Medicare soon will reimburse hospices offering palliative care and providers offering curative services, the Centers for Medicare and Medicaid recently announced.
Under the current system, a beneficiary must stop curative treatments to use Medicare’s hospice benefit.
“This has created a ‘false choice’ between the two types of care,” said Sen. Ron Wyden (D-OR), who authored the Medicare Care Choices Model.
This new model will test whether Medicare beneficiaries who qualify for coverage under the Medicare hospice benefit would elect to receive the palliative and supportive care services typically provided by a hospice if they could continue to seek services from their curative care providers, according to CMS.
Through the Choices model, Medicare will reimburse hospices $400 a month for “routine home care and inpatient respite levels of care” that aren’t eligible to be billed under other parts of the Medicare program.
“The Medicare Care Choices Model empowers clinicians and patients with choices,” said Patrick Conway, CMS chief medical officer. “Specifically, clinicians, family members and caregivers in this model will no longer need to choose between hospice services and curative care.”
Eligible hospice organizations interested in participating in this model can submit the application materials by June 19 online on the CMS website.
It’s Medicare open enrollment season through December 7 allowing Medicare recipients to comparison shop and change plans, but it’s also a time when sc...
cheatsheet, Federal Agency Activity, Health and Wellness, Health Care, Medicaid, Medicaid, Medicare
The Centers for Medicare and Medicaid Services is asking for feedback on a proposal to revise the discharge planning requirements that hospitals, incl...
Health and Wellness, Medicare, Medication Management
Consumers can expect to see changes in Medicare prescription drug plans (PDP), according to new analysis released by the Kaiser Family Foundation and ...
Accountable Care Organizations (ACO), Medicaid, Medicare
The Centers for Medicare & Medicaid Services released 2014 quality and financial performance results for Medicare Accountable Care Organizations, sayi...
Federal Agency Activity, Medicare
Medicare’s hospital insurance coverage will remain solvent until 2030, according to a new Medicare Trustees report. This remains largely unchanged ...