Topic: Hospice

Observation Status Impedes Access to End-of-Life Skilled Nursing Facility Care

When hospitals classify some or all of their stay as “outpatient,” these patients will often not qualify for Medicare SNF coverage and may forego care.

Medicare Hospice Care: Palliative vs. Curative

Hospice care is holistic care for the dying. Medicare coverage of hospice care is available for beneficiaries who have been certified as terminally ill, for services that are “reasonable and necessary for the palliation or management of the terminal illness as well as related conditions.”

The Center for Medicare Advocacy Submits Comments on Proposed Rule for Hospice

The Center’s comments focused on proposed quality measures and the forthcoming Hospice Compare website.

National Healthcare Decisions Day: April 16, 2016

There are numerous ways to participate at no cost, and the goal is simple: "To inspire, educate & empower the public & providers about the importance of advance care planning."

Husband Reimbursed for Dying Wife’s Medication After Trying to Appeal Hospice Denial for Nearly Eight Years

“there is no working appeals process for Medicare hospice claims.”

Hospice Quick Reference

Hospice care is compassionate end-of-life care that includes medical and supportive services intended to provide comfort to individuals who are terminally ill.

26. Medicare Needs a Timely Way for Patients to Appeal Hospice Denials

What is needed is for a hospice patient to be able to get an expedited (within 24 hours) review of a hospice refusal to provide necessary care.

Hospice Patients’ Rights Enhanced by New Medicare Rule

As of October 1, 2014, the hospice election statement will indicate that the identified attending physician has been chosen by the patient or the authorized representative.

Hospice and Access to Medications Update: CMS Replacement Guidance

As of July 18, 2014, Medicare beneficiaries who elect the hospice benefit should encounter no coverage change for medications billed to their Medicare Part D Sponsor unless the medication is related to pain management, anti-nausea, laxatives, or anti-anxiety.

The Center Joins 26 Other Organizations in Calling for Suspension of Hospice and Part D Guidance

The Guidance requires Part D plans to initially deny payment for all prescribed medications for hospice patients. Hospice patients will then have to appeal the denials in order to get Part D payment for their medications.

Tinkering With Hospice: The Medicare Care Choices Model

Though the goal of the Medicare Care Choices Model – increased access to hospice care – is a good one, its design is flawed.

Hospice and Access to Medications – New CMS Guidance

Medications that should be covered by the Medicare Hospice Benefit are sometimes paid for by the insurance companies that administer Medicare Part D plans. To prevent this from happening, effective May 1, 2014, all prescribed medications for hospice patients billed to Medicare Part D will initially be denied coverage.

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