Program integrity issues that have heated up in the hospice space during the past five years reached a boiling point in 2023. Hospice providers have seen an array of increased regulatory oversight in 2023. That momentum has been fueled by two main concerns among regulators — risks of patient safety and evidence of malfeasance in […]
The four largest hospice industry organizations are urging congressional lawmakers to mandate changes to the Special Focus Program (SFP) currently set to begin in 2024. The U.S. Centers for Medicare & Medicaid Services (CMS) last week issued its 2024 home health payment rule, which contained several hospice provisions. Among them was the Jan. 1 implementation […]
The U.S. Senate Finance Committee is holding a markup meeting today on a bill that would, among other provisions, reallocate close to $1 billion hospice dollars to other programs. When it comes to legislation, a few words can make a big difference. A couple of sentences in a 120-page set of amendments to the Social […]
As hospices prepare for Medicare Advantage, more nonprofits are finding that creating partnerships or entering affiliations will better position themselves for payer negotiations. Nonprofit hospice affiliations have surged in 2022 and 2023. This is in addition to the creation of several regional collaborative networks and the formation of new Accountable Care Organizations (ACOs). The gradual […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has finalized its 2024 home health rule, including the implementation of a hospice Special Focus Program (SFP). The rule also finalizes the proposed “36-month”rule for hospice providers. The requirement mirrors a regulation that has existed for several years for home health agencies. The final rule forbids […]
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 […]
Four members of Congress led by Reps. Beth Van Duyne (R-Texas) and Earl Blumenauer (D-Oregon) have called for changes to the forthcoming Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS). Jimmy Panetta (D-CA) and Brad Wenstrup (R-OH) were also signatories on the letter to CMS Administrator Chiquita Brooks-LaSure and […]
While many in the hospice space agree that evolution is needed to help ensure quality end-of-life care outcomes, conflicting views swirl around how regulatory requirements and associated processes could get us there. Regulators and hospice providers share a common goal of ensuring quality end-of-life care experiences. But points diverge when it comes to molding the […]
While the hospice community has generally embraced the concept of a Special Focus Program (SFP) to address quality concerns, some are troubled by the government’ methodology for identifying providers. The U.S. Centers for Medicare & Medicaid Services (CMS) plans to launch the program in 2024, according to language included in the agency’s proposed home health […]
The four largest hospice industry organizations have been working to present a united front to address widespread program integrity issues. As those problems proliferate, the National Hospice and Palliative Care Organization (NHPCO), the National Association for Home Care and Hospice (NAHC), LeadingAge and the National Partnership for Healthcare and Hospice Innovation (NPHI) have been speaking […]
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