Hospices must provide all patients with an addendum to the election statement when they enroll in services to comply with a new requirement that took effect on Thursday. The U.S. Centers for Medicare & Medicaid Services (CMS) mandated the requirement in the final hospice payment rule for FY 2027. The addendum outlines what is and […]
Hospice spending has seen a downward trend among participants in the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) payment model. Medicare spending has been “significantly reduced” by new ACO entrants over the last three years since the payment model’s launch, according to a new report by NORC at the University of […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has announced a national moratorium on hospice and home health provider enrollment in Medicare. The agency announced the implementation of the six-month moratoria on Wednesday to temporarily pause an influx of new providers amid fraudulent activity in the hospice space. The move is the latest in […]
The National Alliance for Care at Home has urged the U.S. Centers for Medicare & Medicaid Services (CMS) to reconsider its newly proposed regulatory strategy aimed at curbing health care fraud. CMS recently rolled out a request for information on its proposed Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). The CRUSH rule proposes regulatory changes […]
California Gov. Gavin Newsom has filed a civil rights complaint against U.S. Centers for Medicare & Medicaid Services’ (CMS) Administrator Dr. Mehmet Oz, alleging that hospice fraud investigations in the state may be targeting certain racial communities. The complaint was recently filed with the U.S. Department of Health and Human Services (HHS) in response to […]
California Gov. Gavin Newsom (D) has provided an update on how the state is tackling fraudulent activity in the hospice space amid rising federal concerns. More than 280 licenses have been revoked among new hospice operators entering the state during the last two years, the governor reported on Tuesday. Despite the progress, state regulators and […]
The U.S. Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Justice (DOJ) are ramping up investigations into hospice fraud amid rising program integrity concerns in the space. Unscrupulous operators have increasingly targeted vulnerable aging populations, said CMS Administrator Dr. Mehmet Oz during a recent press conference. The trend has resulted in […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has launched a new initiative designed to help curb fraudulent billing and tax evasion tactics commonly used by unscrupulous hospice operators. The agency announced its new Fraud Tax Project, an effort to improve program integrity, in a recent letter to the U.S. Department of Health & […]
The U.S. Centers for Medicare & Medicaid Services (CMS) recently unveiled a new payment model demonstration designed to lower medication costs and improve outcomes among Medicaid beneficiaries, including seriously ill patient populations. Through the new Generating Cost Reductions (GENEROUS) model, pharmaceutical manufacturers will provide reduced supplemental rebates on drugs to participating state Medicaid programs. Recently […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has introduced a new $50 billion federal program designed to build more sustainable rural health care systems and improve outcomes. The Rural Health Transformation Program was created under the Working Families Tax Cuts Act and funding was authorized by the recently approved One Big Beautiful Bill […]
