Managed Healthcare Executive August 5, 2024
Deborah Abrams Kaplan

Incorporating hospice care into Medicare Advantage didn’t work out, and CMS is looking to identify low-quality providers.

Hospice use continues to grow as more older people have serious diseases, leading to the need for more palliative care. At the same time, CMS is adapting and trying new models to measure and improve quality and pay for services.

The federal government spent $23.7 billion on hospice care in 2022, according to the latest Medicare Payment Advisory Commission (MedPAC) report, with at least 1.7 million Medicare beneficiaries receiving service. This includes nearly half of Medicare beneficiaries who died that year. Here’s what to expect over the next year.

Hospice carve-out

Hospice has historically been carved out of the Medicare Advantage program, with...

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