Puerto Rico Hospice Carve-In Could Have Implications Nationwide

A booming value-based payment market in Puerto Rico may have indications for programs emerging in the United States beginning next year. Mainland U.S. hospice providers may face similar risks and rewards when weighing participation in the forthcoming payment demonstration to test the inclusion of hospice in Medicare Advantage. Commonly called the hospice carve-in, the U.S. […]

U.S. Supreme Court May Hear Hospice False Claims Case

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 […]

Telehealth Rules Complicate Opioid Access for Hospice, Palliative Patients During COVID-19

Drug Enforcement Agency (DEA) telemedicine rules are complicating hospice and palliative care patients’ access to necessary medications during the coronavirus pandemic. Some stakeholders have called on regulators to allow the use of audio-only telehealth for patient encounters that involve opioid prescriptions. During the COVID-19 national emergency, the DEA has waived certain requirements to allow providers […]

Health Care Groups Urge Lawmakers to Relax Prior Authorization Rules

A group of 370 health care industry groups — including the American Academy of Hospice & Palliative Medicine, the American Medical Association and National Association of Social Workers — have signed a letter sent to Congress encouraging legislators to pass the Improving Seniors’ Timely Access to Care Act of 2019. If enacted, the legislation would […]