Hospice Care, Medicare and Quality of Care - Health Care Quality Digest

Future Leader: Brett Ringold, Vice President, A Long Term Companion

Home Health Care

SEPTEMBER 18, 2024

The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. Some of this care will be paid for through Medicaid or privately by families, but funding for home care is a pressing issue that needs to be addressed.

Home Care

Home Care Quality of Care Hospice Care Medicare

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

Briggs Healthcare

AUGUST 23, 2023

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.

Hospice Care

Hospice Care Integration Medicare Medicaid

What Problems has OIG Identified with the Hospice Program?

Briggs Healthcare

MARCH 30, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Hospice care is for terminally ill patients who decide to forgo curative treatment and instead receive palliative care. Hospice care generally includes nursing and aide services, drugs, and supplies.

Hospice Care

Hospice Care Quality of Care Nursing Prevention

Inside 2 Emerging Risk-Based Home Care Models

Home Health Care

FEBRUARY 22, 2023

“Yes, we know that when we take on risk, we’re putting ourselves in a position that we might end up losing, but we’re creating opportunities so that we can actually move health care at home forward,” Resilient CEO Jackleen Samuel said during a presentation last month at the Home Care 100 conference.

Home Care

Home Care Primary Care Hospice Care Hospitals

Agency-Level Hospice Quality Measure (QM) Reports Now Include Claims-Based Measures

Briggs Healthcare

SEPTEMBER 17, 2021

QM Reports now include two measures based on Fiscal Year 2018 and 2019 Medicare claims data: the Hospice Care Index (HCI) and Hospice Visits in the Last Days of Life (HVLDL). Hospices can use the QM Report to learn about HCI and HVLDL and begin efforts to improve quality of care.

Hospice Care

Hospice Care Quality of Care Regulations Medicare

Updated Information Gathering Report for Hospice Quality Reporting Program

Briggs Healthcare

DECEMBER 28, 2021

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

Hospice Care

Hospice Care Quality of Care Integration Medicaid

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

NASHP

MARCH 14, 2022

Successful home-based palliative care programs cite an engagement rate of 35%. For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days.

Medicaid

Medicaid Rehabilitation Quality Assurance Patient Experience

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

NASHP

OCTOBER 22, 2021

Adults may receive benefits along with curative care until they choose to receive hospice. Children may access services along with both curative and hospice care. Access to care coordination. Deliver palliative care. Provide hospice care. Choice of services and supports.

Medicaid

Medicaid Hospice Care Regulations Integration

Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste and Abuse

Briggs Healthcare

JULY 25, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “Last week, regulators rolled out enhanced oversight for new hospices in Arizona, California, Nevada and Texas. Some of these hospices obtained licenses only to sell them to other entrepreneurs. Some did both.

Hospice Care

Hospice Care Regulations Medicare Medicaid

How States Can Embed Palliative Care in Health Care Reform Initiatives

NASHP

MARCH 15, 2023

Opportunities for State Policymakers 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. Palliative care can be an important component of these strategies.

Medicaid

Medicaid Primary Care Nursing Integration

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

AUGUST 24, 2023

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. A recent Health Affairs article reviewed opportunities to incorporate a palliative care benefit into ACOs.

Medicaid

Medicaid Quality Assurance Quality of Care Hospitals

HHS Making Ownership Data for All Medicare-Certified Hospice and Home Health Agencies Publicly Available

Briggs Healthcare

APRIL 24, 2023

Department of Health and Human Services (HHS) is releasing ownership data for all Medicare-certified hospice and home health agencies. It’s plain and simple: families deserve transparency when making decisions about hospice and home health care for their loved ones,” said HHS Secretary Xavier Becerra.

Medicare

Medicare Nursing Hospice Care Quality of Care

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

NOVEMBER 14, 2022

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care.

Doctors

Doctors Tricare Medicaid Medical Services

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

NOVEMBER 14, 2022

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care.

Doctors

Doctors Tricare Medicaid Medical Services

Health Care Quality Digest

Future Leader: Brett Ringold, Vice President, A Long Term Companion

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

Trending Sources

What Problems has OIG Identified with the Hospice Program?

Inside 2 Emerging Risk-Based Home Care Models

Agency-Level Hospice Quality Measure (QM) Reports Now Include Claims-Based Measures

Updated Information Gathering Report for Hospice Quality Reporting Program

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

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

Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste and Abuse

How States Can Embed Palliative Care in Health Care Reform Initiatives

Sustainability and Value: State Palliative Care Reimbursement Strategies

HHS Making Ownership Data for All Medicare-Certified Hospice and Home Health Agencies Publicly Available

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

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