Navigation Links
Physician's Role Diminished in Hospice Care by CMS Directive
Date:10/31/2013

ALEXANDRIA, Va., Oct. 31, 2013 /PRNewswire-USNewswire/ -- Today, the Centers for Medicare and Medicaid Services released a directive to Part D plan sponsors called "Clarification on Recovery of Part D Payment for Pain Medications for Beneficiaries Enrolled in Hospice".  What does this mean? In cases where the patient was enrolled in hospice and Part D, and the prescription drugs were paid for by Part D, CMS is directing plans to take back funds from hospices for patients' pain control medicines in 2011 and 2012.  For this payment recovery effort, CMS presumes that ALL pain medications "were used for the palliation and management of terminal illness and/or related conditions."  It is the National Hospice & Palliative Care Organization's position that this is not true.

(Logo: http://photos.prnewswire.com/prnh/20110105/DC25260LOGO)

Although the vast majority of pain medications prescribed to hospice patients are related to the terminal condition, it is simply false to presume that all are.  It is a dangerous precedent to presuppose that all analgesics ARE related to the terminal illness, without the voice of the hospice physician, who has patient-specific knowledge, and who is responsible for deciding whether a drug is related to the terminal illness or not.

"We are outraged that CMS would disregard the law and their own regulations to de-emphasize the role of the hospice physician in determining what care is required as part of the patient's terminal condition," said J. Donald Schumacher, NHPCO president and CEO.  "Thirty years of hospice statute and regulations  clearly  contradicts any attempt to recoup payments for any portion of the patient's plan of care without first determining if the care, in this case pain medication, was deemed related to the terminal condition by a physician."

In recent weeks, NHPCO has been working with CMS to try and sort out previous memoranda to Part D sponsors regarding the intersection of the Medicare Hospice Benefit and Part D Coverage.  The hospice community has also raised concerns about previous directives, and is alarmed by the fact that all communication from CMS has been directed to Part D plan sponsors, and not to hospice providers who will be impacted.

"Hospices absorb the costs for all care related to a patient's terminal condition, whether it be medication, DME, direct care from all members of the interdisciplinary team and anything necessary for the palliation of pain and management of symptoms.  We are not debating this in any way.  Since we were made aware of this issue, we have repeatedly asked for CMS to convene all of the impacted stakeholders – the hospice community, Part D sponsors, and pharmacies – to create a plan for ensuring that the proper entity is paying for the care of hospice patients.  Instead, for the sake of "administrative ease", CMS has moved forward with this guidance a truly careless and reckless manner," said Schumacher.

Contact:
Jonathan Keyserling
NHPCO Senior Vice President, Health Policy
Ph: 703-837-3153


'/>"/>
SOURCE National Hospice and Palliative Care Organization
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. Surveyed Physicians Report that Invokana Captures a Small Percentage of Patient Share in the Type 2 Diabetes Drug Market, With Significant Increases Expected Six Months from Now
2. Market Disruption Imminent as Hospitals and Physicians Aggressively Adopt Patient Portal Technology
3. Lack of Formulary Access Tops List of Limitations Primary Care Physicians Face With e-Prescribing Systems, Says New Research Report from SciMedica Group MR&C
4. Unique Glaucoma Test Through Eyelid DIATON Opens Doctors Eyes to Possibility of In-Office Glaucoma Test at Pri-Med East and American Academy of Family Physicians, AAFP
5. Update: 2013 List of Best Doctors in Dallas Features Texas Institute for Surgery Physicians
6. 2013 List of Best Doctors in Dallas Features Texas Institute for Surgery Physicians
7. Childhood Obesity Need Not Last a Lifetime, says Beverly Hills Physicians
8. Physicians Practice Wins Multiple Awards for Digital and Print Excellence
9. Physicians Expect More Out of Tablet-Toting Pharmaceutical Sales Reps, Study Finds
10. Recent Study Reveals Physicians Prefer Topical Delivery for Drug Delivery Technology, Such as a Transdermal Patch
11. Parents May Have Even More Reason to Explore Weight Loss Surgery, suggests Beverly Hills Physicians
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... /PRNewswire/--  Cell Applications, Inc. and Cyfuse Biomedical ... now available in North America ... approach called the "Kenzan Method." Utilizing Cyfuse Biomedical,s ... robotic system that fabricates 3D tissue from cells, ... model that makes scaffold-free tissue available immediately to ...
(Date:2/8/2016)... Velano Vascular, a medical technology company transforming ... their practitioners, announced today that the company has raised ... the proceeds from this financing, an extension of a ... to support the development and commercialization of the company,s ... Philadelphia , and a number ...
(Date:2/8/2016)... 2016  Unilife Corporation ("Unilife" or "Company") (NASDAQ: UNIS ... delivery systems, today announced that it will release its financial ... 2015 after market close on February 9, 2016.  At this ... discuss these financial results.    About Unilife Corporation ... About Unilife Corporation UNIS ...
Breaking Medicine Technology:
(Date:2/8/2016)... ... February 08, 2016 , ... Delta Dental of California and its affiliated companies ... Gary D. Radine, who recently retired as president and CEO of Delta Dental of ... CEO of the Year , helped lead the effort to raise funds for studies ...
(Date:2/8/2016)... ... 08, 2016 , ... Eating disorders and post-traumatic stress disorder ... and men with eating disorders report a history of trauma, research suggests that ... an eating disorder. , At the 2016 iaedp Symposium, the workshop, “What ...
(Date:2/8/2016)... ... 08, 2016 , ... GrassrootsHealth published data from its D*action ... diabetes in the GrassrootsHealth cohort with substantially higher vitamin D levels than a ... health,” states Carole Baggerly, Director of GrassrootsHealth, “the safety and benefits of ...
(Date:2/8/2016)... Vegas, Nevada (PRWEB) , ... February 08, 2016 ... ... at RowdMap, Inc., will be speaking on how healthcare companies can use newly ... costs, manage the health of a population and intervene and capture the value ...
(Date:2/8/2016)... ... 2016 , ... According to research by the National Association ... to be certified or obtain continuing education. To increase patient awareness of the ... Mouth?” campaign to inform dentists and patients about the possible lack of skills ...
Breaking Medicine News(10 mins):