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. […]

NAHC, NHPCO Name Transition Board to Guide 2024 Merger

Two of the nation’s largest hospice and home-based care industry organizations are merging and have announced a combined board that will guide the transition. The National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) floated the possibility of a combination in March in light of their existing, […]

Hospice Clinician Wages Rising at Slower Rate; Turnover Falling

Wages for hospice clinicians continue to go up amid widespread staff shortages, but they grew at a slower rate in 2023 compared to the prior year. The national average hourly rate for Hospice registered nurses rose 4.58% in 2023, down from a 5.95% increase in 2022, according to a new report by the Hospital & […]

[UPDATED] CMS Finalizes Hospice Special Focus Program, 36-Month Rule

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 […]

Congress Members Call on CMS to Revise Proposed Hospice Special Focus Program

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 […]

CMS’ Proposed Method of Selecting SFP Hospices May Be Flawed

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 […]

How the 4 Largest Hospice Industry Groups Work Together to Support Program Integrity

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 […]