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All posts tagged with “Hospice Provider News | Operations News | Financial.”



Changing payment dynamics are forcing home-based care providers to level up in value-based care

01/29/24 at 04:00 AM

Changing payment dynamics are forcing home-based care providers to level up in value-based careHome Health Care News, by Patrick Filbin; 1/24/24When home-based care professionals were tasked with providing the “greatest challenge” facing them in the new year, 58% responded staffing. After that, 31% said changing payment dynamics, while 7% and 4% said consolidation or non-payment regulatory changes, respectively. Those findings come from a recent survey conducted by Home Health Care News and Homecare Homebase.

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Home health benefit will become a 'skeleton' if Medicare payment adjustments continue, industry leader cautions

01/26/24 at 04:00 AM

Home health benefit will become a 'skeleton' if Medicare payment adjustments continue, industry leader cautionsHome Health Care News, by Joyce Famakinwa; 1/23/24... The 2024 final home health payment rule included a 0.8% aggregate payment increase and a permanent prospective adjustment of -2.890%, plus dozens of other notable changes to home health care. ... With these cuts, NAHC [National Association for Home Care & Hospice] has estimated that 48% of all home health agencies will have overall negative margins in 2024.

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Historic 21.3 million people choose ACA Marketplace coverage

01/25/24 at 04:00 AM

Historic 21.3 million people choose ACA Marketplace coverageCMS.gov Press Release; 1/24/24Marketplace enrollment climbs nearly 5 million higher than previous year. ... Total plan selections include more than five million people — about a fourth — who are new to the Marketplaces and 16 million people who renewed their coverage. Notably, open enrollment continues in four states and Washington, D.C., through January 31. 

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New program to provide emergency funding to rural hospitals

01/25/24 at 04:00 AM

New program to provide emergency funding to rural hospitalsCapitol Beat, by Dave Williams; 1/17/24A nonprofit health-care organization announced plans ... to help financially struggling rural hospitals in Georgia in danger of closing. Ohio-based CareSource will contribute $5 million in emergency funding to hospitals and hospital-owned nursing homes in rural communities suffering critical cash deficits. Working in partnership with Cumming-based HomeTown Health, which represents rural hospitals across Georgia, the CareSource Rural Access Advancement Program will provide bridge loans to be repaid and reinvested into the program once the recipient has stabilized. Since 2010, nine rural hospitals have closed in Georgia, third-most in the nation.

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46% of C-Suite execs prioritizing cost reduction, survey says

01/25/24 at 03:05 AM

46% of C-Suite execs prioritizing cost reduction, survey saysBecker's Hospital CFO Report, by Madeline Ashley; 1/23/24"The New Healthcare C-Suite Agenda: 2024-2025" report surveyed more than 100 C-suite executives and focused on topics like digital tools, EMR optimization, patient publication, operations, and more. Of the respondents, 29% held a CEO title, 13% chief medical officer, 10% CFO, 10% CIO, 10% COO, 7% chief nursing officer, 6% chief quality officer, 3% chief strategy officer, and 2% chief digital innovation officer. ... For top strategic initiatives for executives, 57% said growing revenue, 55% said staff recruitment and retention, and 46% said reducing cost. 

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A guide to paying for hospice care at home

01/24/24 at 04:00 AM

A guide to paying for hospice care at homeMediaFeed.org, by Claire Samuels; 1/23/24 According to the Centers for Medicare & Medicaid Services, which sets benchmarks for hospice care costs based on the payments they make to providers, here’s what two types of in-home hospice care will cost in 2024’s fiscal year ... [Additional descriptions include insurance, Medicare, Medicaid, VA health care, private health insurance.]

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MD Anderson’s Dr. Eduardo Bruera: Educate hospital execs on palliative care’s outcomes, cost savings

01/24/24 at 04:00 AM

MD Anderson's Dr. Eduardo Bruera: Educate hospice execs on palliative care's outcomes, cost savingsHospice News, by Audrie Martin; 1/22/24Dr. Eduardo Bruera is a true pioneer in the field of palliative care. ... In this interview, Palliative Care News sits down with Bruera to discuss the landscape of palliative care and what he sees for the future of the field.

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StateServ announces acquisition of Delta Care Rx

01/23/24 at 03:00 AM

StateServ announces acquisition of Delta Care RxPR Newswire; 1/22/2024StateServ, a leading provider of durable medical equipment ("DME") benefit management solutions to the post-acute care market in the United States, has completed its acquisition of Delta Care Rx ("Delta Care"), a national pharmaceutical care provider. Delta Care offers integrated pharmacy benefit management, mail order prescription, sterile/non-sterile compounding, and clinical pharmacist consulting to the hospice and palliative care markets. ... The unique combination forms a leading care-at-home data, technology, and service platform and the industry's first scaled DME and pharmacy solution.

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$15 billion win for physicians on prior authorization

01/22/24 at 04:00 AM

$15 billion win for physicians on prior authorizationAMA, by Kevin B. O'Reilly; 1/18/24Under the leadership of Administrator Chiquita Brooks-LaSure, the Centers for Medicare & Medicaid Services (CMS) has released a final rule making important reforms to prior authorization to cut patient care delays and electronically streamline the process for physicians. Together, the changes will save physician practices an estimated $15 billion over 10 years, according to the U.S. Department of Health and Human Services (HHS).

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New dementia-focused payment model emphasizes caregiver support

01/22/24 at 04:00 AM

New dementia-focused payment model emphasizes caregiver supportHospice News, by Holly Vossel; 1/18/23Without family caregivers, most hospice and palliative care patients would be unable to receive care in the home. Now, some emerging payment models are including caregiver support as a key component. 

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Congressional advisors grapple with Medicare Advantage data that reveals plenty on excess, but not much on access

01/19/24 at 04:00 AM

Congressional advisors grapple with Medicare Advantage data that reveals plenty on excess, but not much on accessMcKnight's Long-Term Care News, by Kimberly Marselas; 1/16/24Medicare Advantage risk scores continue to rise, inflating payments to the private plans that far exceed their actual costs, staff for a Congressional advisory commission warned members Friday. The Centers for Medicare & Medicaid Services uses risk scores, based on patient demographics and their needs, to establish payments to plans during each bid season. 

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Have you been overcharged for prescription drugs? We want to hear from you.

01/11/24 at 03:00 AM

Have you been overcharged for prescription drugs? We want to hear from you. - The New York TimesThe New York Times, by Reed Abelson and Rebecca Robbins; 1/9/24Most prescriptions in the United States are handled by one of three companies: CVS Caremark, Express Scripts or Optum Rx. These pharmacy benefit managers serve as middlemen between the drug companies that make the medications and the insurance plans that pay for your prescriptions. These relationships have been in the news because of the high cost of prescription drugs. We want to hear about your experiences with these companies, including whether your medications were covered and how much you paid for them. We’re also interested in hearing from pharmacists and doctors about their experiences and those of their patients.

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Humana wins $360M in Walgreens drug price settlement

01/10/24 at 04:00 AM

Humana wins $360M in Walgreens drug price settlementModern Healthcare, by Lauren Berryman; 1/8/24Walgreens will pay Humana $360 million to resolve allegations the pharmacy chain overcharged the health insurer for prescription drugs.

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2024 Hospice News outlook survey and report

01/10/24 at 02:00 AM

2024 Hospice News outlook survey and reportHospice News; 1/9/24From rising industry challenges to the latest technology investments, participants of this year’s Hospice Outlook Survey shared their take on the industry’s obstacles and growth opportunities in the year ahead. Hospice News is pleased to share these survey results, revealing how providers are:

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Grief counselling market size to grow USD 4.52 billion by 2029 at a CAGR of 7.8% | Valuates Reports

01/09/24 at 03:10 AM

Grief counseling

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Cap rates increase by 74 basis points across all segments of senior living and care

01/08/24 at 04:00 AM

Cap rates increase by 74 basis points across all segments of senior living and careMcKnights Senior Living, by Kathleen Steele Gaivin, 1/3/24The average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. The commercial real estate services and investment company sought feedback from senior housing investors, developers, lenders and brokers throughout the United States. The survey was conducted in October, and results were released in December.

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The Wall Street Journal: Exclusive: Cigna nears deal to offload Medicare business

01/05/24 at 04:00 AM

The Wall Street Journal: Exclusive: Cigna nears deal to offload Medicare businessThe Wall Street Journal, by Laura Cooper, Anna Wilde Mathews and Lauren Thomas; 1/3/24Cigna is in advanced talks to sell its Medicare business in an about-face for the health-insurance giant, which had been expanding its footprint in the fast-growing sector. Cigna, which has been running an auction for the business, known as Medicare Advantage, is now in exclusive talks to sell it to Health Care Service Corp. for between $3 billion and $4 billion, according to people familiar with the matter. Editor's Note: Access to the full article requires a subscription to The Wall Street Journal

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Investigating Medicare hospice overpayments

01/04/24 at 04:00 AM

Investigating Medicare hospice overpaymentsHospice News, by Jim Parker; 1/2/24As auditing activity by regulators continues to spike, hospices need to know how to conduct internal investigations to identify any potential improper payments.

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The future of claims management: How payers can maximize payment integrity

01/03/24 at 03:55 AM

The future of claims management: How payers can maximize payment integrityBecker's Payer Issues; 12/29/237 to 10 cents of every dollar spent on healthcare goes toward paying for fraudulent claims. Learn the latest strategies for boosting payment integrity here.

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Continuum of Care

01/03/24 at 03:00 AM

Continuum Of CareTallahassee Magazine, by Steve Bornhoft; 12/31/23Leaders seek seamless approach to services. In the United States, health services are delivered based on what Mark O’Bryant sees as a “reverse model.” Some might even call it a perverse model.

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Hospital merger activity to increase in 2024

12/28/23 at 03:42 AM

Hospital merger activity to increase in 2024Modern HealthcareDecember 26, 2023Hospital merger and acquisition activity is expected to increase next year as hospitals manage financial pressure, competitors combine and insurers grow. ... The number of announced hospital deals through the third quarter rose by more than 50%, to 53 proposed transactions from 35 last year, according to data from consultancy Kaufman Hall. Deal activity was particularly pronounced among midsized health systems ranging from $1 billion to $5 billion in annual revenue. ... Nearly 40% of the 18 proposed hospital deals announced in the third quarter were driven by financial distress, according to Kaufman Hall. 

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Pohai Malama Adult Residential Care Home hosts open house

12/27/23 at 08:12 AM

Pohai Malama Adult Residential Care Home hosts open houseHawaii Tribune-Herald (Hilo, HI)December 25, 2023Hilo, HI—After closing its doors to inpatient services last year, Pohai Malama will be reopening as an adult residential care home beginning next year. Hawaii Care Choices, formerly Hospice of Hilo, earlier this month announced the opening of the Pohai Malama Adult Residential Care Home to a room full of board members, supporters and community leaders. The former 12-bed hospice and palliative care inpatient facility, located at 590 Kapiolani St. in Hilo, was closed in November 2022 after operating for 10 years due to changing preferences from patients, many who preferred to be treated in their homes. 

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After the chaotic closure of a St. Louis nursing home, will others also shut down?

12/27/23 at 03:31 AM

After the chaotic closure of a St. Louis nursing home, will others also shut down?St. Louis Post-DispatchDecember 24, 2023St. Louis, MO—The north St. Louis nursing home that closed abruptly last weekend, setting off a chaotic relocation of residents and layoffs of workers without warning, had been in decline for several years. ... Other area nursing homes face similar financial pressures and lingering damage from the COVID-19 pandemic. ... “I think we’re going to see a lot of nursing homes close, that’s my prediction—I mean a lot of nursing homes,” [Harvey] Tettlebaum [a lawyer who for decades has represented the Missouri Healthcare Association, a group for long-term health care organizations] said. “I think it’s going to escalate next year.” Among the most vulnerable are providers that primarily serve residents who rely on Medicaid. 

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Hospice, Home Health Providers ‘Squeezing Turnips’ Competing for Clinical Staff

12/22/23 at 03:30 AM

Hospice, Home Health Providers ‘Squeezing Turnips’ Competing for Clinical StaffHospice NewsDecember 20, 2023Hospice and home health care providers’ recruitment and retention strategies have narrowed their focus on workers’ key priorities, with organizational culture among the heaviest hitters on their lists. Amid workforce shortages, hospice and home health providers are often at a disadvantage when it comes to competing with other health care organizations that can have greater financial resources, according to Bill English, president and CEO of Accurate Home Care. 

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Despite Economic Growth in 2023, State of the Commonwealth Report Shows Worrying Trends

12/20/23 at 03:45 AM

Despite Economic Growth in 2023, State of the Commonwealth Report Shows Worrying TrendsNews ReleaseDecember 18, 2023Norfolk, VA—There are positive takeaways from Old Dominion University’s ninth annual State of the Commonwealth Report. Virginia’s economy and population continued to grow in 2023 and a record number of people were employed and in the labor force, surpassing pre-pandemic levels. But the report, produced by ODU’s Dragas Center for Economic Analysis and Policy, also raises questions about the commonwealth’s future. 

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