Home Health Industry Reacts to CMS Value-Based Primary Care Initiative

Health care policymakers on Monday unveiled a new voluntary risk-based initiative designed to reward physicians who keep patients at home and away from hospitals. Based upon the work of previous administrations, the new initiative marks a major inflection point for the value-based transformation of the U.S. health care system, according to Department of Health and […]

Hospice Leaders Applaud MA Carve-In Approach — But Also Voice Concerns

Hospice leaders are, for the most part, encouraged by the move to explore a Medicare Advantage (MA) carve-in for hospice through an expanded demonstration. But several questions remain, they caution, with the bulk of them focusing on whether the hospice benefit could somehow be diluted or lessened. The Centers for Medicare & Medicaid Services (CMS) […]

[Updated] CMS to Test Hospice Carve-In Under Medicare Advantage

The Medicare Advantage (MA) carve-in that many industry insiders pegged as “inevitable” has finally arrived. The Centers for Medicare & Medicaid Innovation (CMMI) on Friday morning announced it is expanding the MA Value-Based Insurance Design (VBID) model, using VBID to test out several wide-ranging updates to MA offerings, including a hospice carve-in set to take […]

House Bill to Support Hospice Training Moves Closer to Vote

Legislation aimed at raising awareness and increasing the quality of hospice and palliative care is steadily finding its way through Capitol Hill. U.S. Rep. Tom Reed (R-New York) announced on Tuesday that the Palliative Care and Hospice Education and Training Act (PCHETA) has made it out of the House Energy and Commerce Health Subcommittee and […]

OIG Puts the Pressure On as Hospice Fraud Cases Pile Up

In March 2018, Health and Palliative Services of the Treasure Coast and two of its businesses paid $2.5 million to settle a False Claims Act (FCA) case related to hospice billing. A month later, Horizons Hospice agreed to pay more than $1.2 million to resolve allegations that the company fraudulently billed Medicare and Medicaid for services to patients […]

What Hospice Care Looks Like in America

Hospice care is a growing sector of the health care system, and more older Americans are using the Medicare benefit than ever before. However, recent studies have shown that hospice care is used only at the very end of life, most often in the last two weeks of life, rather than for its full, six-month […]