Archive for Cap Crisis

MedPAC staff’s shoddy hospice analysis is misleading MedPAC Commissioners and healthcare policy; it also misses reform opportunities that would improve patient access and save money.  Read More→

Categories : MedPAC
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Jul
13

Open Letter to MedPAC

Posted by: DaveDaucher | Comments (0)

Dear MedPAC: 

You’re missing opportunities to improve hospice access, reform the cap and save $billions; instead, you’re giving Vitas a $100 million profit windfall Read More→

Prologue: This is about the hospice Cap, a flawed 1982 law that harms patients, hospices and end-of-life care quality, and increases Medicare’s costs.  The stories are real and current, but the names have been changed.

NewYork1, Oklahoma1, Georgia1 and Florida1 are four non-profit hospices.  Read More→

Categories : Dave's blog, Hospice Cap
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Recently, National Hospice and Palliative Care Organization leaders refused to consider independent hospices’ proposals for hospice Cap Reform that would improve patient access to end-of-life care, save hundreds of independent hospices facing bankruptcy from Cap demands, and save Medicare money.

NHPCO leaders confirmed directly to NAHA that they will support no meaningful Cap reform in 2009.  Instead, they will propose that Congress spend $150 million to protect large urban hospices from future Cap exposure by raising cap allowances, but only in big cities. Read More→

Categories : Dave's blog, Hospice Cap
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NAHA has developed a 2009 hospice interim reform proposal that would improve timely patient access to hospice, reform the hospice Cap and provide relief for quality independent hospices facing devastating Cap demands, harm no hospice or patient, and reduce Medicare’s total end-of-life care costs by as much as $1 billion annually. Read More→

Categories : Dave's blog
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Hospice is the only Medicare benefit in which Congress has promised eligible beneficiaries unlimited care, but Medicare arbitrarily and retrospectively refuses to pay providers for those services.   The result is the Hospice Cap Crisis, which is harming terminally ill Medicare beneficiaries, independent hospices and Medicare’s end-of-life care quality and costs. Read More→

Categories : Dave's blog
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The Health Policy NewsStand  
A U.S.District judge this month sided with an Oklahoma-based hospice that argues HHS’ policy to count a hospice patient’s cap allotment for only one fiscal year, even if services are provided over multiple years, is contrary to Medicare statute and therefore invalid.
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“Hundreds of hospice providers across the country are facing the catastrophic financial consequence of what would otherwise seem a positive development: their patients are living longer than expected.
Over the last eight years, the refusal of patients to die according to actuarial schedules has led the federal government to demand that hospices exceeding reimbursement limits repay hundreds of millions of dollars to Medicare.”

Link to original article here

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