Navigation Links
Hospice of Michigan President and CEO Available for Comment on New England Journal of Medicine Article on Profits in Hospice Industry and Proposed Changes From MedPAC
Date:6/25/2009

DETROIT, June 25 /PRNewswire-USNewswire/ -- Hospice of Michigan, the state's largest hospice and one of the largest non-profit hospices in the nation, will have spokespersons available to comment on the New England Journal of Medicine's article on profits in the hospice industry published in the June 25 issue. The article, which is titled "A New Era of For-Profit Hospice Care - the Medicare Benefit," focuses on the evolution of the hospice benefit from the time it was created in 1982 to today when outsized profits in the publicly traded and for-profit sectors of the hospice industry have resulted in government scrutiny of how the benefit is being applied.

What evolved from a grassroots, volunteer-run social movement designed to honor the individual and bring a sense of humanity to the end-of-life experience has become a big business. The number of hospice providers grew from 2,300 in 2000 to 3,200 in 2007. The article suggests that Medicare may have unintentionally provided a financial incentive in its hospice payment system for providers to create and follow a business model where they care for patients with diagnoses that result in longer lengths-of-stay.

For-profit hospices, including publicly traded hospices, have capitalized on the Medicare payment system - selecting patients with diagnoses that predict longer lives while needing less intensive care. The profits being enjoyed by for-profit hospices have gotten the attention of Medicare. The Medicare Payment Advisory Commission (MedPAC), which advises Congress, has recommended substantial changes to hospice payments to improve accuracy, accountability and to increase physician involvement in end-of-life care.

Dottie Deremo, president and CEO of Hospice of Michigan, said, "The transition of hospice as a social movement to becoming big business has occurred in just 27 years. The MedPAC report accurately reflects the changes in the hospice sector that have especially intensified in the last 10 years.

"We are pleased that MedPAC has recommended changes to the hospice payment system because we have found the payment system currently in place rewards for-profit hospices that selectively admit patients requiring less intensive care and resources while they are reimbursed at the same rate as hospices like Hospice of Michigan that take all patients regardless of the complexity of the care and resources required.

"Hospice of Michigan supports MedPAC's endeavor to weed out the 'bad actors' in our field and to modernize the benefit taking into account intensity of care. We do, however, have concerns about the MedPAC proposed changes in the hospice reimbursement model which could have unintended consequences of creating incentives to shorten hospice lengths-of-stay, a devastating consequence to patients and families. Current 'bad actors' would simply change their business model to maximize profits under the new rules.

"Hospice of Michigan fully supports MedPAC'S goal of assuring that our communities receive high quality, cost-effective hospice care. We believe that adding quality, evidenced-based outcomes, and case-mix adjusters (an increased reimbursement adjustment for complex hospice cases) to the reimbursement model would be a better way to weed out 'bad actors' in the hospice sector.

"To that end, Hospice of Michigan and other non-profit hospices are working collaboratively with MedPAC and have recently submitted additional information to MedPAC. Our goal is to assist MedPAC in any way that would be helpful as MedPAC develops their next round of recommendations to Congress on how to refine the hospice reimbursement system and provide necessary corrections without creating unintended consequences.

"It is in the interest of patients, families and the delivery of quality care that the hospice benefit be modernized. As a non-profit that relies on charitable donations to cover the cost of providing care, we have a significant investment in the image of the hospice industry and are eager for those abusing the Medicare hospice benefit to be weeded out. It is essential that all hospice providers be accountable to the public and Medicare for their business practices, and to use their resources wisely. We are pleased to be participating in the reform process."

Hospice of Michigan is a non-profit, community-based hospice serving 900 patients per day in 54 counties in Southeast Michigan. The mission of the organization is to care for all who seek and need our help regardless of diagnosis or ability to pay. Hospice of Michigan relies on charitable donations of more than $4 million annually to cover the cost of care for the uninsured or under-insured. With headquarters in downtown Detroit, Hospice of Michigan has teams in 18 cities in Southeastern Michigan. Headquarters phone number: 888-HOM-5656.


'/>"/>
SOURCE Hospice of Michigan
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Unique Facility Designed for the Comfort of Hospice Patients and Their Families
2. Unique Facility Designed for the Comfort of Hospice Patients and Their Families
3. American Academy of Hospice and Palliative Medicine Leader Suggests Health Care Reforms to Cut Costs, Ensure Quality Care for People with Serious Illness
4. Englewood Hospital Home Health and Hospice Services Selects Cardiocom Telehealth Technology
5. Excell Home Care & Hospice, Inc. Selects Cardiocom Telehealth Technology
6. American Academy of Hospice and Palliative Medicine Leader Touts Quality, Cost Benefits of Palliative Care for Healthcare Reform
7. Elizabeth Edwards Presented With Person of the Year Award by National Hospice and Palliative Care Organization at National Conference
8. Healthcare Reform Resolution Issued by National Hospice and Palliative Care Organization
9. Hospice Palliative Care Leadership Conference Kicks Off with Focus on Healthcare Reform and the Release of New Pediatric Standards of Care
10. Your Decisions Matter: San Diego Hospice Encourages You to Make Your Healthcare Decisions Known
11. Missouri Hospice & Palliative Care Association Recognizes Volunteers in Hospice With Heart of Hospice Awards Luncheon
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... Florida (PRWEB) , ... February 05, 2016 , ... Steven ... event he has completed every year since it started in 2003. This year, he ... the attention of fellow runners and NBA team the Miami Heat. , This Sunday, ...
(Date:2/5/2016)... ... February 05, 2016 , ... ... company's lighter, sleeker next generation LYNX VR Indoor Trainer with multi-rider capability to ... design and manufacturing not only reduce the weight of the unit, they also ...
(Date:2/5/2016)... ... 2016 , ... Successful recruitment and retention efforts, new collaborations ... have all marked the last 12 months at Roswell Park Cancer Institute (RPCI). ... oldest cancer center, Candace S. Johnson, PhD, outlined the many accomplishments of her ...
(Date:2/5/2016)... ... February 05, 2016 , ... The Muscular ... Louisiana Kitchen restaurants, launched the 14th annual “Appetite for a Cure” campaign on ... muscular dystrophy, ALS and related diseases that severely limit strength and mobility. ...
(Date:2/5/2016)... York, New York (PRWEB) , ... February 05, 2016 , ... ... life? The answer may be at the tips of your toes. Foot massage, whether ... as well as pure comfort and relaxation. The American Board of Multiple Specialties ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... 2016 Amgen (NASDAQ: AMGN ) will present ... Conference at 9:15 a.m. ET on Wednesday, Feb. 10, 2016, ... W. Meline , executive vice president and chief financial officer ... the presentation can be accessed from the Events Calendar on ... the webcast will also be available on Amgen,s website for ...
(Date:2/5/2016)... Feb. 5, 2016  ivWatch, a medical devices company, is ... Award granted by Governor Terry McAuliffe,s office. ivWatch ... February 25th at an event to be held at the ... award honors professionals and business that have made significant contributions ... Logo - http://photos.prnewswire.com/prnh/20160205/330117LOGO ...
(Date:2/5/2016)... MILTON, Ontario , Feb. 5, 2016  Aralez ... business combination of POZEN Inc. ("POZEN") and Tribute Pharmaceuticals Canada ... of POZEN and shareholders of Tribute. The combined company ... specialty pharmaceutical company with operations in Canada ... the United States . Under the terms ...
Breaking Medicine Technology: