- 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
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
Neurologists Share Tips for Securing Patient Access to Gene Therapies
March 19th 2025Tenacious efforts at every level, from the individual clinician to the hospital to the state to Congress, will be needed to make sure patients can access life-saving gene therapies for neuromuscular diseases.
Read More
The Impact of Cost Sharing on High-Value Care
March 14th 2025Michael Chernew, PhD, professor of health care policy and director of the Healthcare Markets and Regulation Lab, Harvard Medical School, shares how cost-sharing policies shape access to critical health care services and influence value-based insurance design.
Read More
A Focus on MAHA, Lasting Changes to Health Care Programs for Trump’s Second Term
March 13th 2025The second Trump administration is expected to bring changes to Medicaid, Medicare Advantage, and the health insurance exchanges, as well as highlight the Make America Healthy Again (MAHA) movement, speakers at the Value-Based Insurance Design Summit said.
Read More
