECEMBER 15, 2022

Commonly known as the Medicare Advantage hospice carve-in, the Value-Based Insurance Design (VBID) model officially launched on January 1, 2021, with 53 Medicare Advantage Plans offering the benefit in 206 counties within 13 states and Puerto Rico for 4 years ending in 2025. The difference is Medicare Advantage vs Humana VBID.

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Hospice News

OCTOBER 18, 2023

Cancer patients can benefit from the interdisciplinary support of a palliative care team, but a main barrier to access is that oncology clinicians often lack insight around these services, according to Dr. Julie Gralow, chief medical officer and executive vice president of the American Society of Clinical Oncology (ASCO). An estimated 1.9

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Hospice News

SEPTEMBER 20, 2023

Guaranteed serves Medicare and Medicaid patients across five counties in southern California, including the Los Angeles region. Prior to that, she was chief nursing officer at the Spotsylvania Regional Medical Center, also holding leadership roles at Evercare Hospice and Palliative Care and Capital Hospice, now Capital Caring.

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Hospice News

MARCH 12, 2024

Centers for Medicare & Medicaid Services (CMS). “The findings from our collaborative survey offer valuable insights into the auditing and adjudication processes of Medicare hospice benefit claims,” NPHI CEO Tom Koutsoumpas told Hospice News in an email. In addition to those my Medicare Contractors, last year the U.S.

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Hospice News

NOVEMBER 2, 2023

This article is based on a Hospice News discussion with Daniel Schwartz, Chief Strategy Officer at Elara Caring, Devin Woodley, VP of Managed Care Contracting and B2B Sales at VNS Health, Gavin Baumgardner, VP and National Medical Director for Complex and Palliative care at Amedisys, and Anthony Spano, Director of Client Development at Netsmart.

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Hospice News

NOVEMBER 2, 2023

Centers for Medicare & Medicaid Services (CMS) finalized its home health rule for 2024 containing a new policy that will require anyone who holds 5% ownership or more in a hospice to submit a criminal background check, including fingerprints. Additional services include palliative care, a veterans program and care coordination.

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Hospice News

OCTOBER 4, 2023

He went on to become the organization’s medical director. “ He went on to become the organization’s medical director. “ John Mulder, chief consultant for hospice and palliative care medicine for Michigan’s Faith Hospice, was drawn to the field after witnessing his father’s difficult end-of-life experience.

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Hospice News

JUNE 14, 2023

Meanwhile, Medicare hospice spending is expected to more than double by 2032. Centers for Medicare & Medicaid Services (CMS) Office of the Actuary also project that health care expenditures will represent 19.6% However, the annual Medicare Trustees Report for 2023 provides a more detailed look at hospice spending.

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Hospice News

JANUARY 30, 2024

Centers for Medicare & Medicaid Services (CMS) gave hospices a 3.1% Due to polypharmacy, hospice patients are often at great risk for adverse side effects, such as falls, confusion and medication interactions, among others, according to a 2022 dissertation by Shannon Dickson at the University of Massachusetts-Amherst.

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Hospice News

MARCH 25, 2024

The hospice provider also offers palliative care, veteran and bereavement services, and durable medical equipment (DME) and supplies. In February that year we got our corporation licenses for a business and in November we became Medicare-certified. Stoneridge Hospice launched in 2020. The questions become, ‘Where are the patients?

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Hospice News

JUNE 1, 2022

This can result in patients coming to hospice later in the course of their illnesses, according to Lee, who also serves on the board of directors at the Social Work Hospice & Palliative Care Network (SWHPN). But clinical education will need a much larger boost to ensure a sustainable workforce, according to many providers.

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Hospice News

NOVEMBER 11, 2022

The Improving Access to Advance Care Planning Act would expand utilization of these services by removing Medicare payment barriers faced by both providers and patients. The bill proposes to “wave,” or remove, Medicare beneficiary cost-sharing for advance care planning services. Susan Collins (R-Maine) and Mark Warner (D-Va.)

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Hospice News

MAY 22, 2023

Understanding these perspectives can drive conversations about management of these symptoms, according to VITAS Medical Director Robert Nguyen, who worked on the study. of Medicare decedents who used hospice in 2018, the National Hospice and Palliative Care Organization (NHPCO) reported. between 2010 and 2019.

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Hospice News

JUNE 29, 2023

Gross is also a medical director at ANX Hospice Care. There isn’t a guideline as to what would be considered best practice or appropriately fulfilling the Medicare requirements for bereavement,” Gross said. There’s no guideline in place for fulfilling this Medicare requirement in an economically feasible way.”

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Hospice News

FEBRUARY 10, 2023

District Judge Debra Brown has sentenced a Mississippi hospice physician to five years in prison for taking $16 million in fraudulent Medicare claims. He had served as medical director for several hospice organizations. attorney for northern Mississippi, said in a statement. billion in the fiscal year ending Sept.

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Hospice News

JUNE 8, 2022

Thus far, the initiative has yielded positive results, but the process hasn’t always been easy, according to Dr. Gregg VandeKieft, executive medical director of the institute’s Palliative Practice Group. For starters, rural regions are less likely to have a Medicare-certified hospice than urban counties. palliative?care

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Hospice News

DECEMBER 22, 2022

Combined, Asians, African Americans and Hispanics in 2018 represented only 20% of Medicare hospice patients, while the remaining 80% were Caucasian, according NHPCO. The most visible attempt began in 2020 when CMS began allowing Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit.

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Hospice News

MARCH 6, 2023

Centers for Medicare & Medicaid Services (CMS) on reported instances of hospice fraud in several states. “I In some cases, numerous licensed hospices have been operating from the same addresses, often with the same CEOs, medical directors and staff. Beth Van Duyne (R-Texas). The congresswoman and fellow legislator Rep.

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Hospice News

JANUARY 19, 2023

Many people living with serious medical illnesses also suffer from comorbid behavioral health issues,” the Center to Advance Palliative Care (CAPC) indicated in a 2020 report. Awareness of even the basic tools to address some of this will greatly empower our medical community.” This is such a big issue.”

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Hospice News

MARCH 24, 2023

according to the Medicare Payment Advisory Commission. We’re not going to take the place obviously of a medical director or a certified hospice nurse, but we are going to give them another tool to question their thinking and make sure that what needs to be documented is being documented.”

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Hospice News

NOVEMBER 17, 2023

Dr. Dustin Dillon, medical director of palliative care services at Pallitus, said it was important for the palliative care provider to stand on its own. The majority of these patients are greater than the age of 65 with multiple medical conditions. “We do that through expert symptom management,” Dillon said.We

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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. Centers for Medicare & Medicaid Services (CMS).

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High Peaks Hospice

NOVEMBER 4, 2022

That year Medicare determined that dying was no longer a diagnosis that warranted a hospital admission. In 1982 Medicare authorized reimbursement for hospice care. Dr. Merkel engaged with his partner Dr. Robert Kasulke to spear head the medical care. Dr. David Merkel served as Medical Director of Hospice until his death in 2012.

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NHPCO

JULY 25, 2023

These program integrity efforts include: Revocation of Medicare enrollment: CMS has identified fraud schemes and increased its operational ability to revoke Medicare enrollment more quickly. Organizational Deactivation: CMS proposes to revoke Medicare certification if a provider has not billed any claims within six months.

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GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. The person didn’t believe in the medications.

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GeriPal

JULY 20, 2023

Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries: [link] Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth. Joe, welcome to the GeriPal podcast. Joe: Great to be here.

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AAHPM (American Academy of Hospice and Palliative)

JUNE 27, 2023

Thomson, DO MBA HMDC FACOI FAAHPM As one of AAHPM’s delegates, I had the privilege of representing the field of Hospice and Palliative Medicine at the American Medical Association (AMA) House of Delegates (HOD) 2023 Annual Meeting held in Chicago in mid-June. We know this issue also leads to moral distress for Hospice Medical Directors.

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GeriPal

MARCH 24, 2023

Reading Ira’s article, it essentially was the VITAS Medical Director job description. Lauren: And looking in the Medicare data, you cannot figure out when a hospice changed ownership. Eric: Alex, we have some great guests with us today. Alex: We have some wonderful guests. Welcome back to GeriPal, Lauren.

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