National Health Expenditures to Reach $8.6 Trillion by 2033

The health care sector by 2033 will comprise more than 20% of the United States’ Gross Domestic Product, up from 17.6% in 2023. The nation’s total health expenditures are projected to reach $8.6 trillion in 2033, according to a report from the U.S. Centers for Medicare & Medicaid Services (CMS) that was published in Health […]

A Framework for Scaling Palliative Care Via Medicaid

States can adopt a specific framework to help scale palliative care via Medicaid, according to a recent study published in Health Affairs. Currently, the ability to scale palliative care nationally is limited by several obstacles. Among them are lack of awareness and workforce shortages. Another barrier is low reimbursement through Medicare that only covers physician […]

68% of Hospices Lack Star Ratings

The proportion of hospices that do not have a star rating from the U.S. Centers for Medicare & Medicaid Services (CMS) is growing. CMS introduced the hospice star rating system in 2022 to help patients make informed decisions about which provider to choose. They appear on CMS’ Care Compare website. The scores are based on […]

National Health Care Expenditures Growing Faster than U.S. GDP

Inflation and rising health care utilization are driving U.S. health care spending to grow faster than the country’s gross domestic product (GDP). The nation’s health care spend is projected to reach nearly $5.1 trillion in 2024, up from $4.5 in 2022. This is according to a report in Health Affairs that also projected national health […]

Telemedicine Linked to Health Care Cost Savings, Improved Quality

Research has found links between greater telemedicine utilization and improvements in health care access and quality, particularly among chronically ill populations. A recent Health Affairs study has dug into the quality and cost impacts of telehealth utilization during the pandemic. Researchers examined more than 5.5 million beneficiaries with continuous enrollment in traditional Medicare who received […]

US Annual Health Care Expenditures Show Signs of Post-Pandemic Normalization

The nation’s annual health care spend reached $4.5 trillion in 2022, a 4.15 increase, compared to 3.1% the prior year. The percentages may indicate a step towards normalization after the pandemic years. In 2020, the growth rate was 10.6%, according to a report published in Health Affairs. The report did not contain hospice-specific data. “In […]

Advance Care Planning Billing Rules Impede Equitable Access

Current advance care planning reimbursement structures are limiting utilization and access of these services, particularly among communities of color. The payment barriers blocking more equitable advance care planning are two-fold, existing on both the health care provider and patient sides. On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed […]

MA Beneficiaries More Likely than Fee-for-Service Patients to Enter Hospice from Community Setting

Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. More than 46% of MA beneficiaries who enrolled in hospice in 2018 did so while in their homes (rather than a hospital or nursing facility), compared to 38% who were covered by traditional Medicare, […]

Through Education, Collaboration Hospices Can Help Shape Value-Based Palliative Care

Palliative care packs a small but meaningful punch in the value-based payment arena. But to successfully negotiate value-based contracts, hospices will need to educate payers about the value of palliative care, according to J. Cameron Muir, M.D., chief innovation officer of the National Partnership for Healthcare and Hospice Innovation (NPHI). Specifically, providers can help orient […]

Value-Based Care May Open Doors to Hospice Among Underserved

Value-based care programs could be bridges closing gaps to accessing hospice care among underserved populations. Several hospices are honing in on expanding diversity, equity and inclusion efforts, as the pandemic further illuminates disparities in the U.S. health care system, often based on race or socio-economic factors.  In response, the Center for Medicare and Medicaid Innovation (CMMI) […]