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.
There is some good news for hospice providers. Hospice providers will receive a 2.1% Medicare payment rate increase for FY 2017, according to a final rule issued by the Centers for Medicare & Medicaid Services (CMS).
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:
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.
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.
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.
HIT Helped by Tech Selection Tools
The research, from the University of California San Francisco Health Workforce Research Center on Long-Term Care, began with the premise that nursing homes may delay implementation of HIT because it places demands on nursing home staff.
MedPAC Reiterates Call for Post-Acute Reform
A preamble to the post-acute care (PAC) payment recommendations was presented highlighting MedPAC’s work on the topic over the last decade and its frustration in the lack of adopted policy changes by ...
OCR Updates HIPAA Privacy Rule FAQ and Guidance regarding Disclosures to Loved Ones
Similarly, OCR has updated existing guidance regarding the HIPAA Privacy Rule make clear that ...
Tell Congress to Save Medicaid
Congress likely will vote early in the new year on legislation that may include repeal of the ACA’s expansion of Medicaid. We are urging Congress to keep the expansion in place.
We also anticipate that the new Congress will consider proposals to fundamentally change Medicaid’s structure and financing by converting ...
Consumer Satisfaction and Hospice Quality Reported
The HIS data demonstrates that :
98.4% of hospice patients were asked about their preference for life-sustaining treatments, such as hospitalization, ventilator support and CPR.
97.7% of hospice patients were checked to see whether shortness of breath was an issue when they were admitted to ...