Hospice

False Claims lawsuit, government report raise questions about expensive types of hospice care

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A government lawsuit and a memorandum from the Department of Health and Human Services Office of Inspector General raise questions about the two most expensive types of hospice care.

CMS: Hospices to receive $180 million more from Medicare next year

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Hospices will reap a 1.1% increase in Medicare payments in fiscal year 2014, according to a proposed rule issued by the Centers for Medicare & Medicaid Services.

SNFs' role in end-of-life care is growing

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The number of people dying in hospitals decreased 8% from 2000 to 2010 even as overall hospitalizations rose, suggesting nursing homes, hospices and home health providers are playing larger roles in end-of-life care. These numbers appeared in a recent Centers for Disease Control and Prevention report.

What the family wants

What the family wants By

When it comes to talk about palliative care and rehospitalizations, what should a provider do when the family is insistent on sending their loved one back to the hospital?

Updated palliative care guidelines: Providers should increase coordination, embrace QAPI

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Palliative care should follow care coordination and quality improvement processes called for by the Affordable Care Act, according to updated guidelines from the National Consensus Project for Quality Palliative Care.

Reduce Medicare payments for hospice care in skilled nursing facilities, MedPAC suggests

Reduce Medicare payments for hospice care in skilled nursing facilities, MedPAC suggests By

The government should consider Medicare payment cuts for hospice services provided in skilled nursing facilities, according to Medicare Payment Advisory Commission (MedPAC) commissioners. A reduction of 3% to 5% is reasonable, MedPAC says, based on a formula that assumes "equal provision of aide visits" in home and facility settings, and accounts for the labor costs of these two types of care.

Hospice saves Medicare dollars

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Increasing hospice enrollment would save the Medicare program millions of dollars annually, according to a new report.

CDC says fewer people are dying in hospitals, highlighting importance of end-of-life care in nursing homes, hospices

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The number of people dying in hospitals decreased 8% between 2000-2010 even as overall hospitalizations rose, suggesting nursing homes, hospices and home health providers are playing larger roles in end-of-life care. These numbers appeared in a Centers for Disease Control and Prevention report released Wednesday.

Palliative care legislation proposes $44 million in education fellowships for nurses

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Recently introduced bills in the House and Senate seek to strengthen palliative and hospice care by expanding education programs and providing fellowships for healthcare professionals to train in these areas.

Arizona hospice companies agree to $12 million settlement in false billing whistleblower case

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Two hospice providers and their parent company recently agreed to a $12 million settlement with the federal government in a whistleblower case over Medicare claims.

Increased hospice enrollment would save Medicare millions each year, researchers find

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Increasing hospice enrollment would improve care for beneficiaries while saving the Medicare program millions of dollars annually, according to a study in the March issue of Health Affairs.

Hospice settles HIPAA case for $50,000

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A stolen laptop has resulted in an Idaho hospice organization paying the Department of Health and Human Services $50,000.

CMS needs to re-evaluate heart attack payment structure, AHA argues

CMS needs to re-evaluate heart attack payment structure, AHA argues By

The Centers for Medicare & Medicaid Services should exclude certain patients, including those in hospice and or with end-stage renal disease, when evaluating the payment structure for heart attacks, the American Hospital Association proposed in a letter Tuesday.

Medicare payment rate for hospices should not rise in 2014, MedPAC says

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The Medicare payment rate for hospices should not increase in 2014, according to recommendations to Congress announced Monday by the Medicare Payment Advisory Commision (MedPAC).

Majority of hospices exclude some patients due to Medicare daily fee, researchers discover

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Despite the fact that hospice is one of the fastest growing parts of Medicare, 78% of surveyed hospice operators turned away patients with the potential for high-costing care, according to a new study published Monday in the journal Health Affairs.

Hospice pay rule may actually drive more aggressive treatment, researchers say

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A Medicare rule may have an opposite effect and lead to more aggressive end-of-life treatment according to a new analysis of patient outcomes.

Top 10 nursing home strategies to avoid hospital admissions

Top 10 nursing home strategies to avoid hospital admissions

Hospitalizations of frail nursing home residents can result in higher costs, complications, and death. Fifteen percent of long-term nursing home residents are hospitalized in any given six-month period, and 40% of these admissions are considered inappropriate

Re-examining what it means to be great

Re-examining what it means to be great By

It was a good — no, a great — day for Atul Gawande groupies Monday at the LeadingAge annual meeting in Denver.

Medicare enrollees choose nursing homes over hospice for end-of-life care, research shows

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Palliative and hospice care should be included in Medicare's nursing home benefits, according to authors of a new study.

Former exec alleges Florida hospice filed claims for patients not terminally ill; government joins lawsuit

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The federal government has joined a whistleblower lawsuit against a Florida hospice over what it says were fraudulent Medicare payments, the Department of Justice announced.

Are you ready for The Conversation?

Are you ready for The Conversation? By

There are few things I loathe more in the world than ice-breaking, "getting-to-know-you games." The problem is, though, I'm exactly the kind of person who often needs an icebreaker to get a conversation started, especially for conversations that are difficult to have.

Hospices see Medicare payment increase

Medicare payments to hospice providers had a slight boost in 2013, according to a regulator notice released Tuesday. These providers also should be preparing to report quality data and additional diagnosis on hospice claims.

Medicare might have made duplicate payments for medications used by hospice beneficiaries, OIG report suggests

Medicare might have made duplicate payments for medications used by hospice beneficiaries, OIG report suggests By

Medicare appears to have paid pharmacies twice for medications taken by hospice beneficiaries, a government report found.

Minorities have lower utilization of hospice, have higher overall costs, research finds

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While enrollment in hospice is soaring, nonwhite Medicare beneficiaries with heart failure are 20% less likely to use hospice, a new study finds.

Fix Medicare funding woes 'forever' by eliminating subsidy for wealthy, conservative says

Fix Medicare funding woes 'forever' by eliminating subsidy for wealthy, conservative says By

Wealthy seniors should pay more in Medicare premiums, according to a brief from the conservative Heritage Foundation.

Take advantage of the changing long-term care marketplace, top execs urge

Take advantage of the changing long-term care marketplace, top execs urge By

Long-term care providers should hone in on the changing needs of their market by embracing what customers want and will pay for, and by working to change the profession's image problem, LTC executives said Monday.

Quality measures needed to evaluate end-of-life care in nursing homes, study urges

Quality measures needed to evaluate end-of-life care in nursing homes, study urges By

As the number of people who choose nursing homes for end-of-life care continues to rise, more quality measures are needed to help consumers judge quality, a new study recommends.

Social Security recipients cannot opt out of Medicare, appeals court rules

Senior citizens who receive Social Security benefits cannot opt out of Medicare and rely solely on private insurance, a federal appeals court ruled Tuesday.

Hospice provider fraudulently cycled patients through nursing homes, hospices, whistle-blower suit claims

Hospice provider fraudulently cycled patients through nursing homes, hospices, whistle-blower suit claims

Hospice company AseraCare allegedly defrauded Medicare by cycling beneficiaries through nursing homes and hospice care, according to a whistle-blower suit announced this week.

Maryland mandates end-of-life wishes form for LTC residents

Maryland healthcare professionals will soon be required to complete a form outlining a patient's end-of-life wishes upon admission to a long-term care facility, according to a new regulation.

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