Hospice News February 2, 2024
Jim Parker

Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors.

Continuous home care (CHC) represented 0.9% of hospice care days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO). This is down from 1.8% in 2013.

The widespread labor shortage in hospice is one of several barriers to patients’ receiving CHC, according to Sarah Simmons, director of quality at NHPCO.

“Continuous home care also requires that hospices have nursing staff available to provide this high-intensity, continuous, in-home care at all times,” Simmons told Hospice News in an email. “CHC cannot be planned in advance as it is provided in response to acute symptom management needs,...

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