Earlier this month, the OIG released a report on hospices, titled “Medicare Hospices Have Financial Incentives To Provide Care In Assisted Living Facilities.” The report provides information to inform CMS’ payment reform decisions and is part of the OIG’s larger body of work on hospice care. Although the report focuses on Assisted Living Facilities (ALFs), many of the issues discussed pertain to the hospice benefit more broadly. The issues are similar to those that both the OIG and MedPAC have identified in other hospice settings, such as nursing facilities. The report explores the financial incentives created by the current payment system and the potential for hospices to target beneficiaries in ALFs because they may offer hospices the greatest financial gain. The findings in this report and previous OIG reports show that payment reform and more accountability are needed to reduce incentives for hospices that solely focus on certain types of diagnoses or settings.
Click here to see the report.
Click here to read a summary of the report from NAHC.