Calls have grown louder for an overhauled design of the Medicare Hospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. Hospice providers are hitting financial and regulatory walls when it comes to sufficiently covering the spectrum of services necessary to care for patients and families, according […]
Providers and payers alike are strategizing ways to tackle current reimbursement challenges and anticipate hospice payment’s future direction. The lines between traditional fee-for-service and value-based payment systems will begin to blur as regulators seek to balance rising demand with the associated costs, according to Burke Wise, cofounder of Empassion Health. Regardless of where value-based payment […]
Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. Originally slated to end in 2024, CMS recently extended the hospice component of the value-based insurance design model (VBID) to 2030. Though the demo’s ultimate outcome remains uncertain, many […]
Employee and patient safety concerns represent a barrier to hospice care among underserved, urban communities, particularly those with higher crime rates. Seniors in high-crime communities are often disproportionately impacted by the hazardous conditions of their neighborhoods, including the seriously and terminally ill. An “unhealthy” neighborhood yields dysfunction, imbalance and uncertainty, which can create barriers to […]
Three principles are guiding the U.S. Centers for Medicare & Medicaid Services’ (CMS) 2024 updates to the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) model: care coordination, managing health equity-related risks and social determinants of health. Among a number of new requirements, the agency will also require participating organizations to develop […]
Both innovative opportunities and cost challenges underly quality and health equity components of the U.S. Centers for Medicare & Medicaid Services’ (CMS) recently finalized hospice payment rule. The final rule included some key updates — and raised important questions — in the agency’s planned changes to quality measures and data collection, including those related to […]
Palliative care providers have a limited window into the disparities plaguing underserved populations when it comes to access and awareness of their serious illness care options, according to Nicole McCann-Davis, vice president of communications and chief health equity officer at Empassion Health. Palliative Care News recently sat down with McCann-Davis to discuss the scope of […]
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