article thumbnail

‘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. Votsmier Endowed Chair and a professor in the Valentine School of Nursing at Saint Louis University, and Stephanie P. This is according to a recent editorial in Health Affairs by Cara L.

Medicare 290
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 264
professionals

Sign Up for our Newsletter

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

article thumbnail

CMMI Analysis: Palliative Care Reduces Medicare Costs, Improve Patient Satisfaction

Hospice News

Despite this potential, existing programs hit barriers created by misconceptions about palliative care among referring physicians, as well as health equity concerns, among others, according to an analysts of four payment model demonstrations carried out by the Center for Medicare & Medicaid Innovation.

Medicare 317
article thumbnail

How Medicare Budget Neutrality Impacts Hospice Payment

Hospice News

Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. But a similar move within the Medicare Hospice Benefit is unlikely. Though the is not yet final, the proposal included a 4.2%

Medicare 246
article thumbnail

Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. Centers for Medicare & Medicaid Services (CMS).

Medicare 246
article thumbnail

Aetna’s President of Medicare: MA Plans Go All-In on Aging in Place with New 2024 Benefits, Palliative Care, Hospice VBID

Hospice News

“Aetna remains focused on providing benefits and services to help our members age in the place that is best for them – whether that is with caregivers or without, in a family home or in a senior living community,” Terri Swanson, president of Medicare for Aetna, told Hospice News in an email. “We

2024 299
article thumbnail

How an Advance Care Planning Bill Could Impact Hospice and Medicare

Hospice News

and Susan Collins (R-Maine) introduced the Improving Access to Advance Care Planning Act to the Senate designed to promote greater access to those services among Medicare beneficiaries. One potential concern about the bill would be the additional cost to Medicare through removal of the co-pays. Warner (D-Va.) Earl Blumenauer (D-Ore.).

Medicare 299