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SCAN Group CEO Sachin Jain: Medicare Could Use a Major Facelift

Hospice News

The mission and function of the Medicare program have evolved over time, and the agency that runs it also may need to adapt to the new ways that health care organizations are doing business, according to SCAN Group CEO Dr. Sachin Jain. billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members.

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NAHC President Bill Dombi: History Repeating Itself on Hospice Program Integrity

Hospice News

Centers for Medicare & Medicaid (CMS) this year introduced a number of new regulations, many of which were modeled after some in place for home health agencies and skilled nursing facilities. Back in the 1990s, the microscope ended up focusing on the Medicare Home Health Program. What I’m seeing is history repeating itself.

Hospice 299
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CMS: Nearly 400 Hospices Considered for ‘Administrative Action’ as Program Integrity Efforts Heat Up

Hospice News

Centers for Medicare & Medicaid Services (CMS) is considering administrative action against 400 hospices, which could include revocation of their Medicare certification. As part of this strategy, CMS embarked on a nationwide hospice site visit project, making unannounced site visits to every Medicare-enrolled hospice.

Medicare 246
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Value-Based Care: What Hospices Can Learn from Home Health Companies

Hospice News

Home health value-based purchasing Home health providers have two primary inroads to value-based care — HHVBP and Medicare Advantage. Centers for Medicare & Medicaid Services (CMS) kicked off the HHVBP demonstration on Jan. I’m concerned that the hospice industry writ large is not looking at this.

Hospice 246
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Understanding CMS’ Civil Monetary Penalties for Hospices

Hospice News

Centers for Medicare & Medicaid Services (CMS) has been gradually implementing changes to the hospice survey process and enforcement remedies, including civil monetary penalties in some instances. The monetary penalties were among seven enforcement remedies introduced through the HOSPICE Act and subsequent CMS rules.

Hospice 265
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Helios Care Partners with Bassett Healthcare to Expand Hospice, Palliative Services

Hospice News

Helios and Basset are also collaborating on the development of a transitional care program for patients with serious or chronic illnesses. In 2021, 48,644 Medicare beneficiaries in New York state elected the hospice benefit, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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What Hospices Can Learn from Home Health Agencies on New Program Integrity Rules

Hospice News

Centers for Medicare & Medicaid Services (CMS) has put forth to strengthen hospice program integrity mirror rules implemented in years past for home health providers, including medical review processes and rules for when a provider can sell their business. CMS is no doubt hoping for similar results for the Medicare Hospice Benefit.

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