Hospice payment increase of 2.7% proposed, but it’s not a straightforward change

Source: Home Health Line
While the hospice industry is expected to receive about $540 million in increased payments in 2020, hospice providers should curb the enthusiasm until they fully analyze how the changes will impact the business.
That’s because the payment rate for the first 60 days of routine home care (RHC) is actually decreasing slightly, according to CMS’ proposed hospice payment rule posted April 19 on the Federal Register.
“Don’t get excited when you see that increase …

Department of Labor proposes changes to overtime rules

The Department of Labor has published three Notices of Proposed Rulemaking (NPRM) regarding the minimum salary requirement for an employee to qualify for overtime, which forms of payment can be included and excluded in the “time and one-half” calculation when determining workers’ overtime rates, and clarifications of and revisions to the responsibilities of employers and joint employers to employees in joint employer arrangements.

NPRM: Overtime Update (comments due May 21)
NPRM: Regular Rate (comments due May 28)

Hospice measure added to CASPER QM reports

Beginning April 1, 2019, the Hospice Visits when Death is Imminent measure pair will be included in the Certification and Survey Provider Enhanced Reports Quality Measure (CASPER QM).
The pair assesses whether a hospice patient’s and caregiver’s needs were addressed by hospice staff in the last three and seven days of life. According to a questions and answers report published by CMS, only the three-day measure will be publicly reported on the Hospice Compare website in …

Simple does it for diabetes treatment, says new guideline

According to a new guideline released by the Endocrine Society, treating diabetes in older adults should consist of simplified medication regimens and less strict glycemic targets.
Essential points listed on the society’s webpage include differences between younger individuals with diabetes versus older individuals with the disease, such as problems older individuals face such as sarcopenia, frailty, and cognitive dysfunction. Recommendations also include those for common co-morbidities such as renal impairment and concomitant heart.
Read the full guideline …