Archive for Hospice Cap
Group Appeal: Small Hospices Challenging Unlawful 2008, 2009 Hospice Cap Demands
Posted by: | CommentsIn August 2009, NAHA member hospice Haven Hospice won its court challenge to the hospice cap regulation. Federal Judge George Wu ruled the hospice cap regulation invalid, set aside CMS’ 2006 cap demand to Haven Hospice and ordered HHS to either return funds previously paid by Haven Hospice or apply those funds (including interest already paid) to a new demand. Since then, more than ten other federal judges, in suits brought on behalf of individual hospices, have held the regulation invalid and precluded further application to those hospices.
But, the Haven Hospice and other decisions do nothing for other hospices that receive demand letters. Hospices that receive repayment demands should appeal such demands (within 180 days). By doing so, hospices may reduce their liability and recover prior interest payments to HHS.
For more information contact Brian Daucher at (714) 424-2843 or at bdaucher@sheppardmullin.com. Read More→
Federal Court Judge Puts Hold on His Own Nationwide Injunction
Posted by: | CommentsFederal Court Judge Puts Hold on His Own Nationwide Injunction; Will HHS Resume Use of Invalid Hospice Cap Regulation?
On August 20, 2009, Federal district court judge George Wu entered final judgment against the Department of Health and Human Services (read Final Federal Court Judgment Remand) in favor of NAHA member hospice Los Angeles Haven Hospice on its challenge to the hospice cap regulation. In addition to provisions affecting only Haven Hospice, Judge Wu’s decision included a nationwide injunction precluding HHS from using the invalid regulation to calculate any future cap demands. Read More→
Follow HR 3454 Medicare Hospice Reform and Savings Act of 2009 on OpenCongress.org
Posted by: | CommentsFollow HR 3454 Medicare Hospice Reform and Savings Act of 2009, To amend title XVIII of the Social Security Act to reform payments and coverage for hospice care, on OpenCongress.org
“H.R. 3454: Medicare Hospice Reform and Savings Act of 2009“
Follow HR 3454 Medicare Hospice Reform and Savings Act of 2009 on www.govtrack.us
Posted by: | CommentsYou can follow the progress of our newly introduced legislation, H.R. 3454 Medicare Hospice Reform and Savings Act of 2009, To amend title XVIII of the Social Security Act to reform payments and coverage for hospice care, on GovTrack.US or on the NAHA site.
Big News! Federal Court to HHS: Stop Using Invalid Hospice Cap Regulation, Nationally
Posted by: | CommentsNAHA Press Release: August 26, 2009
Judge Tells HHS to Stop Using Invalid Hospice Cap Regulation
On Friday, August 21, 2009, Federal District Court Judge George Wu entered final judgment against the Department of Health and Human Services in favor of Los Angeles Haven Hospice on its challenge to Medicare’s hospice cap regulation. Haven Hospice had challenged the regulation used to calculate the hospice cap on the grounds that it did not meet the clear requirements of the governing hospice cap statute. The decision demonstrates that HHS has been miscalculating the cap, and harming hospices, by failing to give proportional allowances that could decrease the cap liability of any hospice that has experienced periods of long average length of stay.
Read the full text of the NAHA Press Release
Read the Federal Court Judgment in favor of NAHA member Haven Hospice
Federal Judge says “Stop Using Invalid Regulation”
Posted by: | CommentsJudge Tells Department of Health and Human Services (HHS) To Stop Using Invalid Hospice Cap Regulation
On Friday, August 21, 2009, Federal district court judge George Wu entered final judgment against the Department of Health and Human Services (read Final Federal Court Judgment Remand) and in favor of NAHA member hospice Los Angeles Haven Hospice on its challenge to the hospice cap regulation. Read More→
NAHA Endorses Hospice Reform Legislation
Posted by: | CommentsNAHA Statement on the Medicare Hospice Reform and Savings Act of 2009
The National Alliance for Hospice Access (NAHA) endorsed legislation introduced today that reforms Medicare hospice regulations, improves patient access to hospice care, provides needed relief to hundreds of threatened hospices and saves the Medicare program as much as $2 billion a year. Read More→
Update: Haven Hospice Cap Suit
Posted by: | CommentsYesterday (July 27, 2009), Judge Wu in the Federal court for the Central District of California held a status conference to begin considering the proper form of judgment to follow his prior ruling July 13 holding the hospice cap regulation invalid. Judge Wu considered some initial submissions by the parties, asked for further briefing, and reset the matter for August 6. In the meantime, Haven Hospice’s FY 2006 repayment obligations remain suspended. Haven Hospice is seeking a judgment that: (a) invalidates the current regulation; (b) sets it aside; (c) precludes the government from applying it to any hospice in future; and (d) sets aside the prior calculation for FY 2006 as to Haven Hospice. Please note: Even if Haven Hospice gets all of the relief it seeks, this judgment will not preserve other hospice’s appeal rights as to cap demands that are issued prior to the entry of such judgment. For this reason, it remains important for hospices that might benefit from a correct proportional allocation of cap allowances to seek counsel and timely file a PRRB appeal of any such demand.
For further information, read NAHA posts Federal Court Suspends Cap Demand and Federal Court Rules Cap Regulation Invalid (Again).
CNN Reports on Hospice Cap Crisis
Posted by: | CommentsNew CNN Video Report on Hospice Cap Crisis
CNN’s Gerri Willis discusses issues surrounding the Hospice Cap Crisis with NAHA’s David Daucher and others.
External link to CNN Report on Hospice Cap Crisis
