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CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Effective oversight and enforcement are important to protect the integrity of the Medicare program, especially for vulnerable, seriously ill individuals and their families. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

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How States Can Embed Palliative Care in Health Care Reform Initiatives

NASHP

State policymakers have a number of different opportunities to integrate palliative care into current health care initiatives. Palliative care can be an important component of these strategies. Ensure palliative care specialists are included in Medicaid MCO networks.

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Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

STEP 3: Define Staffing and Service Standards The National Consensus Project’s Palliative Care Guidelines advise delivering palliative care through an interdisciplinary team that may include professionals such as: Physician. Nurse Practitioner. Advance Practice Registered Nurse. Care Manager. Social Worker.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

People with serious and life-threatening health conditions experience care needs that drive costs, including hospital admissions , emergency department utilization , and nursing home care. Rhode Island is another state that has invested in coordinated care for complex populations enrolled in Medicaid. The state and U.S.

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Voices: Jackie Owen, RN, BSN Clinical Product Specialist, CitusHealth

Home Health Care

Home Health Care News: What career experiences do you most draw from in your role today at CitusHealth? Jackie Owen: With 15 years of nursing experience, my background encompasses various care settings, including infusion, home health, and hospice care.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.