Hospice News

DECEMBER 1, 2023

A main barrier to palliative care growth in the Medicare Advantage hospice carve-in is a lack of understanding of these services among beneficiaries, as well as inconsistent service delivery. When the U.S. There’s substantial variation when you look under the hood.”

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Hospice News

OCTOBER 20, 2022

“One of the primary reasons that there is limited access is the fact that we don’t have a clear definition of who qualifies for palliative care,” Booker told Hospice News during the Palliative Executive Webinar Series. What are the clinical components that we’re looking for in a patient? What are the guidelines? It’s fairly loose.”.

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Hospice News

OCTOBER 1, 2022

Centers for Medicare & Medicaid Services (CMS) that health equity will be a key component of their payment model demonstrations going forward. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. Switching to the Medicare Hospice Benefit also usually meant transitioning to a new care team.

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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. Medicare claims can also be one way regulators gain insight into potential misuse of telehealth services, she said at the C-TAC-CAPC Leadership Summit in Washington, D.C. During the pandemic, the U.S.

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Hospice News

SEPTEMBER 22, 2023

Along with Medicare Advantage, ACOs are one of the few avenues towards more robust reimbursement than fee-for-service models. Centers for Medicare & Medicaid Services (CMS) has announced plans to ensure that 100% of Medicare beneficiaries become aligned with an accountable care entity.

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Hospice News

DECEMBER 9, 2022

Often called the MA hospice carve-in , the voluntary demonstration is designed to assess payer and provider performance related to hospice within Medicare Advantage (MA). Centers for Medicare & Medicaid Services (CMS) has indicated that hospices should ensure that their billing staff is familiar with the 2023 modifications.

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Hospice News

SEPTEMBER 27, 2022

“At Mount Sinai we’re really good at creating new models and proving they work to improve care for the sickest patients with serious illness,” Goldstein told Hospice News during the Palliative Care Executive Webinar Series. But we’re not so good about going out there in the community and figuring out how to bargain with insurance plans.”.

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Home Care Pulse

APRIL 19, 2023

HCP WEBINAR What Skilled Nursing Facilities Need to Know About Proposed CoreQ Regulations Thursday, May 18th , 2023 Thursday, May 18th , 2023 Thursday, May 18th , 2023 2:00pm EST | 30 min 2:00pm EST | 30 min 2:00pm EST | 30 min Is your organization prepared to meet proposed CoreQ regulations?

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Hospice News

APRIL 20, 2023

These data points can raise red flags for the Centers for Medicare & Medicaid Services (CMS) and its contractors and frequently lead to audits. OIG will audit hospices’ Medicare claims and associated documentation during the calendar year of 2023.

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Hospice News

APRIL 14, 2023

Centers for Medicare & Medicaid Services (CMS) currently allows Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit. Medicare Advantage a prime mover For now, both sides are focused on MA. In addition to VBID and at-risk payment models, traditional Medicare reimburses for palliative care.

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Hospice News

APRIL 14, 2023

Centers for Medicare & Medicaid Services (CMS) is moving towards the development of health equity quality measures for hospices. Last year, the agency convened a technical expert panel (TEP) to study the issue, according to language in its 2024 proposed hospice rule.

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Hospice News

DECEMBER 6, 2023

ACHC is recognized by the Centers for Medicare and Medicaid Services (CMS) as a deeming authority for home health and hospice. We provide a range of educational resources and training materials, including workshops, webinars, and workbooks, to assist hospice agencies in understanding and implementing these standards.

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AlayaCare

NOVEMBER 29, 2022

Centers for Medicare and Medicaid Services predicts that health spending will grow at an average annual rate of 5.4 This is the onslaught. ” – Naomi Goldapple, VP of AlayaLabs, Navigating Value-Based Care in Home Health with AlayaCare Webinar. percent for 2019-28 and to reach $6.2 While the U.S.

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AlayaCare

NOVEMBER 21, 2022

Centers for Medicare and Medicaid Services predicts that health spending will grow at an average annual rate of 5.4 This is the onslaught. ” - Naomi Goldapple, VP of AlayaLabs, Navigating Value-Based Care in Home Health with AlayaCare Webinar. percent for 2019-28 and to reach $6.2 While the U.S. What outcomes were measured and how?

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Hospice News

NOVEMBER 27, 2023

Person-centered care is becoming increasingly important in all care settings, as the Centers for Medicare and Medicaid Services continues to prioritize value-based care and individual care outcomes. In hospice care, this approach is in some ways even more crucial due to the nature of serving each individual at the end of his or her life.

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Home Care Pulse

OCTOBER 11, 2022

So the Oasis is the data tracker for cms that every patient who has Medicare as their primary, primary insurance has to have on file. Don’t panic at Medicare. It’s the improving Medicare Post-Acute Care Transformation Act. I think that’s a good description. It’s all of their demographics.

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Home Care Pulse

APRIL 26, 2022

B oth the Centers for Medicare and Medicaid Services (CMS) and the Health and Human Services Office of Inspector General (OIG) are charged with preventing fraud and abuse related to federal healthcare spending. Financial reasons: Medicare spends 72.10% of their payments for patients with a length of stay greater than 180 days.

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Home Care Pulse

FEBRUARY 14, 2023

Payer Sources: Private HMO insurance plan through Alice’s job Medicare as Alice became eligible for Social Security Disability Insurance and Medicare when she was diagnosed with ALS. If not, your patients may end up struggling to ensure all the bills are paid. Alice receives care for her ALS at a specialized ALS clinic. Tips for you!

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HEALTHCARE first

JANUARY 31, 2022

Medicare has announced several changes to data available on Care Compare in 2022. Most recently, the CAHPS Hospice Survey Star Ratings is anticipated to debut August 2022.

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Home Care Pulse

AUGUST 16, 2022

Melanie has previously been on several webinars with us here at HCP and I’m honored to have you on today before we jump into our discussion today, Melanie, can you give our listeners a little snippet about yourself and home care sales? Melissa Mendez ( 00:12 ): Welcome to vision the home care leaders podcast. And that was awesome.

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Hospice News

NOVEMBER 28, 2022

I was asked to speak at a virtual webinar a few weeks ago on this issue, and I wanted to be honest about how difficult the caregiving experience is. We have an inpatient hospice unit at our university, and at times you have to go to families and say, “They’re kind of stable, so Medicare is not going to allow this or pay for this.

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Home Care Pulse

SEPTEMBER 20, 2022

Will you explore the materials provided by the Centers for Medicare and Medicaid Services (CMS)? Watch our webinar, Climbing the OASIS-E Mountain , which covers the why behind the changes, how to access available resources, samples from CMS, and a review of how the data is used. What is new? What has changed? What has gone away? .

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Pallimed

SEPTEMBER 12, 2022

This unexpectedly and undesirably increased health insurers’ medication costs, including Medicare and Medicaid (22). This start date reflected the timing of CDC’s webinar for its intended release of its 2016 Guideline (2, 3), while the end date preceded a decision by CDC on the final form for its 2022 Revised Opioid Guideline (6, 7).

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Hospice News

JANUARY 19, 2023

Centers for Medicare & Medicaid Services (CMS) to make regulatory and legislative changes to instill stronger program integrity safeguards. These cases generally involve allegations that hospices billed Medicare for services for which patients were not eligible.

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Hospice News

SEPTEMBER 16, 2022

Centers for Medicare & Medicaid Services (CMS) raised hospice per diems by 3.8% Related to workforce issues, [providers are seeing] increased costs related to management fees, outsourcing of work, recruitment and staff retention, reduced productivity and lost revenue related to staff turnover,” said Forster during a recent NAHC webinar.

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Hospice News

DECEMBER 12, 2022

The divestiture fits into Humana’s stated goal of raising its enterprise value by $1 billion , while building out its health care services and Medicare Advantage business. The company began as the fourth largest provider of Medicare-certified home health services and the 12th largest provider of Medicare-certified hospice services nationally.

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Hospice News

MAY 5, 2023

Centers for Medicare & Medicaid Services (CMS). We’re going to have COVID vaccinations fall in line with much of the other normative practices around vaccination for influenza,” Muir said during a recent Hospice News webinar. Costs have soared for supplies such as personal protective equipment (PPE) and sanitizing products.

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AAHPM (American Academy of Hospice and Palliative)

DECEMBER 2, 2021

Academy leaders and staff joined NCHPC partners in a meeting with the Center for Medicare and Medicaid Innovation to discuss the Coalition’s “ Recommendations for Cross-cutting Quality Measures to Include in All Payment Models Involving Care for People with Serious Illness.” Combined with other statutory reductions set to hit on Jan.

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Home Care Pulse

JUNE 27, 2023

And I think, you know, we, we come on these webinars, we listen, you know, to the industry leaders. Now, for those of us in home care, you know, we know original Medicare is not a payer for us. This comes at a, a high heavy price tag too at nms estimated cost to Medicare of 26 billion. Absolutely. It’s a buzz.

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Home Care Pulse

NOVEMBER 22, 2022

Well, for anyone who is around in home health in 1998, <laugh> Dinosaur years, um, Medicare did one of its reimbursement cuts. But the, this webinar will be recorded and we’ll distribute it, and we’ll also ask and distribute a copy of the report for free to everybody, uh, that participates today. So I was let go.

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GeriPal

SEPTEMBER 14, 2023

It was a fantastic opportunity for us to understand what this would look like under Medicare. Then we did a larger study in several Medicare Advantage Plans in the VA. By the year 2000, everyone will be in a Medicare managed care plan.” ” Back then, they were called Medicare Plus Choice. Yeah, Eric: Yeah.

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