A bipartisan group of congressional legislators have introduced corresponding bills in the House and the Senate that would allow hospice physicians to re-certify patients via telehealth systems, among other provisions. Current Medicare Conditions of Participation require a hospice physician to meet with a patient face-to-face as part of the recertification process that initiates after the […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has opened the online application period for the Primary Care First payment models. The agency announced the program in April and will implement the models in phases beginning in January 2021, initially in 26 regions throughout the United States. Hospices and palliative care organizations are eligible […]
Though hospices remain in the dark about the inner workings of the forthcoming Medicare Advantage carve-in, some are using their knowledge and experience in working with payers to take the first steps toward implementation. The U.S. Centers for Medicare & Medicaid Services (CMS) earlier this year announced that it would test coverage of hospice care […]
As President and CEO for the National Partnership for Hospice Innovation (NHPI), the question, “What’s New?” is an important one for Tom Koutsoumpas, who took the helm of the industry organization in 2015. NPHI is a coalition of non-profit hospices that collaborate on moving innovations forward, in terms of service diversification, discovering new payment models, […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has rebased payment rates for the four levels of hospice care in a final rule for Fiscal Year 2020. Among other provisions the rule includes a new requirement that hospices provide an addendum to election statements that would detail care, treatment and services the patient would […]
The U.S. Centers for Medicare & Medicaid Services has proposed a rule that would allow physician assistants (PAs) to serve as attending physicians for hospice patients. However, due to current regulatory restrictions the PA may not be an employee or contracted with the hospice. If made final, the rule would allow PAs, acting within their […]
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. […]
Failure to make home visits, failure to manage patients’ pain, and maggots infesting a patient’s feeding tube site are just a few of the safety deficiencies cited in a new report from the U.S. Department of Health and Human Services Office of the Inspector General (OIG). About 20% of hospices surveyed by regulators or accreditors […]
Medications are a top expense for hospice providers, who are dependent on capitated per diem payments from Medicare. Hospices can’t increase the amount of their income per patient, so they must rely on creating efficiencies and effective cost management to raise their margins. In addition to medications themselves, hospices spend time, effort and money on […]
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 […]