B.J. Miller, Sonya Dolan Found Palliative Care Company Mettle Health

Artist and hospice manager Sonya Dolan and palliative care physician B.J. Miller have established a for-profit company, Mettle Health, designed to provide a unique model of palliative care. Mettle offers counseling by interdisciplinary palliative care clinicians for patients experiencing serious illness and their caregivers.  Mettle describes its services as praxistential care, helping patients and families […]

Hospices Need to Demonstrate Value in Managed Care

When negotiating with managed care payers, hospices must take pains to show how they bring value to that relationship. This requires a detailed look at the provider’s business and clinical operations with a focus on quality, perceptions of care, and cost reduction. Many hospices will need to brush up on their negotiating skills as hospice […]

Hospices Adapt to Provide Concurrent Pediatric Care

State programs allowing concurrent hospice and curative care can provide much needed relief for patients and families. However, the programs can be difficult to navigate for providers who must determine which treatments should be covered by the hospice and which should be billed as concurrent care. Among U.S. states, 32 offer models for pediatric concurrent […]

Medicare Advantage Enrollees Less Satisfied with End-of-Life Care

Families of Medicare Advantage enrollees report being less satisfied with the end-of-life care their loved ones received than those covered by traditional Medicare. Stakeholders have called for careful quality monitoring as the Medicare Advantage hospice carve-in approaches. Families of Medicare Advantage beneficiaries were more likely to say that care was “less than excellent,” and indicated […]

Medicare Advance Payments Complicating Hospice M&A

The federal government has provided aid and support to hospice providers and other health care organizations to help mitigate the financial damage brought on by the COVID-19 pandemic. However, some providers have struggled to navigate the complexities of these programs and the associated rules, including the Accelerated and Advance Payment Program AAP Programs are typically […]

Concord Regional VNA Finds Success in Advanced Illness Management 

Concord Regional Visiting Nurse Association (VNA) in New Hampshire has developed a financially sustainable advanced illness management (AIM) model that incorporates palliative care principles. The program is designed to meet patient and family needs, and it allow for smooth transitions to hospice when appropriate. The VNA for several years has collaborated on palliative care with […]

Hospices to Receive a Per Diem Payment Under Medicare Advantage in 2021

Providers have faced a slough of unanswered questions regarding the demonstration project to test hospice coverage through the value-based insurance design model (VBID), commonly known as the Medicare Advantage carve-in. Among the most pressing of these questions is how they will be paid. For the program’s first year, which commences Jan. 1, 2021, most hospices […]

[UPDATED] Vistria Group to Sell St. Croix Hospice to H.I.G. Capital

The Chicago-based private equity firm the Vistria Group has agreed to sell St. Croix Hospice to an affiliate of the investment company H.I.G. Capital for an undisclosed amount. Vistria’s portfolio focuses on health care, education and financial services. Minnesota-headquartered St. Croix has a substantial Midwestern footprint that extends across six states and has been on […]

CMMI May Allow Second Cohort of Health Plans for MA Hospice Carve-In

The Center for Medicare & Medicaid Innovation (CMMI) will offer a second opportunity for Medicare Advantage plans to participate in the demonstration of hospice coverage through Medicare Advantage. The implementation date for this second cohort would occur in 2022. CMMI Director Brad Smith discussed this move at the Better Medicare Alliance Medicare Advantage Summit. “In […]

Hospice Tech Provider WellSky to Acquire CarePort Health for $1.35 Billion

Health care technology company WellSky, which works extensively in the hospice and post-acute care space, has inked a definitive agreement to purchase CarePort Health from its parent company Allscripts (NASDAQ: MDRX) for the sum of $1.35 billion. CarePort develops software platforms designed to better connect post-acute care providers with payers. The acquisition is expected to […]