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

Briggs Healthcare

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.

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

Briggs Healthcare

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.

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

NASHP

Arizona’s End of Life and Advanced Care Planning benefit is referenced in its MCO contracts and further described in state regulations. 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.

Medicaid 101
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

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. At least 300 of the comments were from doctors or other health care workers.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

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. At least 300 of the comments were from doctors or other health care workers.

Doctors 52