Geographic Direct Contracting: Where Hospice Fits

Through the U.S. Centers for Medicare & Medicaid Services (CMS) forthcoming geographic direct contracting model, participating entities will step into the role of payer as well as provider, including responsibility for program integrity and utilization management. The best opportunity for hospices that wish to be involved would be to establish preferred provider relationships with direct […]

Direct Contracting Payment Models to Allow Concurrent Hospice Care

The direct contracting component of the Primary Cares Initiative will allow eligible hospice patients to receive curative treatment while also receiving hospice care.  The direct contracting options include three voluntary payment models that are designed to help the U.S. Centers for Medicare & Medicaid Services (CMS) and health care providers reduce the cost of care […]

Paul Chiang, Physician and Family Caregiver Finds Balance During Pandemic

Paul Chiang, M.D., is a senior medical and practice advisor at the Home Centered Care Institute (HCCI) and medical director for a suburban Chicago practice, Northwestern Medicine HomeCare Physicians (HCP). Chiang has focused on delivering care to medically complex patients in the home, including those on hospice and palliative care. In addition to these professional […]

Hospice Providers Strained to Support Caregivers During Pandemic

While hospice providers have leveraged telehealth to support caregivers in the home from a distance during the COVID-19 pandemic, evolving safety measures and concerns about program sustainability have created obstacles. Remaining connected to families and caregivers has been an ongoing challenge as providers work to minimize risk of COVID-19 exposure to vulnerable hospice and palliative […]

Hospices Ramp Up Staff Screening Procedures for COVID-19

As the COVID-19 pandemic continues, hospices are honing their screening procedures to protect staff as they visit patients’ homes. However, many challenges resulting from the pandemic’s pitfalls have placed a strain on providers as they work to protect patients and their workforce. Many hospices geared up their prevention measures at the pandemic’s onset. Hospices bolstered […]

Communities Band Together to Support Hospices During Pandemic

As hospices struggle with the fallout of the COVID-19 outbreak, some are finding additional support from their local communities, building relationships that could extend beyond this time of crisis. Supply shortages, staffing and volunteer challenges are some of the issues that communities are addressing as they come together with their local hospice and health care […]

Hospices Strategize to Assure Patients that Care Is Safe During Pandemic 

Growing patient and family concerns about safety are among the many challenges the end-of-life care community is facing during the ongoing coronavirus pandemic. As hospice providers meet patient care needs during the outbreak, an added challenge is alleviating patient concerns about staff coming into the home. As the novel virus continues to spread, so do […]

Hospices Desperate for Supplies As Pandemic Takes Heavy Toll

Hospice supply lines have been strained to the limit due to the COVID-19 pandemic, as has the U.S. health care system at large. Providers of all types are reporting serious shortages of necessary materials, including essential personal protective equipment (PPE) to prevent infections, such as masks, face shields and sterile gloves.  “This is really unprecedented […]

Primary Care First Direct Contracting: Where Hospice Fits

The first application deadline for participation in the Primary Care First direct contracting payment models expired Feb. 25, but even this late in the game, many in the hospice space and other health care stakeholders struggle to understand these models. The direct contracting options include three voluntary payment models that are designed to help the […]

HomeCare Physicians, Suncrest Hospice Exemplify Care Coordination

On a cold Monday morning Thomas Cornwell, M.D., climbs into the back of an SUV. A primary care physician, he is en route to the home of an elderly dementia patient in the Chicago suburbs who recently enrolled in hospice. Cornwell and a medical assistant spend close to 40 minutes in the patient’s home, checking […]