Home Health & Hospice Week
Medicare Recommends Potentially Lowering Costs For Beneficiaries
For your patients that were shocked by last year’s Medicare Part B premium increase, there’s good news. Background: “In November 2021, [the Centers for Medicare & Medicaid Services] announced that the Part B standard monthly premium increased from $148.50 in 2021 to $170.10 in 2022,” CMS recaps in a release. “This increase was driven in part by the statutory requirement to prepare for potential expenses, such as spending trends driven by COVID-19 and uncertain pricing and utilization of Aduhelm,” an Alzheimer’s medication. Then the manufacturer of Aduhelm more than halved the drug’s price from $56,000 per year to $26,200, CMS notes. CMS has released a report recommending “that reflecting these savings in the calculation of the 2023 Medicare Part B premium is the most effective way to deliver these savings back to people with Medicare Part B,” it says in the release. Stay tuned: “CMS is still assessing other current and projected Medicare Part B costs to inform the premium recommendation for 2023, which will be announced in Fall 2022 consistent with the statutory process,” it adds.
Home Health & Hospice Week
- Hospice:
Proposed 2.7% Pay Increase Is Severely Inadequate, Hospices Warn CMS
Why are Medicare Advantage Organizations getting 8.5% while hospices will see much less? In a [...] - Reimbursement:
Here’s What’s Driving Up Hospice Costs — And May Soon Drive Hospices Out Of Business Altogether
The list of what isn’t causing costs to skyrocket may be shorter. Hospices hope there’s [...] - Mergers & Acquisitions:
Big Companies Move On Home Visit Deals
Plus: Two new developments have July 1 target dates. The world of home care continues [...] - HIPAA:
Look Inward For Threats To Your Cybersecurity
Whether it’s an accident or on purpose, you must protect yourself against internal security incidents. [...] - Industry Notes:
RCD Claims Problems Plague Providers
So much for that 10-day timeline for PCR decisions. Getting claims processed cleanly under the [...] - Industry Notes:
Medicare Recommends Potentially Lowering Costs For Beneficiaries
For your patients that were shocked by last year’s Medicare Part B premium increase, there’s [...] - Industry Notes:
MAC's Decision Tree Can Lead You To Correct Fee Application
Not sure whether you need to pay the application fee when enrolling, revalidating, or adding [...] - Industry Notes:
Ratio Of Original Medicare To MA Benes Is Close To Equal
If you’re wondering just how many new Medicare beneficiaries are in your potential patient pool, [...] - Industry Notes:
States' PEPPER Download Rates Range From 17% to 89%
Are you behind your competitors in checking out your stats in your PEPPER report? Information [...] - Industry Notes:
Beware New Claims Glitch
Look at your claims closely to determine whether a newly reported claims glitch is costing [...] - Industry Notes:
NHPCO Guide Helps Hospices Reach Out To Underserved Community
If you’re hoping to work on equity in hospice utilization, a new resource from The [...] - Industry Notes:
$87M Fraud Scheme Masterminds Plead Guilty
The big fish in the Moriarty Consultants Medicaid fraud case in Pittsburgh have finally had [...] - Industry Notes:
Concealed Crimes Lead To Charges
Medicaid home care agency owner in Florida has been charged with a felony after failing [...]
