2025 Proposed Rule Seeks to Clarify Physician Certification of Hospice Patients

The U.S. Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. According to language in the proposal, designated physician members of the hospice interdisciplinary team may certify patients for hospice if the medical director is unavailable. The clarification was intended to reconcile […]

CMS May Be Mulling Changes to the Hospice Benefit

The U.S. Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit. In its 2025 proposal, one […]

Navigating New Requirements in the 2025 Proposed Hospice Rule

If the U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed 2025 hospice rule is finalized as written, hospices may encounter some hurdles implementing some of the new requirements. CMS late last month issued its proposed hospice rule for 2025. The proposal called for a 2.6% increase in hospice per diem base rates, a number […]

[UPDATED] CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

The 2025 proposed hospice rule is raising some questions along with payment rates. In a proposed rule released yesterday, the U.S. Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% increase in hospice per diems for 2025. The agency also proposed two new quality measures and 2025 implementation of the Hospice Outcome and Patient […]

Congress Grills HHS on Hospice Program Integrity

Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. U.S. Health and Human Services (HHS) Secretary Xavier Becerra fielded questions in a House Ways & Means committee hearing on Capitol Hill on Wednesday. Rep. Michelle Steel (R-Calif.) and Rep. Beth Van Duyne (R-Texas) fired questions […]

Home-Based Care Employment Exceeding Pre-Pandemic Levels

Though labor shortages persist, glimmers of hope are on the horizon. Employment in the home-based care sector rose above pre-pandemic levels in 2023, according to the Medicare Payment Advisory Commission (MedPAC). The U.S. Department of Commerce defines this sector to include hospices, home health agencies, private duty, pediatric agencies and other providers of care in […]

[UPDATED] Nearly 53% of Hospices Undergo Multiple Audits Simultaneously

In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! Program integrity and an onslaught of audits are top of mind for many hospice providers in 2024. The nation’s four largest hospice industry organizations — LeadingAge, the National […]

Bill to Re-Allocate Federal Hospice Dollars Moving Forward in Congress

In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! A new legislative package winding its way through Congress could re-allocate hospice funds to other programs. Lawmakers incorporated language from proposed amendments to the Social Security Act into a six-bill […]

Hospices Welcome VBID’s Demise, But Questions Remain

In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! The Medicare Advantage hospice carve-in will be carved back out by the end of this year. Many operators were glad to see it go, but the questions the […]

Hospices Struggle to Balance Costs, Patient Needs in Medication Deprescribing

When deprescribing medications for hospice patients, providers have to navigate a complex web of factors. But according to some clinicians, the prospect of cost savings often takes precedence over clinical outcomes. Medication costs are among hospices’ biggest expenses, and deprescribing some medications deemed “curative” or “unrelated” to the patient’s terminal diagnosis is a standard practice. […]