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All posts tagged with “Hospice Provider News | Operations News | Financial.”
CMS: Annual Change in Medicaid Hospice Payment Rates—ACTION
09/09/25 at 03:00 AMCMS: Annual Change in Medicaid Hospice Payment Rates—ACTIONCMS, Department of Health and Human Services; email from Rory Howe, director; 9/5/25The Centers for Medicare and Medicaid Services (CMS) has released the Medicaid hospice rates for FY 2026. They are slightly different than the Medicare rates and should be used when billing for Medicaid hospice patients. This memorandum contains the Medicaid hospice payment rates for federal fiscal year (FY) 2026. The rates reflect changes made under the final Medicare hospice rule published on August 1, 2025 (CMS-1835-F). Please inform your staff and all state agencies in your jurisdiction of these new payment rates, which are effective October 1, 2025. We expect state agencies to share the Medicaid hospice payment rates for FY 2026 with the hospice providers in their state.
Alliance submits comments in response to CY 2026 Home Health Proposed Rule
09/02/25 at 03:00 AMAlliance submits comments in response to CY 2026 Home Health Proposed Rule National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 8/29/25 As the federal comment period draws to a close, the National Alliance for Care at Home (the Alliance) has joined an unprecedented number of providers and patients in submitting formal feedback to the Centers for Medicare & Medicaid Services (CMS) on the agency’s proposed 9% cut to the home health payment rate for 2026. The unusually high volume of responses collected throughout the comment window underscores broad concern that the $1 billion payment reduction will limit access to care at home, compromise patient safety, and burden the wider healthcare system.
Navigating the Wage Index: Insights from industry experts
08/21/25 at 03:00 AMNavigating the Wage Index: Insights from industry experts Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Annette Kiser and Judi Lund Person; 8/20/25 The healthcare landscape is transforming before our eyes, shifting away from hospital-centered care toward home-based models. This fundamental change raises urgent questions about Medicare's outdated reimbursement systems, particularly for Hospice providers facing a mere 2.6% rate increase while battling significant inflation. Join us in this illuminating conversation and in-depth discussion with industry experts Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC, as they sit down with Chris and explore the complexities of the final 2026 Hospice Wage Index and its impact on Hospice organizations.
The Medicare Advantage, ACA and No Surprises Act lawsuits to watch
08/20/25 at 03:00 AMThe Medicare Advantage, ACA and No Surprises Act lawsuits to watch Modern Healthcare; by Bridget Early; 8/18/25 Legal challenges to Medicare Advantage marketing, health insurance exchange regulations and the No Surprises Act are working their way through the courts with major implications for the healthcare sector. Here are some key cases that could change how health insurance companies sell Medicare plans, how insurers and providers resolve out-of-network billing disputes, how consumers sign up for health insurance exchange plans, and how preventive healthcare is covered.
Aveanna beefs up advocacy efforts, leans into preferred payer strategy
08/19/25 at 03:00 AMAveanna beefs up advocacy efforts, leans into preferred payer strategy Home Health Care News; by Joyce Famakinwa; 8/15/25 Amid an uncertain reimbursement environment and sea of recent policy updates, Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) remains focused on the strategies that have been helping the company achieve success. ... This means ramping up the company’s efforts around advocacy, as well as actively working with various state Medicaid programs. Home Health Care News caught up with Jim Melancon at last month’s National Alliance for Care at Home Financial Summit to learn more. Melancon serves as senior vice president of government affairs at Aveanna. ... The company has 327 locations across 34 states.
The state of pediatric concurrent hospice care in the United States
08/12/25 at 03:00 AMThe state of pediatric concurrent hospice care in the United States American Academy of Pediatrics; by Meaghann S. Weaver, MD, PhD, MPH, HEC-CCorresponding Author; Steven M. Smith, MD; Christy Torkildson, PhD, RN, PHN; Deborah Fisher, PhD, RN, PPCNP; Betsy Hawley, MA; Alix Ware, JD, MPH; Holly Davis, MS, APRN; Conrad S. P. Williams, MD; Lisa C. Lindley, PhD, RN, FPCN, FAAN; 8/1/25 The Patient Protection and Affordable Care Act (ACA) required all state Medicaid programs to pay for both curative and hospice services for children and adolescents. The purpose of this Special Article report is to quantify and describe the use of concurrent care for children, including a depiction of the barriers and benefits according to community-based hospice organizations in the United States. A total of 295 hospice organizations from 50 states and Washington, DC responded to the National Alliance for Care at Home call for engagement.
Insurance companies’ Medicare pullback is here: Insurers are planning to scale back benefits, trim plans and exit from markets. Investors are cheering
08/07/25 at 03:00 AMInsurance companies’ Medicare pullback is here: Insurers are planning to scale back benefits, trim plans and exit from markets. Investors are cheering The Wall Street Journal; by David Wainer; 8/5/25 Many seniors enjoy the perks that come with Medicare Advantage. But those extras—like dental coverage and free gym memberships—are being scaled back. Insurers are cutting benefits and exiting from unprofitable markets, and Wall Street is cheering them on. Once rewarded by investors for rapid expansion in the lucrative privatized Medicare program, companies are now being applauded for showing restraint amid rising medical costs and lower government payments.
How proposed home health cuts could impact hospices
08/05/25 at 03:00 AMHow proposed home health cuts could impact hospices Hospice News; by Jim Parker; 8/1/25Proposed cuts to home health payments for 2026 could have somewhat of a ripple effect on hospices. The U.S. Centers for Medicare & Medicaid Services has called for a 6.4% aggregate cut to home health payments for 2026 in a proposed rule. The total reductions amount to $1.135 billion. This is the fourth straight year in which CMS has cut or proposed to cut home health payments. Due to this proposed rule, the agency has “failed” providers, according to Dr. Steven Landers, CEO for the National Alliance for Care at Home.
Breaking News: Various posts about the CMS FY26 Wage Index Final Rule
08/04/25 at 03:00 AMBreaking News: Various posts about the CMS FY26 Wage Index Final RuleCompiled by Hospice & Palliative Care Today; Joy Berger; 8/2/25Finally. The financial Final Rule arrived. What do you need to know and do? How are hospice leaders responding? We've compiled these for you to go directly to various sources to find what you need.
CMS FY 2026 Hospice Wage Index FINAL Rule posted in Federal Register
08/02/25 at 03:00 AMCMS FY 2026 Hospice Wage Index FINAL Rule posted in Federal Register
BREAKING NEWS: CMS FY 2026 Hospice Wage Index FINAL Rule posted in Federal Register
08/01/25 at 03:05 PMMedicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements - FINAL RULECenters for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS); released 8/1/25, 4:15pm
National Alliance for Care at Home hosts inaugural Financial Summit
07/31/25 at 02:00 AMNational Alliance for Care at Home hosts inaugural Financial Summit National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 7/30/25 The National Alliance for Care at Home (the Alliance) successfully hosted its inaugural event, the 2025 Alliance Financial Summit, July 27-29 in Chicago, IL. The Summit brought together financial leaders from across the care at home community, with expert-led sessions, peer collaboration, and insights into market shifts and emerging technologies. More than 700 attendees and exhibitors participated in the comprehensive program, which featured keynote presentations, concurrent educational sessions, networking opportunities, awards, and celebration. ... “This first Alliance event exceeded our expectations, bringing together care at home leaders from across the nation to connect, learn, and recommit to our shared vision of an America where everyone has access to the highest quality, person-centered healthcare wherever they call home,” said Alliance CEO Dr. Steve Landers.
By the Bay Health CEO on stretching home health dollar, surviving proposed rate cuts
07/29/25 at 03:00 AMBy the Bay Health CEO on stretching home health dollar, surviving proposed rate cuts Home Health Care News; by Joyce Famakinwa; 7/25/25 ... By the Bay Health CEO Skelly Wingard aims to improve the quality and accessibility of the company’s home health care line by enhancing the company’s clinical informatics and collaborating across service lines and managed care. These initiatives emerge amid regulatory uncertainty, as proposed Medicare home health rate cuts have raised alarms across the industry. Wingard warned that such cuts could force many providers out of business.By the Bay Health is an affiliate of the University of California San Francisco Health. The organization’s service lines include hospice, palliative, pediatric and skilled home health care. The company serves the entire Bay Area.
Hospice | CMS.gov/Fraud Fast Facts
07/29/25 at 03:00 AMHospice | CMS.gov/Fraud Fast FactsCMS.gov/Fraud; by CMS; July 2025 ... Medicare hospice utilization has increased in recent years. In Fiscal Year 2024, Medicare payments for hospice reached over $27 billion, with approximately 1.8 million Medicare beneficiaries receiving hospice care. CMS has taken significant action to address likely fraudulent behavior occurring in Medicare-enrolled hospices, including long lengths of stay, co-located hospices, and high rates of beneficiaries discharged alive. [This Fast Facts one-page sheet includes:]
51 health systems with strong finances
07/28/25 at 03:20 AM51 health systems with strong finances Becker's Hospital Review; by Andrew Cass; 7/21/25 Here are 51 health systems with strong operational metrics and solid financial positions, according to reports from credit rating agencies Fitch Ratings and Moody’s Investors Service released in 2025. This is not an exhaustive list. Health systems were compiled from credit rating reports [and are listed alphabetically.]
Where UnitedHealthcare, Humana rule the Medicare Advantage market
07/25/25 at 03:00 AMWhere UnitedHealthcare, Humana rule the Medicare Advantage market Modern Healthcare; by Tim Broderick; 7/22/25 Medicare Advantage competition was meager in 97% of counties last year, where beneficiaries could choose among just a handful of dominant insurers. The health policy research institution KFF analyzed Centers for Medicare and Medicaid Services data on the plans available across the U.S. and Puerto Rico in 2024. The findings indicate that Medicare enrollees have few options in most areas. Market share was “highly concentrated” in 79% of counties and “very highly concentrated” in another 18%, KFF found, using metrics similar to those the Federal Trade Commission and the Justice Department employ to measure competitiveness. ... Ninety-three percent of Medicare-eligible people lived in “highly concentrated” or “very highly concentrated” counties. ... [Click here and scroll down for the national map with] the level of Medicare Advantage market concentration for each county and the market share for each county's top insurer.
CIOs’ tech wishlist: What IT leaders would buy with a blank check
07/22/25 at 03:00 AMCIOs’ tech wishlist: What IT leaders would buy with a blank check Becker's Health IT; by Naomi Diaz; 7/14/25 If hospital and health system CIOs had unlimited resources, where would they place their biggest technology bets? Becker’s asked several IT leaders: If you had a blank check to invest in one technology tomorrow, what would it be and why? [Only a few responses are listed here. Go to the source article for the IT leaders' name, organization, role, and answer.]
Perform detail-oriented internal audits to avoid common denials
07/22/25 at 03:00 AMPerform detail-oriented internal audits to avoid common denials DecisionHealth - Home Health Line; by MaryKent Wolff; 7/18/25 The most common reason for hospice denials in the first quarter of 2025 was that the claim was not hospice appropriate, according to Palmetto GBA, a Medicare Administrative Contractor (MAC) servicing 16 states. Palmetto released its list of the top 10 hospice medical review denial reasons from January to March 2025 on May 16. [Subscription required.]
Cyclist to ride coast-to-coast for hospice care
07/21/25 at 03:00 AMCyclist to ride coast-to-coast for hospice care MyMotherLode.com, Calaveras, CA; by Nic Peterson; 7/27/25 John Silva, a 66-year-old retired Amador County Sheriff’s deputy and longtime Calaveras-area resident, is preparing to bike 4,700 miles across the United States to raise money for Hospice of Amador & Calaveras. The journey begins Aug. 1 at Cape Flattery, Washington — the northwesternmost point in the contiguous U.S. — and will end at West Quoddy Head in Lubec, Maine, the nation’s easternmost point. ... The trip is entirely self-funded and performed alone. Silva’s route will take him through Washington, Idaho, Montana, a stretch of Canada, North Dakota, Minnesota, Iowa, Indiana, New York, and Maine. More than a test of physical endurance, Silva says the ride is a personal mission. Each week of the ride will honor a community member who received hospice care, transforming every mile into a tribute to those who faced death with dignity.
51 healthcare leaders’ takes on doing more with less
07/21/25 at 03:00 AM51 healthcare leaders’ takes on doing more with less Becker's Hospital Review; by Allie Woldenberg, Kelly Gooch, Mariah Taylor, Giles Bruce, Kristin Kuchno, and Andrew Cass; 7/17/25 It’s a directive that hospitals and health systems of every size know well — whether sprawling academic medical centers, multistate nonprofit systems or rural, independent 25-bed hospitals. While the phrase isn’t new, the urgency behind it is intensifying. The nation’s healthcare workforce remains fragile, forcing leaders to distinguish between staffing gaps that are temporary hurdles or structural limitations. Revenue projections for health systems have shifted dramatically ... Against this backdrop, Becker’s set out to understand how health system leaders across the U.S. are interpreting and enacting the mandate to “do more with less” today. From June 9 to July 15, we spoke with executives across the country, in every type of market, hospital, and health system, to hear how they are navigating this evolving landscape. ...Editor's Note: Scan through these with a sharp eye toward improving the quality of patient care while "doing more with less." I applaud many of these leaders for not just focusing on cutting costs, but for using these crucial changes as a vehicle to improve patient care.
Hospice of the Piedmont CEO: Doubling down on community-based support
07/21/25 at 03:00 AMHospice of the Piedmont CEO: Doubling down on community-based support Hospice News; by Holly Vossel; 7/16/25 Virginia-based Hospice of the Piedmont is sharpening its focus on home-based care services and unfurling several initiatives in this realm. The future of end-of-life care delivery has increasingly shifted into the home, according to Nancy Littlefield, president and CEO at Hospice of the Piedmont. While demand for facility-based hospice care is also rising, sustaining these services has become increasingly difficult, she indicated. Several hospices have shuttered their facility-based programs in recent years, with many citing financial headwinds as a leading reason fueling inpatient center closures. Financial strains were among the challenges that led to the difficult decision to close Hospice of the Piedmont’s Center for Acute Hospice Care, Littlefield said. ... Hospice News recently sat down with Littlefield to learn more about how hospices are sustaining and growing their services in today’s economic and financial climate.
Executive Personnel Changes - 7/18/25
07/18/25 at 03:00 AMExecutive Personnel Changes - 7/16/25
Essentia nurses and healthcare workers turned away from bargaining by employer on second day of ULP strike, acute care nurses announce tentative agreement vote results
07/11/25 at 03:00 AMEssentia nurses and healthcare workers turned away from bargaining by employer on second day of ULP strike, acute care nurses announce tentative agreement vote results Minnesota Nurses Association, Duluth, MN; Press Release; 7/9/25 On the second day of the ongoing unfair labor practice strike in Duluth and Superior, nurses and healthcare professionals across all six Essentia Health bargaining units arrived at negotiations prepared to make progress — only to be met with rejection and dismissal. ... No meaningful negotiations took place and no progress was made towards resolving the unfair labor practices. Despite Essentia Health’s reliance on costly travel nurses and its abrupt closure of essential facilities like the Solvay Hospice House, frontline healthcare workers have consistently proposed clear pathways to resolution. Today alone, negotiating team members offered to consolidate and expedite bargaining across all six contracts and offered 22 additional negotiation dates in July — both of which Essentia flatly refused.
[England] Marie Curie hospice unit to close permanently
07/10/25 at 03:00 AM[England] Marie Curie hospice unit to close permanently BBC News; Liverpool, England; by Angela Ferguson and Marc Gaier; 7/5/25 Liverpool's Marie Curie hospice inpatient unit is to shut permanently after it was temporarily closed last year, the charity has said. The hospice's 26-bed unit in Woolton was closed in July 2024 due to a shortage of specialist nursing staff. Chief executive Matthew Reed said it was "an incredibly tough decision" in the face of "significant financial deficits" but they remained committed to providing care in other ways. Campaigners from the Liverpool Hospice Action Group described the news as "devastating" and called on Marie Curie to allow another provider to step in and run the unit.Editor's Note: Closing Marie Curie's hospice inpatient unit is significant and reflects trends throughout the UK. Though the international articles we post are limited, Hospice & Palliative Care Today has published 16 articles from or about Marie Curie's hospice services in the shart 16 months of our newsletter.
Hospice programs shutter amid financial strains
07/08/25 at 03:00 AMHospice programs shutter amid financial strains Hospice News; by Holly Vossel; 7/3/25 Financial and staffing headwinds are chipping away at hospices’ sustainability, with some providers recently pausing or closing their programs. Concerns have also mounted amid federal Medicaid cuts.