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All posts tagged with “Hospice Provider News | Operations News | Financial.”
Congress floats Medicare physician pay bump: 4 notes
03/05/24 at 03:30 AMCongress floats Medicare physician pay bump: 4 notes Becker's Hospital CFO Report, by Mackenzie Bean; 3/4/24 Physicians are set to receive a 1.7% increase in Medicare pay effective March 9 as part of a $460 billion spending package congressional leaders released this weekend. Four things to know: ... [click on the title's link for more]
Change Healthcare's temporary funding program 'not even a Band-Aid,' AHA says
03/05/24 at 03:00 AMChange Healthcare's temporary funding program 'not even a Band-Aid,' AHA says Becker's Health IT, by Giles Bruce; 3/4/24 The American Hospital Association called Change Healthcare's temporary funding program for providers affected by the cyberattack on the UnitedHealth Group subsidiary inadequate, while a U.S. Senate leader asked CMS to speed up payments to hospitals. Change Healthcare set up the funding assistance March 1 for providers facing cash-flow issues after losing access to its payer systems, which have been down since the Feb. 21 ransomware attack. However, AHA President and CEO Rick Pollack wrote in a March 4 letter to UnitedHealth Group that the program is "not even a Band-Aid on the payment problems you identify."
Pharmacy associations join forces to advocate for pharmacists during change healthcare outage
03/05/24 at 03:00 AMPharmacy associations join forces to advocate for pharmacists during change healthcare outageNewswire Press Release; 3/3/24 Association executives from the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA), the National Alliance of State Pharmacy Associations (NASPA), and the American Society of Consultant Pharmacists (ASCP) released an open letter to pharmacy benefit manager (PBM) executives and other insurance payers whose systems may have been impacted by the Change Healthcare outage. Pharmacists and pharmacies are asking for assurances that claims fulfilled during this outage will be paid, and paid in a timely manner, considering the challenges faced by pharmacies and pharmacists with predicting co-payments and determining eligibility and coverage.
Home health disparities: Medicare Advantage patients receive fewer visits, worse outcomes
03/05/24 at 02:00 AMHome health disparities: Medicare Advantage patients receive fewer visits, worse outcomes Home Health Care News, by Patirck Filbin; 3/1/24Home health patients under Medicare Advantage (MA) plans have worse functional outcomes compared to traditional Medicare patients, likely as a result of receiving fewer visits, according to a new study.
Double your cybersecurity spending, CIO warns amid Change Healthcare attack
03/04/24 at 03:15 AMDouble your cybersecurity spending, CIO warns amid Change Healthcare attack Becker's Health IT, by Naomi Diaz; 2/29/24What does the Change Healthcare ransomware incident mean for healthcare organizations? Doubling your cybersecurity spending, according to one health system CIO. Will Weider, CIO and senior vice president of Wausau, WI-based Aspirus Health, shared five thoughts on LinkedIn Feb. 29 about the incident, saying, "Whatever you planned to spend to improve cybersecurity, double it." Additionally, Mr. Weider stated that in light of this incident, healthcare organizations should: ...
‘Playbook’ offers strategies for home health, hospice firms to jump into value-based care
03/04/24 at 03:00 AM‘Playbook’ offers strategies for home health, hospice firms to jump into value-based care McKnights Home Care, by Adam Healy; 2/28/24 Don’t drag your feet. As entities like Medicare Advantage and Accountable Care Organizations continue to grow and thrive, the time is now for home care to step into value-based care, according to home care consultants at Transcend Strategy Group. “The next two or three years are going to be very critical,” Tony Kudner, chief strategy officer at healthcare consultancy firm Transcend Strategy Group, said in an interview Tuesday with McKnight’s Home Care Daily Pulse. “Now is the time to build out the larger organizational competencies that value-based care is going to require.”
Home Health & Hospice secures over $1 million in grants for innovative health care initiatives
03/04/24 at 03:00 AMHome Health & Hospice secures over $1 million in grants for innovative health care initiatives VB VermontBiz, by The University of Vermont Health Network Home-Health & Hospice; 2/29/24Home Health & Hospice (HHH) is pleased to announce the receipt of two grants from the Vermont Agency of Human Services, totaling $1.18 million. Vermont received funding through the American Rescue Plan Act of 2021 to enhance, expand, and strengthen home and community-based services (HCBS) and allocated a portion of those funds to offer grants to HCBS providers that serve Medicaid members.
CMS upends Medicare Advantage supplemental benefits data reporting for payers
03/04/24 at 02:00 AMCMS upends Medicare Advantage supplemental benefits data reporting for payers DLA Piper, by Daivd Kopans and Sua Yoon; 2/27/24 On February 21, 2024, the Centers for Medicare & Medicaid Services (CMS) issued new guidance via a memorandum to Medicare Advantage (MA) organizations, Program of All-Inclusive Care for the Elderly (PACE) organizations, and Demonstration Organizations (collectively, Plans) that upends how these Plans have been reporting (or not reporting) encounter information for their covered supplemental benefits. The guidance in the memorandum is effective retroactively to January 1, 2024. [In this article] is a Q&A explaining the top points of the guidance and highlight its impact on companies across industries.
False Claims Act - 2023 Year in Review
03/01/24 at 03:00 AMFalse Claims Act - 2023 Year in ReviewJD Supra; by William Athanas, A. Lee Bentley III, Gene Besen, Ryan Dean, Jonathan Ferry, Daniel Fortune, Giovanni Giarratana, Ty Howard, Elisha Kobre, Anna Lashley, Gregory Marshall, Lyndsay Medlin, Stephen Moulton, Ocasha Musah, Scarlett Singleton Nokes, Cara Rice, Brad Robertson, Tara Sarosiek, Jack Selden, Erin Sullivan, Courtlyn Ward, Virginia Wright; 2/28/24As we do every year, this issue revisits the key cases and other developments from the year gone by. And by most metrics, 2023 was a notable year for the False Claims Act (FCA).
Why not-for-profit health systems need positive margins: Deloitte
03/01/24 at 03:00 AMWhy not-for-profit health systems need positive margins: Deloitte Becker's Hospital CFO, by Andrew Cass; 2/28/24Health system margins are the "lifeblood of a healthy, patient-centered, innovative health care system and community," according to a report from consulting firm Deloitte. "Claims that profits are not important in fact undermine the ability to fund the mission, serve the community, and deliver better, equitable care," Deloitte said in the report. ... "[Systems] should consider a holistic approach that integrates margin drivers to create a balanced transformation portfolio, according to the report. Timing and sequencing are important within each driver and "a full understanding of the dollar impact and priority of each is necessary for margin improvement to be successful."
Report of Hospice Election for Part D (Response File)
03/01/24 at 03:00 AMReport of Hospice Election for Part D (Response File) U.S. Dept. of Health & Human Services - Guidance Portal; 2/26/24 The purpose of this Change Request (CR) is to define the response file related to CR 13202. [Click on the title's link and follow prompts to download the Guidance Document.]
CMS finalizes important changes to Medicare enrollment requirements for hospice, home health providers
03/01/24 at 01:00 AMCMS finalizes important changes to Medicare enrollment requirements for hospice, home health providersJDSupra; 2/28/24The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare enrollment regulations applicable to hospices and home health agencies (HHAs), including increasing the level of screening that hospice providers are subject to and limiting a Medicare-enrolled hospice’s ability to change majority ownership to once every 36 months.
Chapters Health System CEO on prioritizing value-based care initiatives in the home
02/28/24 at 03:00 AMChapters Health System CEO on prioritizing value-based care initiatives in the home Home Health Care News, by Andrew Donlan; 2/26/24Andrew Molosky, the president and CEO of Chapters Health System, is keenly aware of the struggles that coincide with turning a large health care provider organization into a value-based one. The first priority in that situation, in his mind, is making sure that the entire organization is on the same page in terms of what value-based care really means, he told Home Health Care News ... “You want to get to the point where you can manage populations in the home,” Molosky said. “That becomes a parlay to reducing ER spend in a full-risk environment. It becomes earlier intervention for a hospice or home health episode.
Where hospices are investing their 2024 recruitment, retention dollars
02/27/24 at 02:00 AMWhere hospices are investing their 2024 recruitment, retention dollars Hospice News, by Holly Vossel; 2/20/24As hospices zero in on their investments in staff engagement and operational efficiencies, organizational culture is becoming a higher priority. ... Some have leveraged technology to streamline their operations and reduce documentation burdens, while others have poured resources into sculpting their organizational culture and developing training and career pathways.Notable mentions: Tanya Marion, Enhabit; Craig Dresang, YoloCares; Cooper Linton, Duke HomeCare & Hospice.
MA [Medicare Advantage] may be worth the gamble: How agencies can win at a new game
02/26/24 at 03:00 AMMA may be worth the gamble: How agencies can win at a new game HomeCare, by Lindsay Doak; 2/23/24 Over the past decade, a major shift has occurred in the Medicare market that many of us didn’t see coming: the takeover of Medicare Advantage (MA). ... This is a true game changer for the home health and hospice industry. ... So, how can agencies successfully contract with MA plans, while ensuring their costs are covered? This is where I like to refer to the wise words of Kenny Rogers’ “The Gambler,” who said, “If you’re gonna play the game…You gotta learn to play it right.”
Providers urge CMS to use caution in midst of hospice VBID implementation
02/26/24 at 02:00 AMProviders urge CMS to use caution in midst of hospice VBID implementationMcKnights Home Care, by Adam Healy; 2/23/24With the Medicare Advantage Value-Based Insurance Design (MA VBID) model, which allows MA organizations to participate in the hospice benefit, underway, advocates have voiced concerns that critical safeguards be put in place.
Centers for Medicare & Medicaid Services corrects rule involving 2024 home health prospective payment system rate update
02/22/24 at 03:00 AMCenters for Medicare & Medicaid Services corrects rule involving 2024 home health prospective payment system rate updateCMS Federal Register; 2/21/24This document corrects technical errors in the final rule that appeared in the November 13, 2023 Federal Register titled “Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements” (referred to hereafter as the “CY 2024 HH PPS final rule”).
The bottom line: Top billing, financial mistakes responsible for home health agency struggles
02/21/24 at 03:20 AMThe bottom line: Top billing, financial mistakes responsible for home health agency struggles
Ascension posts $708M quarterly turnaround
02/21/24 at 03:00 AMAscension posts $708M quarterly turnaroundBecker's Hospital CFO Report, by Alan Condon; 2/19/24Ascension reported a net income of $359.5 million in the fiscal second quarter ending Dec. 31, which is a $708 million improvement on the $238.1 million net loss it reported during the same quarter in 2022. "We remain focused on improving hospital operations, ensuring sustainability for the future and making purposeful decisions that improve the health of individuals and the communities we are privileged to serve,"CFO Liz Foshage said. "Our Q2 quarterly results are a demonstration of this commitment and a signal that we continue to move in the right direction."
Reduced federal share may force state Medicaid programs to cut services, HCBS expert says
02/20/24 at 02:00 AMReduced federal share may force state Medicaid programs to cut services, HCBS expert saysMcKnights Home Care, by Adam Healy; 2/15/24The Congressional Budget Office this month released its “Budget and Economic Outlook” report for the coming decade. In its report, CBO predicted a roughly $58 billion drop in federal Medicaid outlays for 2024 compared to 2023 — a 9% decrease in federal Medicaid spending, due in part to fewer beneficiaries on states’ Medicaid rolls. Reduced Medicaid outlays ... has placed an even greater strain on states to pay for these Medicaid programs, according to Damon Terzaghi, director of Medicaid HCBS for the National Association for Home Care & Hospice.
OBI says proposed bill would improve quality of life for at-home hospice patients
02/19/24 at 03:00 AMOBI says proposed bill would improve quality of life for at-home hospice patientsNews on 6; 2/16/24Our Blood Institute is bringing awareness to an Oklahoma Senate Bill it says would improve the quality of life for at-home hospice patients. The OBI said Senate Bill 2186 would make access to blood transfusions easier for end-of-life patients who receive care at home.
CMS issues additional guidance on program to allow people with Medicare to pay out-of-pocket prescription drug costs in monthly payments
02/19/24 at 02:30 AMCMS issues additional guidance on program to allow people with Medicare to pay out-of-pocket prescription drug costs in monthly paymentsCMS.gov; 2/15/24The Inflation Reduction Act’s Medicare Prescription Payment Plan will allow people to pay Medicare Part D out-of-pocket costs over the course of the year starting in 2025. [On February 15th,] the Centers for Medicare & Medicaid Services (CMS) released the second part of draft guidance for the Medicare Prescription Payment Plan that outlines requirements for Medicare Part D plan sponsors, including outreach and education requirements, pharmacy processes, and operational considerations, for the program’s first year, 2025.
Concurrent Medicare hospice & curative care improves quality & reduces costs 13%
02/09/24 at 03:00 AMConcurrent Medicare hospice & curative care improves quality & reduces costs 13%Open Minds; 2/7/24Medicare beneficiaries with terminal health conditions who participated in the Medicare Care Choices Model (MCCM), received high quality care at a 13% lower cost compared to similar beneficiaries who did not receive the MCCM services. The Centers for Medicare & Medicaid Services (CMS) tested this new model as an option for Medicare beneficiaries to receive supportive care services while continuing to receive services for their terminal condition.
Medicare Advantage profitability on the decline, Moody's finds
02/06/24 at 04:00 AMMedicare Advantage profitability on the decline, Moody's findsHealthcare Finance, by Jeff Lagasse; 2/2/24A significant spike in utilization is putting cost pressure on insureres, which will likely affect earnings. While Medicare Advantage remains attractive to the healthcare industry due to strong growth, high revenue and earnings per member, profitability is on the decline, according to a new analysis by Moody's Investor Service.
The no. 1 problem still keeping hospital CEOs up at night
02/05/24 at 04:00 AMThe No. 1 problem still keeping hospital CEOs up at nightBecker's Hospital Review, by Kelly Gooch; 1/31/24... Here are the 10 most concerning issues hospital CEOs ranked in 2023, along with their average score on an 11-point scale of how pressing CEOs find each issue.