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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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Updated Information Gathering Report for Hospice Quality Reporting Program

Briggs Healthcare

Specific topics include treatment of moderate to severe pain, patient preferences, spiritual care, social needs, medication management, and other topics related to hospice quality. Many Americans rely on hospice care for end-of-life support. billion on hospice services (MedPAC, 2021). In 2019, more than 1.6

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

NASHP

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. Adults may receive benefits along with curative care until they choose to receive hospice.

Medicaid 102
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Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

licensed hospice providers), with quality assurance provisions and any licensing updates necessary to ensure team competencies for non-hospice care. Additional measures can help states track the quality of care being delivered, and its impact on members receiving the service.

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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.