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Hospice

Information on hospice, including memos and rules from the Centers of Medicare and Medicaid Services (CMS), information on the Conditions of Participation, information from MedPAC, and legislative, funding, and regulatory updates.

We've featured some articles below, but be sure to check out all of our hospice content.

Featured Content

CMS Proposes Updates to the Wage Index and Payment Rates for Medicare Hospice

On April 21, the Centers for Medicare & Medicaid Services (CMS) issued FY 2017 Hospice (CMS 1652-P) proposed rule and posted the rule in the Federal Register

Hospice Drug Rule Revised by CMS

The Center for Medicare and Medicaid Services (CMS) released Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice, a notice that encourages sponsors to place beneficiary-level prior-authorization requirements on only 4 categories of prescription drugs identified in a June 2012 Office of Inspector General (OIG) Report:

Hospice: Medicare Care Choices Demonstration

The Centers for Medicare and Medicaid Services (CMS) is moving forward with the Medicare Care Choices Demonstration. This new model came out of the Affordable Care Act, and will allow Medicare beneficiaries in hospice to receive treatments aimed at helping them improve their medical condition at the same time that they receive palliative care, as well as end of life care.

Senate Finance Working Group Considering Medicare Advantage Carve in of Hospice

In December, the Bipartisan Chronic Care Working Group of the Senate Finance Committee issued the Policy Options Document that indicates the group is considering requiring Medicare Advantage (MA) Plans to offer the hospice benefit as part of their package of services. The working group's rationale for considering this change is that the current structure for MA enrollees electing hospice care leads to either a disruption in care or fragmented care delivery.

OIG Report: Hospices Target Assisted Living

A Jan. 14, 2015, Office of the Investigator General Report indicates that hospices have financial incentives to target Medicare beneficiaries that reside in assisted living who have certain diagnoses and are likely to have long stays.