Posted Wednesday, October 4, 2023
Most in the hospice arena agree that change is needed to help ensure quality end-of-life care outcomes, no one can agree on how regulatory requirements and associated processes could get us there.
Changes in hospice regulation have been long overdue, but the ways providers and regulators try to strike a balance between quality and oversight have room for improvement, according to Mollie Gurian, vice president of home-based and HCBS policy at LeadingAge, a senior advocacy group.
“It’s come more to the national forefront from a combination of bad actors coming to light,” Gurian told Hospice News at the ELEVATE conference in Chicago. “It’s using that to draw attention to how policy needs to be nuanced. [The U.S. Centers for Medicare & Medicaid Services (CMS)] has taken a number of actions, ranging from additional audits to cracking down on providers in certain states, especially newly enrolled providers. But there’s more work to be done around how we differentiate between program integrity efforts going after those truly bad actors versus trying to improve the quality of the industry as a whole.”
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