Two federal reports on hospice care in the United States could change the way regulators approach their enforcement activities. The U.S. Department of Health and Human Services Office of the Inspector General (OIG) released two documents last week discussing serious patient safety events in some hospices, including recommendations to the U.S. Centers for Medicare & […]
Sen. Tammy Baldwin (D-Wis.) and Shelley Moore Capito (R-W.Va.) have introduced the Palliative Care and Hospice Education and Training Act (PCHETA) in the U.S. Senate. The legislation would provide resources to support clinician training to reduce staff shortages in the industry and help providers meet continuously rising demand for those services as the population ages. […]
The State of Rhode Island has implemented a 1% annual inflation increase for all Medicaid hospice and home care direct fee-for-service rates, the first state Medicaid program in the nation to do so. The state’s General Assembly last year approved a statute instituting the annual increase and recently funded the raise for the first time […]
Between 2012 and 2016, 20% of U.S. hospices experienced a condition-level finding from regulators that posed serious risks to patient life and safety, according to a new report from the U.S. Department of Health & Human Services Office of the Inspector General (OIG), but that proverbial coin has another side: 80% of hospices did not. […]
VITAS Healthcare, the nation’s largest hospice provider and a subsidiary of Chemed Corp. (NYSE: CHE), received an “immediate jeopardy” finding from Missouri state surveyors for missing required home visits, insufficient wound care for a patient’s pressure ulcer, and failing to sufficiently manage patients’ pain, according to a state survey findings report obtained by Hospice News. […]
Failure to make home visits, failure to manage patients’ pain, and maggots infesting a patient’s feeding tube site are just a few of the safety deficiencies cited in a new report from the U.S. Department of Health and Human Services Office of the Inspector General (OIG). About 20% of hospices surveyed by regulators or accreditors […]
The Ohio Department of Medicaid (ODM) now requires managed care plans in that state to make room and board payments directly to hospice providers whose patients reside at skilled nursing facilities (SNF). The rule became effective July 1. ODM now requires the hospice to bill for room and board services provided at SNFs. The Buckeye […]
Though new payment models under the auspices of Medicare’s new Primary Care First initiative are designed for primary care providers, hospice and palliative care providers have a role to play. The U.S. Centers for Medicare & Medicaid Services (CMS) in April announced that they would implement Primary Care First in phases beginning in Jan. 2020, […]
A federal judge has dismissed with prejudice a False Claims Act case filed against Heartland Hospice, a subsidiary of post-acute care, skilled nursing and long term care provider HCR Manorcare. A qui tam complaint occurs when a whistleblower, called a “relator” by the courts, files a False Claims Act suit on behalf of the government […]
Improved care coordination is an underlying goal of the Primary Care First payment structures recently unveiled by the U.S. Centers for Medicare & Medicaid Services (CMS). Strategic partnerships with primary care providers could be the key for hospice and palliative care providers seeking to capitalize on the emerging payment models. The U.S. Centers for Medicare […]
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