Model aims to increase choice and quality by enabling individuals to receive palliative and curative care concurrently
(Las Vegas – July 21, 2015) Nathan Adelson Hospice, the largest non-profit hospice in Nevada, today announced they have been selected to participate in the Medicare Care Choices Model. The model provides Medicare beneficiaries who qualify for coverage under the Medicare Hospice Benefit and dually eligible beneficiaries who qualify for the Medicaid Hospice Benefit the option to elect to receive supportive care services typically provided by hospice and continue to receive curative services at the same time. This announcement is part of a larger effort at HHS to transform our health care system to deliver better care, spend our dollars in a smarter way, and put patients in the center of their care.
All eligible hospices across the country were invited to apply to participate in the model. Due to robust interest, CMS expanded the model from an originally anticipated 30 Medicare-certified hospices to over 140 Medicare-certified hospices and extended the duration of the model from 3 to 5 years. This is expected to enable as many as 150,000 eligible Medicare beneficiaries with advanced cancers, chronic obstructive pulmonary disease, congestive heart failure, human immunodeficiency virus/ acquired immunodeficiency syndrome who receive services from participating hospices to experience this new option and flexibility.
“We are extremely honored to have been chosen for this important demonstration project,” said Nathan Adelson Hospice President and Chief Executive Officer Carole Fisher. “Our participation will enhance our thriving palliative care program and will be a benefit to those with advanced chronic illness in our community.”
Participating hospices will provide services under the model that are currently available under the Medicare hospice benefit for routine home care and respite levels of care, but cannot be separately billed under Medicare Parts A, B, and D. Services will be available around the clock, 365 calendar days per year and CMS will pay a per beneficiary per month fee ranging from $200 to $400 to participating hospices when delivering these services under the model. Services will begin starting January 1, 2016 for the first phase of participating hospices and in January 2018 for the remaining participating hospices.
Individuals who wish to receive services under the model must fall into certain categories:
• Must be diagnosed with certain terminal illnesses (e.g., advanced cancers, chronic obstructive pulmonary disease, congestive heart failure and human immunodeficiency virus/acquired immune deficiency syndrome);
• Must meet hospice eligibility requirements under the Medicare or Medicaid Hospice Benefit;
• Must not have elected the Medicare or Medicaid Hospice Benefit within the last 30 days prior to their participation in the Medicare Care Choices Model;
• Must receive services from a hospice that is participating in the model; and
• Must have satisfied model’s other eligibility criteria.
More information about today’s announcement is available at http://www.hhs.gov/news/press/2015pres/2015.html.
For additional information on the model or list of participating hospices, visit http://innovation.cms.gov/initiatives/Medicare-Care-Choices/ and http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-07-20.html.
About Nathan Adelson Hospice
Nathan Adelson Hospice, the trusted partner in providing hospice care and palliative medicine for more than 35 years, is the largest non-profit hospice in Southern Nevada, caring for an average of 300 patients daily. In 1978, Nathan Adelson Hospice began providing home care hospice service in Southern Nevada with the mission to offer patients and their loved ones with comprehensive end-of-life care and influence better care for all in the community. In 1983, Nathan Adelson Hospice opened an in-patient hospice in Las Vegas, and today the hospice is recognized as a national model for superior hospice care.
The mission of the hospice is to be the Hospice of Choice, the Employer of Preference and a Training Center of Excellence. Its vision is simple: no one should end the journey of life alone, afraid or in pain. The hospice also is home to The Center for Compassionate Care, a non-profit counseling agency providing individual, group and family counseling services to address grief, loss and issues related to surviving life-threatening illnesses. For more information, visit www.nah.org.