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Proposal to Include Hospice Care Under Medicare Advantage

The Senate Finance Committee’s Chronic Care Working Group is considering a proposal to “carve-in” hospice under Medicare Advantage. This is a departure from the current system, where once a patient enrolls in hospice care, and the financial responsibility for patient care shifts to Original Medicare. 
Some are opposed to this change including the National Hospice and Pallitive Care Organization (NHPCO). According to NHPCO potential complications that would result in this change could include:

Limiting beneficiary access to the hospice of their choice
Diluting the quality and integrity of the hospice benefit
Undermining the autonomy of the hospice Medical Director
Increasing the administrative burden for hospice providers
Threatening the financial stability of hospice programs

The Senate Chronic Care Working Group comment period has closed. CHAP will continue to monitor this proposal and provide any updates as they are available. 


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