The U.S. Department of Health & Human Services (HHS) has clarified that hospices may consider reduced fundraising and philanthropic dollars as lost revenue in their applications to the Provider Relief Fund, established to help mitigate the financial blows brought on the COVID-19 outbreak. The CARES Act, enacted on March 27, earmarked $175 billion to health […]
Reps. Brad Schneider (D-IL) and David McKinley (R-WV) have introduced the Medicare Sequester COVID Moratorium Act in the U.S. House of Representatives. The bill would extend the temporary suspension of Medicare sequestration payment reductions for hospices for the duration of the federally declared COVID-19 public health emergency. The U.S. Centers for Medicare & Medicaid Services (CMS) […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has unveiled a new payment model demonstration that will include concurrent hospice and curative care. Like other value-based initiatives, the Geographic Direct Contracting Model is designed to improve health outcomes and reduce the cost of care for Medicare beneficiaries. The demonstration will test whether a geographic-based […]
Sen. Richard Blumenthal (D-Conn.) has introduced the Compassionate Care Act in the U.S. Senate. If enacted the bill would significantly expand federal resources to support advance care planning and end-of-life care decision making. The legislation would also finance public awareness campaigns about hospice and palliative care. The Compassionate Care Act would establish a nationwide public […]
Hospice providers who are seeking federal aid through the Provider Relief Fund established by the CARES Act need clarity on the law’s definition of “lost revenue” due to apparently conflicting language in guidance provided by the U.S. Department of Health & Human Services (HHS). The more pressing question is whether “lost revenue” includes financial losses […]
The outcome of the 2020 presidential election creates some uncertainties for hospice providers. As President-elect Joe Biden takes office in the coming year, his administration could have a transformative impact on the way hospices do business in a shifting regulatory and payment climate. A Biden presidency could reverse course on programs already in place, including […]
Providers have been strained to comply with the new Medicare requirement for an addendum to the hospice election statement. Gusty pandemic-related headwinds and documentation errors are among the obstacles that hospices are encountering as 2020 comes to a close. The addendum rule that took effect Oct. 1, 2020, requires hospices to provide Medicare beneficiaries with […]
The U.S. Centers for Medicare and Medicaid Services (CMS) Medicare Care Choices Model (MCCM) demonstration has reduced the agency’s costs by $26 million to date. The demonstration, established in 2016 and scheduled to end in June 2021, is designed to test the efficacy and efficiency of providing hospice concurrent with curative care. CMS announced the […]
With the election looming, both Republican President Donald Trump and Democratic Candidate Joe Biden have taken positions that could reshape Medicare for the foreseeable future. From the conservative camp’s calls to repeal the Affordable Care Act to Biden’s proposal to lower the eligibility age, the outcome of the election could change some of the ways […]
The U.S. Supreme Court is mulling whether it will hear arguments in a False Claims Act (FCA) case involving the hospice provider Care Alternatives. FCA actions pertaining to hospices most commonly focus on questions of a patient’s eligibility for those services. A 2019 report from the law firm of Bass, Barry, and Sims indicated that […]