Home Health & Hospice Week

Providers want better data, but this proposal may not achieve that aim. The Centers for Medicare & Medicaid Services is listening to hospices, but those providers may not like what the agency says in return. CMS's proposal to broaden hospice visit data collection (see related story, p. 322) comes from the industry's urging to paint a broader picture of hospice care with data collection. "On several occasions, industry representatives have communicated to CMS that the newly required claims information was not comprehensive enough to accurately reflect hospice care," CMS says in the proposal. The HHS Office of Inspector General, the Medicare Payment Advisory Commission, and the Government Accountability Office also have urged CMS to adopt more comprehensive data collection for hospices, CMS notes. Hospices shouldn't be surprised by this recommendation, says Greg Martin, president of the Alabama Hospice Organization and Hospice Fam-ily Care in Huntsville. As hospice utilization has grown and Medicare hospice spending has increased, the government wants the industry to be more accountable for those payments, Martin believes. It's actually surprising that CMS stayed as hands-off as it did for as long as it did, observes Jeff Towns with the Michigan Hospice & Palliative Care Organization. Greater government oversight is inevitable as the industry grows. Abuse of the hospice benefit as it grows exponentially has contributed to the need for more data too, Martin laments. Some hospices are not furnishing "competent visits," he notes. "It's sad, but that's where we are as an industry." Good: Providers and industry representatives support better data in general. "Our members welcome the broader data collection," says Melanie Ramey with The Hospice Organization and Pal-liative Care Experts of Wisconsin, that state's trade group. "We have not felt the previous limited collection reflected the true picture of hospice." Virginia Association for Hospices members "are very supportive of measures that will dem-onstrate accountability, integrity, and transparency in hospice programs," adds VAH's Brenda Clarkson. "Our members welcome more comprehensive and meaningful data collection that will lead to a more accurate understanding of hospice care," agrees Judy Brunger with The Carolinas Center for Hospice and End of Life Care. "It can only benefit the patient and family at the end of life." Not so good: But the jury is still out on just how helpful CMS's proposal will be. Hospices want CMS to collect "real" data, says Janet Neigh with the National Association for Home Care & Hospice. "CMS should design their reporting requirements to coordinate with providers' data collection systems, rather than reporting requirements that distort the results of those systems," maintains Jane Evans with the Arkansas State Hospice &  Pallia-tive Care Association. "There are mixed feelings about CMS's data collection requests," says Jennifer Hale with the [...]