Accurate Cost Reporting Key for Hospice Reimbursement

As hospice providers await the U.S. Centers for Medicare & Medicaid Services (CMS) final rule that will indicate payment rates and regulatory requirements for 2020, experts are warning hospices to make sure that they are submitting accurate cost reports to the agency. The U.S. Centers for Medicare & Medicaid Services (CMS) in late April released […]

Hospice Leaders Question Value of Medicare Advantage Hospice Carve-In

Leaders from hospice organizations raised concerns about the forthcoming demonstration of a Medicare Advantage carve-in for hospice. The hospice executives spoke at the National Home Care & Hospice Association’s (NAHC) Financial Management Conference in Chicago. The U.S. Centers for Medicare & Medicaid Services (CMS) earlier this year announced that it would test coverage of hospice […]

OIG Calls for Stronger Oversight of Hospice

Two federal reports on hospice care in the United States could change the way regulators approach their enforcement activities. The U.S. Department of Health and Human Services Office of the Inspector General (OIG) released two documents last week discussing serious patient safety events in some hospices, including recommendations to the U.S. Centers for Medicare & […]

Hospices: ‘OIG Report Does Not Reflect Our Industry’

Between 2012 and 2016, 20% of U.S. hospices experienced a condition-level finding from regulators that posed serious risks to patient life and safety, according to a new report from the U.S. Department of Health & Human Services Office of the Inspector General (OIG), but that proverbial coin has another side: 80% of hospices did not. […]

Hospice Groups: CMS Should Reconsider Payment Rate Calculation Methods

The proposed Medicare reimbursement rate hikes for some levels of hospice care is a positive move, according to comments on the 2020 proposed rule submitted to the U.S. Centers for Medicare & Medicaid Services (CMS) by hospice industry organizations, but they also voiced concerns regarding how those rates are calculated as well as the potential […]

Congress Authorizes Hospices to Dispose of Opioids

A federal law recently approved by Congress gives hospice nurses and licensed independent practitioners authorization to dispose of unused opioid medications at the site of care following a patient’s death. The Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act is part of the federal government’s strategy to stem […]

Medicare Advantage Hospice Carve-In: The Bright Side

Despite the legitimate anxieties of many hospice providers about the Medicare Advantage carve-in demonstration in 2021, some have expressed cautious optimism. “The success of Medicare Advantage in achieving better health outcomes for American seniors and people with disabilities highlights the importance of an integrated system,” Allyson Schwartz, president and CEO of the Better Medicare Alliance […]

Questions Abound on Medicare Advantage Hospice Carve-In

Hospice providers have many questions and few answers related to the U.S. Centers for Medicare & Medicaid Services (CMS) demonstration of a hospice carve-in for Medicare Advantage plans. CMS earlier this year announced that it would test coverage of the hospice benefit through Medicare Advantage plans beginning in 2021. Through Medicare Advantage, CMS contracts with […]

MEDPAC: For-Profits Account for 100 Percent of New Hospices

For-profit providers are dominating the hospice market. The number of hospice providers in the United States during 2017 rose 2.4 percent, with for-profit providers representing 100 percent of the growth, according to the Medicare Payment Advisory Commission (MEDPAC) annual report to Congress. That same year, the number of non-profit hospices declined 3.5 percent. Larger numbers […]