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Cedar Valley Hospice selected to test Medicare’s new model of care

August 9, 2015
Reinbeck Courier

Cedar Valley Hospice has been selected as one of the 141 hospices nationwide to participate in the Medicare Care Choices Model, announced recently by Health and Human Services Secretary Sylvia M. Burwell. 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 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.

Cedar Valley Hospice will begin implementing the Medicare Care Choices Model services Jan. 1, 2018. Other select hospices will begin the program in Jan. 1, 2016.

Currently, hospice care is covered by both Medicare and Medicaid programs; however, when a beneficiary chooses hospice care, they are no longer eligible to receive curative care. The Medicare Care Choices Model will provide 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 including nursing, social work, hospice aide, volunteers, spiritual support, bereavement and respite care services while continuing to receive curative treatment at the same time.

Those eligible to participate will either have certain types of cancer, congestive heart failure (CHF), human immunodeficiency virus (HIV), or chronic obstructive pulmonary disease (COPD). And they must have a 6- month prognosis, like other hospice patients. The difference is that these patients will be able to seek curative treatment while receiving hospice care under the Medicare Care Choices Model.

"We expect that more people will take advantage of this program at an earlier time after their diagnosis because the program allows the patient to still seek curative options while receiving top-notch care from our extensive care team. This will greatly benefit both the patient and the family," said Cedar Valley Hospice Executive Director Marvin Fagerlind.

With a duration of 5 years, the Medicare Care Choices Model seeks to enable as many 150,000 eligible Medicare beneficiaries to experience this new option and flexibility. 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.

For more information about Cedar Valley Hospice, call 319.272.2002 or visit www.cvhospice.org.

For more information about the Medicare Care Choices Model, visit the Centers for Medicare and Medicaid Services at www.CMS.gov.

 
 

 

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