Posted Wednesday, October 11, 2023
The desire for an overhaul to the design of the Medicare Hospice Benefit keeps growing, but the path towards change is full of troubles with contrasting views over regulation, policy and payment structures.
Hospice providers are hitting financial and regulatory walls when it comes to sufficiently covering the spectrum of services necessary to care for patients and families, according to Marian Grant, senior regulatory advisor at the Coalition to Transform Advanced Care (C-TAC).
One part of the issue is that hospice reimbursement has not kept pace with evolving patient needs, Grant said. Providers are also already trying to absorb a number of changes in the regulatory space, she added.
“Part of the problem is that the [Medicare] Hospice Benefit is 40 plus years old. It needs to be modernized,” Grant told Hospice News at the ELEVATE conference in Chicago. “Some of the issues are because the patients are different, medicine is different … and the benefit doesn’t reflect that. I think we’re all trying to figure out how we will fix the battleship at a time of great scrutiny?”
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