- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
OIG: Medicare Payments for Hospice Care Need Reform, Accountability
Medicare payments for hospice care carried out in an assisted living facility more than doubled from 2007 to 2012, raising questions about the incentives that Medicare provides for hospice care.
Medicare payments for hospice care carried out in an assisted living facility (ALF) more than doubled from 2007 to 2012, raising questions about the incentives that Medicare provides for hospice care, according to a report from the Office of Inspector General (OIG).
Hospices provided care for longer periods of time to beneficiaries in ALF settings than for beneficiaries in other settings, OIG said—98 days, compared to 50 days for those who stay in a nursing facility. ALFs also received much higher Medicare payments—more than $16,000 per beneficiary, twice the amount of a nursing facility.
In general, hospice care can save money and reduce hospitalizations, along with reducing the need for acute care services. However, OIG has had its eye on hospice care for some time.
Read more: http://bit.ly/1yvun3H
Source: Fierce Health Payer
Trump Administration’s Message to Supreme Court Puts New Wrinkle in Braidwood Case
February 21st 2025The Trump administration argues that HHS Secretary Robert F. Kennedy Jr can overrule the US Preventive Services Task Force to determine the preventive services covered under the Affordable Care Act.
Read More
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen
5 Key Health Care Moments During President Trump's First Month Back in Office
February 21st 2025President Donald J. Trump pushed for significant health care changes during his first month back in office, through executive orders affecting managed care, drug pricing, and clinical trial diversity guidance.
Read More
Same-Day Breast Imaging Gaps Reveal Health Care Disparities
February 18th 2025For this retrospective study, the authors examined data on more than 3 million screening mammographies for more than 1 million female patients; of the screenings, 23.6% had abnormal results and only 6.7% were recommended for biopsy.
Read More
