Hospices to Adapt to Primary Care Role Under Direct Contracting

Hospices nationwide have been diversifying their services in recent years to capitalize on value-based payment models and to establish relationships with patients further upstream in the course of their illnesses. An increasing number of hospice providers are offering PACE, home-based primary care, and palliative care, among others. These programs will be essential for those considering […]

Hospices See Big Opportunities in Direct Contracting, But Care Must Move Upstream

When the U.S. Centers for Medicare & Medicaid Services (CMS) in 2019 announced its Primary Care First Serious Illness Population model, many hospices saw the program as their greatest opportunity for successful participation in the agency’s alternative payment structures. While interest in the program remains high, many providers are shifting their gaze towards the direct […]

Diversity Initiatives, COVID-19 Vaccines Top 2021 Hospice Concerns

COVID-19 vaccinations and diversity initiatives will be among the top priorities for hospice providers during 2021, according to an Axxess survey of home-based care providers. About 22% of the thousands of respondents were hospices. Dallas-based Axxess is a technology provider to more than 7,000 home health, home care and hospice organizations serving upwards of 2 […]

Advanced Illness Partners Hospice Collaboration Moving Care Upstream

Advanced Illness Partners (AIP), a joint enterprise established by seven hospice and palliative care providers, will enable its members to provide care further upstream for patients suffering from serious and chronic diseases. The venture was designed to facilitate participation in soon-to-be implemented direct contracting payment models from the U.S. Centers for Medicare & Medicaid Services […]

Hospices Can Leverage Mental Health Care for Better Quality, Growth

Hospices are increasingly offering expanded behavioral health services to improve care for patients suffering with serious mental illnesses (SMIs) at the end of life. Rising demand for these services comes at a strenuous time for hospices amid shifting payment policies and a worldwide pandemic. Investing to expand mental health programming poses both challenging financial risks […]

Seven Hospice Providers Form Advanced Illness Partners Direct Contracting Venture

A group of seven hospice and senior care providers have formed Advanced Illness Partners (AIP), a joint venture partnership geared for participation in the direct contracting payment models from the Center for Medicare & Medicaid Innovation. Several of the models are slated to launch in April, with a geographic direct contracting option coming in 2022.  […]

COVID-19 Surge Pummeling Hospice Operations, Finances 

A strained workforce and patient accessibility continue to plague hospice providers nearly a year into the COVID-19 pandemic. The recent uptick of cases has further pressed hospice providers, with concerns growing about their ability to respond as the year comes to a close. Another surge of the pandemic is hitting the United States almost 11 […]

Hospices Hitting Barriers to Integrating Behavioral Health

Advocates have increasingly called for expanded resources to address mental health issues and substance use problems (SUPs) among hospice patients to improve delivery and quality of their care. However, limited research is available for hospice providers looking to integrate psychiatric or mental health services. An estimated 5 to 8 million older adults in the United […]

Palliative Care Concepts Can Help Shape Providers’ COVID-19 Response

The COVID-19 outbreak — and associated morbidity and mortality — has underscored the need for clinicians to navigate difficult, often emotional conversations with patients and families about their goals and wishes for the care they receive, including end-of-life and hospice care. Providers that specialize in hospice and palliative care excel at navigating these sensitive conversations […]

Hospices Need to Understand Risk Within Medicare Advantage

As hospices wade into the complexities of value-based reimbursement models in 2021, they must learn to understand the relationship between payment and risk within programs like Medicare Advantage. Starting in 2021, providers will have the option to participate in a demonstration project testing the inclusion of hospice in the value-based insurance design model, commonly called […]