Literature Review
All posts tagged with “Hospice Provider News | Operations News | Challenges.”
New alliance steps up as voice for providers & patients
12/06/24 at 03:00 AMNew alliance steps up as voice for providers & patients HomeCare; by Hannah Wolfson; 12/3/24 Stopping Medicare cuts, ensuring Medicare Advantage beneficiaries have good access to care, passing groundbreaking hospice legislation and bringing homecare into the forefront are all priorities for the newly-formed National Alliance for Care at Home, said CEO Steve Landers. “We’ve got to start improving access to home health care, and the way that we do that is we end this march of payment cuts that are being set forward by Medicare,” Landers said at the Alliance’s Homecare and Hospice Conference and Expo, which was held in October in Tampa, Florida. ... The alliance has automatically enrolled members of both legacy organizations, but Landers said that for renewals or new members, participants will be required to sign an attestation that says they have a program in place for quality and compliance, that they monitor the Office of Inspector General’s expulsion list and don’t take referrals or staff from organizations on that list and that they strive to participate in Medicare’s quality reporting programs.
Marin County Office of Education, Novato Unified School District & By the Bay Health partner to address healthcare talent shortage
12/05/24 at 03:00 AMMarin County Office of Education, Novato Unified School District & By the Bay Health partner to address healthcare talent shortage PR Newswire, San Rafael, CA and Novato, CA and Larkspur, CA; by By The Bay Health; 12/3/24The Marin County Office of Education (MCOE), the Novato Unified School District (NUSD), and By the Bay Health, Northern California's largest independent nonprofit hospice provider, are joining forces to launch a strategic workforce initiative to address the growing healthcare talent shortage in the County. Starting in Spring 2025, MCOE, NUSD, and By the Bay Health will pilot a new Career Technical Education (CTE) course at San Marin High School in Novato to introduce students to healthcare careers. The CTE course, Introduction to the World of Healthcare, will be the first high school course of its kind in the County designed to provide a comprehensive introduction to career opportunities in the healthcare field, including a focus on careers in community-based care in the home. An elective for 11th and 12th grade students, the curriculum will cover a range of topics from healthcare professions to medical ethics, communication, public health, and emerging trends in healthcare.
Top News Stories of the Month Nov 2024 - TCN Podcast
12/05/24 at 03:00 AMTop News Stories of the Month Nov 2024 - TCN Podcast Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Mark Cohen; 12/4/24 What if the future of Hospice and Palliative Care depends on understanding the intricacies of industry integration and regulation? Join us for an insightful journey through November's most compelling stories that have captured the attention of Hospice and Palliative Care Today's readership. Our conversation reveals the significant impact of national events, from elections to regulatory changes, on shaping news cycles and industry priorities. Also, rising workforce demands and political changes, such as immigration restrictions, paint a concerning picture for the future labor pool in Hospice Care. We provide a comprehensive analysis of the month's key themes that may have been missed, like tackling issues from CMS payment cuts to the Justice Department's stance on UnitedHealthcare Group's acquisition of Amedisys. This episode is a must-listen for those seeking a deeper understanding of the critical yet often overlooked issues in Hospice and Palliative Care today, and Mark delivers another excellent masterclass on creating compelling headlines.
Key differences between palliative and hospice care in California
12/05/24 at 03:00 AMKey differences between palliative and hospice care in California Psychology Today; by Bob Uslander, MD; 12/3/24 ... Key Difference Between Palliative and Hospice Care in California: Whether you’re looking for support early in an illness or need end-of-life care, Californians have resources available to help. California also has some unique programs and resources, such as palliative care programs for people covered by Medi-Cal, California’s Medicaid program. Additionally, California has strict laws to protect patients’ rights, ensuring that people are fully informed about your care options and can make choices that align with your personal values and cultural beliefs. Below are some of the key differences highlighted to help you make the best choice possible for you and your family when the time comes. [Click on the title's link for more information.]Editor's note: Through recent years, too many hospice agencies have eliminated references to end-of-life care, a life-expectancy of six months or less, and references to dying, death, or grief. Various fraud and abuse cases have described that persons/caregivers did not even realize they had signed up for "hospice" care. Ethically, this is untenable. Key differences between palliative and hospice care--with applications to the person--are significant.
11 top health system C-suite priorities for better patient care in 2025
12/05/24 at 02:00 AM11 top health system C-suite priorities for better patient care in 2025 Becker's Hospital Review; by Laura Dyrda; 12/2/24 ... Becker's collected insights from 94 health system executives highlight a collective commitment to transforming care delivery through innovation, accessibility, and patient-centered strategies. These leaders, representing a diverse range of hospitals and health systems across the country, are focusing on priorities such as leveraging advanced technology, strengthening workforce resilience, enhancing health equity, and reimagining care models to meet the needs of their communities. ... Below, we summarize the top 11 priorities identified by these executives to improve patient care in the years ahead.
[Recommendations] OIG Report finds that the Medicare Program improperly paid acute-care hospitals for outpatient services provided to hospice enrollees
12/04/24 at 03:00 AM[Recommendations] OIG Report finds that the Medicare Program improperly paid acute-care hospitals for outpatient services provided to hospice enrollees JDSupra; by Michelle Huntsman; 12/3/24 On November 12, 2024, OIG published a report concluding that the Medicare program overpaid acute-care hospitals an estimated $190 million over five years for outpatient services provided to hospice enrollees. ... OIG made six recommendations to CMS to prospectively address the issues identified:
Caring for patients at the end of life: [AMA's Council on Ethical & Judicial Affairs] CEJA reports
12/04/24 at 03:00 AMCaring for patients at the end of life: CEJA reports AMA - American Medical Association; by Council on Ethical and Judicial Affairs (CEJA); 12/2/24 Reports by the Council on Ethical and Judicial Affairs (CEJA) interpret the AMA Principles of Medical Ethics to provide practical ethics guidance on timely topics. When the AMA House of Delegates adopts the recommendations of a CEJA report they become Opinions in the Code of Medical Ethics. The body of the report, which sets out CEJA’s ethics analysis, is archived and remains available as a resource to help users apply guidance. CEJA reports may not be reproduced without express written permission. [Click here to access these CEJA reports.]
Homebound seniors living alone often slip through health system’s cracks
12/03/24 at 03:00 AMHomebound seniors living alone often slip through health system’s cracks KFF Health News; by Judith Graham; 12/2/24 Carolyn Dickens, 76, was sitting at her dining room table, struggling to catch her breath as her physician looked on with concern. “What’s going on with your breathing?” asked Peter Gliatto, director of Mount Sinai’s Visiting Doctors Program. “I don’t know,” she answered, so softly it was hard to hear. “Going from here to the bathroom or the door, I get really winded. I don’t know when it’s going to be my last breath.” Dickens, a lung cancer survivor, lives in central Harlem, barely getting by. She has serious lung disease and high blood pressure and suffers regular fainting spells. In the past year, she’s fallen several times and dropped to 85 pounds, a dangerously low weight. And she lives alone, without any help — a highly perilous situation. Across the country, about 2 million adults 65 and older are completely or mostly homebound, while an additional 5.5 million seniors can get out only with significant difficulty or assistance. ... It’s a population whose numbers far exceed those living in nursing homes — about 1.2 million — and yet it receives much less attention from policymakers, legislators, and academics who study aging.
18 questions for CEOs to ask themselves
12/03/24 at 02:00 AM18 questions for CEOs to ask themselves Becker's Hospital Review; by Molly Gamble; 11/25/24 McKinsey senior partners developed a CEO performance questionnaire informed by in-depth interviews with more than 70 successful chief executives across industries. The checklist is meant to assess CEOs' performance in six dimensions: setting direction, aligning the organization, mobilizing through leaders, engaging the board, connecting with stakeholders and managing personal effectiveness. "Sure, CEOs have an abundance of financial, operational, and organizational metrics to look at, but what CEOs should be doing to influence those metrics wasn't exactly clear," the authors noted. The checklist serves as both a self-assessment tool and a framework for gathering honest feedback from board members, executives and trusted advisors. [Click on the title's link for] a condensed list of the questions, with commentary and more explanation of each available in the full article from McKinsey here. [Questions address:] 1. Vision. ... 2. Strategy. ... 3. Resource allocation. ... 4. Culture. ... 5. Organizational Design. ... 6. Talent. ... 7. Team composition. ... 8. Teamwork. ... [More]
Don’t let CMS publish list of lowest-performing hospices, Alliance tells lawmakers
12/02/24 at 02:00 AMDon’t let CMS publish list of lowest-performing hospices, Alliance tells lawmakers McKnights Home Care; by Liza Berger; 11/26/24 Acting on its plan to keep the hospice Special Focus Program in the spotlight until the end of the year, the National Alliance for Care at Home has sent congressional leaders a letter urging them to remedy the grading system for the Centers for Medicare & Medicaid Services’ program targeting underperforming hospices. “CMS is on the verge of publishing a list of what they claim will be poor-performing hospices based on this flawed grading system,” Ken Albert, president and CEO of Andwell Health Partners and chair of the Alliance, wrote in a Nov. 22 letter to chairmen and ranking members of House and Senate finance committees. “When you see this list, you should view it skeptically, because CMS will have committed a grave error that risks steering patients away from reputable hospices that may be on the list and toward providers that — because they may not have been surveyed at all — could be low-quality or completely fraudulent.”
Blue Ridge Hospice eyes N. Va. expansion, breaks into preventative care
11/29/24 at 03:15 AMBlue Ridge Hospice eyes N. Va. expansion, breaks into preventative care Washington Business Journal; by Sara Gilgor; 11/27/24 Winchester nonprofit Blue Ridge Hospice is heading into 2025 with plans to accelerate its regional expansion - by broadening its services, beefing up its headcount, teaming up with other local health systems and employers, and penetrating new pockets within Northern Virginia. The organization has provided hospice and palliative care in Virginia for patients with terminal illnesses from cancer to dementia for 43 years, only recently breaking into Greater Washington via Loudoun County. But now, increasing demand in the market and challenges within the larger health care landscape have led the business to rethink both its own structure and how it delivers care to the elderly patients it serves, often not until the ends of their lives. That's why the parent organization is rebranding as Blue Ridge Care. Its patients often regret not seeking its help earlier, President and CEO Jason Parsons told me in an interview, so it's repositioning itself to care for patients well before they would ever need hospice. ... Blue Ridge, now with nearly 400 employees, is looking to add another 50 to 60 people - including doctors and nurses - to its headcount in 2025, Parsons told me. And it plans to invest between $3 million and $5 million into next year's expansion, after putting in $10 million over the last two years, he said.
Faith Home Health and Hospice to take over Holton Hospital’s home-based care programs
11/29/24 at 03:00 AMFaith Home Health and Hospice to take over Holton Hospital’s home-based care programs Hospice News; by Jim Parker; 11/27/24 Kansas-based Faith Home Health and Hospice will acquire the home-based care operations of Holton Community Hospital. The hospital in September announced that it would be closing its home health and hospice services as of Dec. 31, citing “significant financial challenges brought on by changes in health care payment models, the expansion of Medicare replacement plans and increasing competition from other agencies.” “[The two organizations are] actively working towards finalizing a purchase agreement that ensures [the hospital’s] dedicated local staff will continue to provide compassionate care to the community,” Holton Community Hospital CEO, Carrie Lutz, said in a press release.
Keeping referral partners happy after dropping contracts with Medicare Advantage plans
11/26/24 at 03:20 AMKeeping referral partners happy after dropping contracts with Medicare Advantage plans Home Health News; by Audire Martin; 11/25/24 Home health providers may walk away from specific health plans due to financial feasibility, administrative burdens, or misalignment with their patient care values and priorities. However, this decision can create short-term challenges with referral partners and health systems, as they may have patients enrolled in those plans. “If a health plan consistently under-reimburses for services or requires excessive administrative hurdles, it may compromise the ability to deliver quality care efficiently,” Preston Lucas, chief financial officer at Interim HealthCare Great Lakes, told Home Health Care News. “Additionally, if the plan’s policies restrict access to necessary treatments or fail to support the level of care required for patients, it becomes difficult to sustain the partnership.” ... Maintaining open lines of communication and emphasizing the shared goal of providing high-quality care helps mitigate the short-term consequences of leaving a health system, according to Lucas.
Providers hoping for better days ahead with ‘suspicious,’ unannounced CMS site visits
11/26/24 at 03:00 AMProviders hoping for better days ahead with ‘suspicious,’ unannounced CMS site visits McKnights Long-Term Care News; by James M. Berklan; 11/25/24 A campaign to strip mystery out of unannounced, often thinly explained site visits by Centers for Medicare & Medicaid Services contractors may be bearing some fruit. Providers have been rattled by visitors’ demands for information and the ability to take photos with little explanation. They’re hoping that the government-hired fact-checkers communicate and execute their mission better moving forward. ... “When the people who educate consultants and others don’t know about something, it’s concerning. It was so suspicious with the way they [contractors] came into facilities,” McCarthy said. Upon investigation, provider advocates were able to confirm the site visits are legitimate and can happen to any provider or supplier as part of their Medicare enrollment or verification process. And while explicit advance notice may not be given, a record of the visits’ orders can be confirmed in the Provider Enrollment, Chain, and Ownership System (PECOS). [Click on the title's link to continue reading.]
Elizabeth Nemacheck: The personal consequences of EPH's discontinuation of in-home hospice
11/25/24 at 03:00 AMElizabeth Nemacheck: The personal consequences of EPH's discontinuation of in-home hospice Estes Park Trail-Gazette, Estes Park, CO; by Elizabeth Nemacheck; updated 11/22/24 I am writing regarding Estes Park Health's decision to eliminate in-home hospice and home health care in Estes Park. Hospice helps the family by dismantling hospice, Estes Park Health has off-loaded the end-of-life burden solely on the family, during one of the most difficult and totally predictable life events. I hope to illustrate three key issues we identified by sharing my story. My father died at home in September of 2024. After his terminal cancer diagnosis midsummer, my family discussed my dad's wishes in consultation with his oncologist and primary care doctor. Like so many of us, my dad decided that he would very much like to die at home, so that became our goal. We sought alternatives to hospice support beyond Estes Park Health's discontinued home hospice care; once we confirmed that the only hospice available in Estes was in-hospital hospice, we built the infrastructure ourselves to be able to keep my dad at home. Thankfully we had the financial resources to do so, and a lot of gumption. While we were able to keep him at home, we identified three key issues:
Hospices have long road ahead on improving health equity
11/25/24 at 03:00 AMHospices have long road ahead on improving health equity Hospice News; by Holly Vossel; 11/21/24 Prolific health disparities have driven hospices to implement various strategies to improve diversity, equity and inclusion among underserved patient populations. Some providers say the needle has much farther to go toward equitable access. End-of-life care models have increasingly diversified to reach a broader range of patients with different beliefs, values and spiritual outlooks, according to Altonia Garrett, COO of Blue Ridge Hospice. Garrett is also executive director of the Virginia-based hospice’s Diversity, Equity, Inclusion and Belonging Committee. Yet, hospice providers lack a full scope of understanding around the nuanced challenges impeding utilization and the ways to more effectively address unmet patient needs, Garrett said.
Pursuit of quick profits makes hospice care worse, new research says
11/21/24 at 03:00 AMPursuit of quick profits makes hospice care worse, new research says Ohio Capital Journal; by Marty Schladen; 11/20/24 Private equity firms — high-dollar investors known for aggressively seeking profit — and publicly traded health conglomerates have been buying up businesses that provide hospice care. But when it comes to caring for patients facing the end of their lives, those businesses perform worst, according to a research letter published Monday in the Journal of the American Medical Association. ... Publicly traded behemoths such as UnitedHealth Group and CVS Health are already the subject of investigations and lawsuits by federal and state government over allegedly anticompetitive actions as drug middlemen. At the same time, both provide hospice care. Meanwhile, the business practices of private equity groups have been coming under increasing scrutiny over the past decade. They often buy businesses in deals structured so they can quickly recoup their investment, identify the most profitable assets, sell them and then sell the resulting business or declare bankruptcy. ... The firms also have been accused of being predatory toward consumers.
Agrace closing in-patient care unit in Janesville
11/21/24 at 03:00 AMAgrace closing in-patient care unit in Janesville WCLO, Janesville, WI; by wclonews; 11/19/24 Agrace is no longer accepting patients at its 12-bed hospice care facility on Wright Road in Janesville. After a tough 10 months struggling to recruit enough staff, Agrace made the difficult decision to temporarily close its in-patient hospice care unit in Janesville for an extended period of time. Assistant Vice President of Marketing and Communications Liz Kopling says Agrace is working to find long term solutions to meet Janesville and the Rock County community’s needs. Kopling says Agrace will continue to provide hospice care to nearly 200 Rock County patients in their homes. The closing also won’t affect administrative operations at its Janesville office, or the thrift store on Humes Road.
Family caregivers deserve to be a valued part of the healthcare continuum
11/21/24 at 03:00 AMFamily caregivers deserve to be a valued part of the healthcare continuum MedCity News; by Cara McCarty Abbott; 11/20/24 Family caregivers are a critical part of the healthcare system. Not only are they part of America’s safety net, but they are also critical partners to hospice providers when caring for loved ones with serious illnesses or at end of life. With 53 million U.S. caregivers actively involved in healthcare decisions for their loved ones, enhancing support for these caregivers can contribute to patient clinical outcomes and improve a sense of well-being among families facing a difficult experience. ... When caregivers aren’t supported, it’s not only the people who suffer; it’s also the organizations that they most interact with during the caregiving process. ... Hospice providers cannot turn this tide alone. This complex, systemic issue requires a comprehensive approach. ...
Hospices leaders: ‘Vigilant’ compliance pivotal in MAC auditing climate
11/20/24 at 03:00 AMHospices leaders: ‘Vigilant’ compliance pivotal in MAC auditing climate Hospice News; by Holly Vossel; 11/18/24 e auditing environment has heated up in the hospice industry, with inconsistencies reportedly proliferating among the various types of regulatory enforcement activity — particularly those performed by Medicare Administrative Contractors (MACs). The issue has some hospice providers delving deeper into a range of compliance strategies. Differences exist in the scope of data being reviewed by MAC auditors, as well as the audit appeals approval and denial processes, said Ashley Arnold, senior vice president of quality at St. Croix Hospice. The Minnesota-headquartered hospice provides care across 85 locations in 10 Midwestern states and has an average daily census of roughly 5,200 patients.
8 digital healthcare trends for 2025
11/18/24 at 03:00 AM8 digital healthcare trends for 2025 Perficient; by Lysa Young-Bates; 11/15/24 Our experts are closely monitoring eight healthcare trends that are shaping industry leaders’ strategies in 2025. ... Let’s dive into the eight healthcare trends and pragmatic innovations that our experts are helping HCOs navigate in 2025.
Adopting tomorrow’s tech: 5 steps to effective AI training in hospice
11/08/24 at 03:00 AMAdopting tomorrow’s tech: 5 steps to effective AI training in hospice Hospice News; by Mick Stahlberg; 11/7/24 In today’s hospice environment, providers are continually asked to do more with less. Staffing shortages, rising costs and growing patient demands make efficiency a critical component of success. Enter artificial intelligence (AI). From automating administrative tasks to improving scheduling and optimizing resource allocation, AI is poised to significantly enhance operational efficiency at every level. In turn, proper training will play a monumental role in helping teams get comfortable incorporating this technology into their clinical and administrative workflows from day one. Providers will be best served to follow 5 key steps to effective AI training as they work with their technology partners to articulate a comprehensive strategy based on their organization and its unique needs. These steps incorporate:
[Global] Palliative care integration into humanitarian settings ten years since the resolution
11/08/24 at 03:00 AM[Global] Palliative care integration into humanitarian settings ten years since the resolution
Top News Stories of the Month Oct 2024 - TCN Podcast
11/07/24 at 03:00 AMTop News Stories of the Month Oct 2024 - TCN Podcast TCN Talks - Teleios Collaborative Network; by Chris Comeaux; 11/6/24 In this episode of TCNtalks, Chris Comeaux and Mark Cohen explore the latest developments in Hospice Care for September and October. They discuss the impact of Hurricane Helene, significant legislative proposals, and current trends in mergers and acquisitions. Emphasizing the value of trusted sources like Hospice and Palliative Care Today, they examine critical topics, including reimbursement challenges, regulatory issues, and workforce dynamics in the Hospice sector. Together, Chris and Mark address a range of pressing healthcare issues, such as supply chain disruptions, the role of technology, leadership dynamics, community health concerns, and effective communication during natural disasters. They underscore the importance of staying informed, adapting to change, and the need for proactive leadership to navigate the complexities of today’s healthcare landscape. To further support healthcare professionals in responding to crises, Mark presents a masterclass: "Effective Communication During Natural Disasters."
How hospices can leverage palliative care to ‘stay relevant’ in value-based care
11/07/24 at 03:00 AMHow hospices can leverage palliative care to ‘stay relevant’ in value-based care Hospice News; by Jim Parker; 11/6/24 U.S. health care is moving steadily towards value-based reimbursement, and having a robust palliative care program can help hospices ensure they are not left behind. The U.S. Centers for Medicare & Medicaid Services (CMS) is working to ensure that 100% of Medicare beneficiaries are aligned with a risk-based payment model by 2030. This can include Medicare Advantage (MA) and Accountable Care Organization (ACO) programs. With hospice reimbursement confined to the traditional Medicare benefit, a palliative care program is a likely entry point for those providers to access value-based reimbursement, Sue Lynn Schramm, a partner of the hospice and palliative care consulting company Confidis LLC, said in a presentation at the National Hospice and Palliative Care Organization Annual Leadership Conference. This may be even more the case now that the hospice component of the value-based insurance design model (VBID), often called the Medicare Advantage Hospice Carve-In, is ending on Dec. 31, Schramm said.