Literature Review
All posts tagged with “Hospice Provider News | Operations News | Financial.”
Accountable Care Organization leader perspectives on the Medicare shared savings program - A qualitative study
03/19/24 at 03:00 AMAccountable Care Organization leader perspectives on the Medicare shared savings program - A qualitative study
Private equity sets sights on home care, hospice, new report finds
03/15/24 at 03:00 AMPrivate equity sets sights on home care, hospice, new report findsMcKnights Home Care, by Adam Healy; 3/14/24The home care segment increasingly has become an attractive target for private equity buyers, particularly personal care and hospice, according to the Private Equity Stakeholder Project, a nonprofit financial watchdog organization.
A fond farewell: Musings on the end of the Medicare Advantage Hospice Carve-In Demonstration
03/15/24 at 01:00 AMA fond farewell: Musings on the end of the Medicare Advantage Hospice Carve-In Demonstration Husch Blackwell, podcast with Meg Pekarske and Chris Comeaux; 3/14/24It came as a surprise to our team when we learned that the Centers for Medicare & Medicaid Services (CMS) was ending the hospice component of Value-Based Insurance Design (VBID) on December 31, 2024. Upon learning this, Husch Blackwell’s Meg Pekarske contacted Chris Comeaux, the president and CEO of Teleios Collaborative Network, to see if he wanted to share his thoughts on this unexpected turn of events and what may be on the horizon. This is a forward-looking conversation where we explore how the lessons learned can galvanize new advocacy on the best ways to care for patients with advanced illnesses.
Home Care costs continue to increase, outpacing other long-term care settings
03/14/24 at 03:00 AMHome Care costs continue to increase, outpacing other long-term care settings Home Health Care News, by Andrew Donlan; 3/12/24 The pricing increases in home care have again outpaced other long-term care sectors, according to Genworth’s annual cost of care report.
CMS Statement on continued action to respond to the cyberattack on change healthcare
03/14/24 at 02:00 AMCMS Statement on continued action to respond to the cyberattack on change healthcareCMS.gov Press Release; 3/9/24 The Centers for Medicare & Medicaid Services (CMS) is continuing to monitor and assess the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare has had on all provider and supplier types. Today, CMS is announcing that, in addition to considering applications for accelerated payments for Medicare Part A providers, we will also be considering applications for advance payments for Part B suppliers.
CMS hears you, hospice providers
03/14/24 at 02:00 AMCMS hears you, hospice providersMcKnights Home Care, by Liza Berger; 3/8/24 Rarely does the Centers for Medicare & Medicaid Services succeed in shocking us. The large bureaucracy, which is not exactly known for its nimbleness, managed to do so this week when it abruptly cancelled the hospice component of the Value-Based Insurance Design Model. ... For those who wonder whether advocacy works, I’d chalk this up to a win for providers — and a clear example of advocacy in action.
NHPCO and We Honor Veterans welcome CMS clarification regarding Medicare Hospice Benefit for dually eligible veterans
03/13/24 at 03:00 AMNHPCO and We Honor Veterans welcome CMS clarification regarding Medicare Hospice Benefit for dually eligible veterans NHPCO Press Release; 3/11/24 The National Hospice and Palliative Care Organization (NHPCO) and its We Honor Veterans (WHV) program responded to the Centers for Medicare & Medicaid Services’ (CMS) clarification on concurrent care eligibility for Veteran beneficiaries. Under Change Request 13523 issued by CMS on February 22, 2024, the Medicare Benefit Manual is updated to clarify that a Veteran beneficiary who elects hospice services under the Medicare benefit may still receive services that are not included on the hospice plan of care and are furnished and paid under the beneficiary’s Department of Veterans Affairs (VA) benefits, in addition to hospice services.
Hospice provider experience underscores urgency of program integrity efforts
03/13/24 at 02:00 AMHospice provider experience underscores urgency of program integrity efforts: Findings reveal current audit process' shortcomings HomeCare News; 3/12/24 Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI)—released findings of a hospice provider survey that the organizations say underscores the urgency and need for CMS and Congress to act.
Smaller wage increases predicted for 2024: survey
03/12/24 at 03:00 AMSmaller wage increases predicted for 2024: surveyMcKnights Senior Living, by Kathleen Steele Gaivin; 3/8/24Wage increases for senior living and care employees are predicted to dip from 4.43% in 2023 to 3.64% this year, according to responses to a newly released Ziegler CFO Hotline survey. The news comes as providers continue to be challenged in recruiting and retaining workers, with compensation as one strategy.
Nursing homes bury 63 percent of profits in related-party tunnels, but not all play the game: study
03/11/24 at 03:00 AMNursing homes bury 63 percent of profits in related-party tunnels, but not all play the game: study McKnights Long-Term Care News, by Josh Henreckson; 3/8/24 As much as 63% of nursing home profits in Illinois were hidden from state regulators using related party transactions in 2019, according to the results of a new study from UCLA and Lehigh University researchers. Those results are likely indicative of a nationwide trend that has continued through the pandemic and into 2024, experts told McKnight’s Long-Term Care News Thursday.
CMS to end Hospice MA Carve-In: Insights for home-based care providers
03/11/24 at 02:00 AMCMS to end Hospice MA Carve-In: Insights for home-based care providers Home Health Care News, by Andrew Donlan; 3/7/24Grand opening, grand closing. Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in 2021. At the end of 2024, the “hospice carve-in” model will cease. ... In this week’s exclusive, members-only HHCN+ Update, I dive into what CMS’ ditching of the hospice carve-in means for home health and hospice providers generally. I’ll also get into what it may mean for that space between home-based care providers and MA plans moving forward.
UnitedHealthcare, Humana, Aetna continue to outgain peers in Medicare Advantage
03/08/24 at 03:00 AMUnitedHealthcare, Humana, Aetna continue to outgain peers in Medicare Advantage Home Health Care News, by Andrew Donlan; 3/6/24In 2023, Medicare Advantage (MA) plan members represented more than half of all Medicare beneficiaries for the first time. In 2024, while penetration continues, there are other trends within MA that home-based care providers should be paying attention to. ... A few of the top companies continue to gain market share. Specifically, UnitedHealth Group (NYSE: UNH), Humana Inc. (NYSE: HUM) and CVS Health (NYSE: CVS) – through Aetna – continue to outpace competitors.
Health systems invest in productivity
03/08/24 at 03:00 AMHealth systems invest in productivity Becker's Hospital Review, by Laura Dyrda; 3/6/24 Productivity is a buzzword for most workplaces today, and healthcare is no different. U.S. productivity measures showed big increases for the first time in years, according to a report in The New York Times, as organizations leverage artificial intelligence and aim to do more with less. For [health systems], many experiencing staffing shortages and tight margins, developing a culture of increased productivity is imperative.
House-passed funding bill makes Medicare hospice benefit a ‘piggybank,’ provider groups argue
03/08/24 at 03:00 AMHouse-passed funding bill makes Medicare hospice benefit a ‘piggybank,’ provider groups argue McKnights Home Care, by Adam Healy; 3/7/24 To keep the government open in fiscal year 2024, hospice partially may be bankrolling it — and providers are not pleased about this prospect. The House late Wednesday passed a newly released appropriations bill that includes an extension of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). This act which would effectively allow the Medicare hospice benefit to act as a pay-for for nonhospice legislative priorities.
Lamont negotiates big pay hike for CT home health aides
03/08/24 at 03:00 AMLamont negotiates big pay hike for CT home health aides: Wages would rise nearly 26% by 2025-25 to $23 per hour CT Mirror, by Keith M. Phaneuf; 3/5/24 Gov. Ned Lamont and Connecticut’s largest health care workers union announced a tentative three-year contract Tuesday that would boost minimum wages for home health aides by 26% to $23 per hour by the 2025-26 fiscal year. But the package, which also would provide longevity bonuses, expand paid time off and reduce health insurance costs for an industry long seeking a major compensation adjustment, puts the General Assembly in a quandary.
Lower reimbursement a leading cause for poor margins, CFOs say
03/08/24 at 02:45 AMLower reimbursement a leading cause for poor margins, CFOs say Becker's Hospital CFO Report, by Madeline Ashley; 3/6/24 A recent report from the Healthcare Financial Management Association and Eliciting Insights, a healthcare strategy and marketing research company, found that 84% of health systems have cited lower payer reimbursements as a leading cause for low operating margins. [Click on the title's link for six more findings from the report.]
End-of-life care stakeholders celebrate end of hospice VBID carve-in
03/08/24 at 02:00 AMEnd-of-life care stakeholders celebrate end of hospice VBID carve-in McKnights Home Care, by Adam Healy; 3/6/24 Various hospice associations on Tuesday cheered the Centers for Medicare & Medicaid Services’ recent decision to abandon the Hospice Benefit Component of the Value-Based Insurance Design (VBID) model. ... Providers have long held that the uniqueness of hospice care, a multidisciplinary, person-centered care model, would make it a poor fit for MA.
MA’s cost-management tools may be hurting home healthcare quality, outcomes
03/07/24 at 03:00 AMMA’s cost-management tools may be hurting home healthcare quality, outcomesMcKnights Long-Term Care News, by Adam Healy; 3/5/24Medicare Advantage’s use of cost-reducing tools such as copays, prior authorizations and restricted provider networks may be preventing home healthcare providers from delivering higher-quality care, according to one home healthcare leader.
CMS offers relief to providers affected by Change Healthcare outage
03/07/24 at 03:00 AMCMS offers relief to providers affected by Change Healthcare outageModern Healthcare, by Lauren Berryman; 3/5/24The Centers for Medicare and Medicaid Services has rolled out efforts to help providers navigate the Change Healthcare outage disrupting healthcare operations nationwide, the Health and Human Services Department announced Tuesday.Editor's Note: Access to the full article requires a subscription
The top strategies healthcare organizations can use to reduce denials
03/06/24 at 03:00 AMThe top strategies healthcare organizations can use to reduce denials MedCityNews, by Laxmi Patel; 3/5/24Here are six actionable steps healthcare organizations can take to reduce their likelihood of denials and write-offs.
Congress floats Medicare physician pay bump: 4 notes
03/05/24 at 03:30 AMCongress floats Medicare physician pay bump: 4 notes Becker's Hospital CFO Report, by Mackenzie Bean; 3/4/24 Physicians are set to receive a 1.7% increase in Medicare pay effective March 9 as part of a $460 billion spending package congressional leaders released this weekend. Four things to know: ... [click on the title's link for more]
Pharmacy associations join forces to advocate for pharmacists during change healthcare outage
03/05/24 at 03:00 AMPharmacy associations join forces to advocate for pharmacists during change healthcare outageNewswire Press Release; 3/3/24 Association executives from the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA), the National Alliance of State Pharmacy Associations (NASPA), and the American Society of Consultant Pharmacists (ASCP) released an open letter to pharmacy benefit manager (PBM) executives and other insurance payers whose systems may have been impacted by the Change Healthcare outage. Pharmacists and pharmacies are asking for assurances that claims fulfilled during this outage will be paid, and paid in a timely manner, considering the challenges faced by pharmacies and pharmacists with predicting co-payments and determining eligibility and coverage.
Change Healthcare's temporary funding program 'not even a Band-Aid,' AHA says
03/05/24 at 03:00 AMChange Healthcare's temporary funding program 'not even a Band-Aid,' AHA says Becker's Health IT, by Giles Bruce; 3/4/24 The American Hospital Association called Change Healthcare's temporary funding program for providers affected by the cyberattack on the UnitedHealth Group subsidiary inadequate, while a U.S. Senate leader asked CMS to speed up payments to hospitals. Change Healthcare set up the funding assistance March 1 for providers facing cash-flow issues after losing access to its payer systems, which have been down since the Feb. 21 ransomware attack. However, AHA President and CEO Rick Pollack wrote in a March 4 letter to UnitedHealth Group that the program is "not even a Band-Aid on the payment problems you identify."
Home health disparities: Medicare Advantage patients receive fewer visits, worse outcomes
03/05/24 at 02:00 AMHome health disparities: Medicare Advantage patients receive fewer visits, worse outcomes Home Health Care News, by Patirck Filbin; 3/1/24Home health patients under Medicare Advantage (MA) plans have worse functional outcomes compared to traditional Medicare patients, likely as a result of receiving fewer visits, according to a new study.
Double your cybersecurity spending, CIO warns amid Change Healthcare attack
03/04/24 at 03:15 AMDouble your cybersecurity spending, CIO warns amid Change Healthcare attack Becker's Health IT, by Naomi Diaz; 2/29/24What does the Change Healthcare ransomware incident mean for healthcare organizations? Doubling your cybersecurity spending, according to one health system CIO. Will Weider, CIO and senior vice president of Wausau, WI-based Aspirus Health, shared five thoughts on LinkedIn Feb. 29 about the incident, saying, "Whatever you planned to spend to improve cybersecurity, double it." Additionally, Mr. Weider stated that in light of this incident, healthcare organizations should: ...