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

Briggs Healthcare

The Centers for Medicare & Medicaid Services (CMS) has an important role to play in ensuring that hospices are providing necessary and critical, high-quality care to our Medicare beneficiaries at the end of life. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

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

NASHP

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

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What CMS Gets Wrong About Referral Rejection Rates In Home Health Care

Home Health Care

This topic – home health providers’ collective ability to accept patients – was directly addressed in the Centers for Medicare & Medicaid Services (CMS) 2024 final payment rule. The Dallas-based Enhabit is one of the largest independent providers of home health and hospice care in the country.

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How A Home-Based Care Provider Weans Itself Off Fee-For-Service Reliance

Home Health Care

“We really believe that that’s going to be the way that you succeed financially,” Ponder-Stansel told Home Health Care News. The Jacksonville, Florida-based Alivia Care provides home health care, hospice care, personal care, palliative care, advanced care planning and other services across Northern Florida and Southern Georgia.

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Contessa Health CEO: Managed Care Strategy Will Separate the ‘Haves and the Have Nots’

Home Health Care

That’s especially true for health plans and health systems following the introduction of the COVID-related Acute Hospital Care at Home Waiver by the U.S. Centers for Medicare & Medicaid Services (CMS) in November 2020. Creating that seamless experience, in our opinion, makes Amedisys and Contessa second to none in the country.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

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Key Healthcare Provisions of the Consolidated Appropriations Act, 2023

Sheppard Health Law

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Recertification of Eligibility for Hospice Care. Medicaid & CHIP Adjustments.