tag:blogger.com,1999:blog-7655334.post5871001605764236863..comments2008-12-08T08:53:46.255-08:00Hospice Guynoreply@blogger.comBlogger7125tag:blogger.com,1999:blog-7655334.post-79416482624893785072008-12-06T06:28:00.000-08:002008-12-06T06:28:00.000-08:00

My mother is currently a resident at a local nursing home. She is terminally ill and I am considering Hospice care in this facility. Many of the nurses of this facility, including the DON feel there is no difference in the care they provide and the care the Hospice will provide. The facility nurses tell me they do the same thing Hospice does. Being ignorant to this industry I am a little

Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7655334.post-38353130835221603782008-10-21T16:07:00.000-07:002008-10-21T16:07:00.000-07:00

Actually I believe you do not have to pay the SNF 100% of the Medicaid rate you could pay the 95%. I believe it may actually be more work for the nurses and Aids and such in ALF or SNF because of the Communication breakdowns and lack of control over what the SNF or ALF do. Even with much education they still can cause many headaches for the Hospice. I hear nurses say they would rather have a home

Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7655334.post-9293581889640506782007-10-19T15:59:00.000-07:002007-10-19T15:59:00.000-07:00

One thing you failed to mention is that at least in Idaho, many SNF patients are on Medicaid, which absorbs some, or maybe all of the room and board charges. When hospice enters the picture, the SNF can no longer bill Medicare OR MEDICAID for the R& B charges if the patient elects hospice. If the client is Medicaid, the SNF must now bill the hospice for the R&B charges, and the hospice bills

Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7655334.post-74713808180836061112007-04-15T21:30:00.000-07:002007-04-15T21:30:00.000-07:00

Being a "Nursing Home Doc" as well as Medical Director of Long Term Care Hospice, I can tell you that any cuts in reimbursement of facility based hospice care will be counter productive and greatly reduce quality of care. Most of my families are very appreciative of having the hospice team take care of various services such as bathing, feeding, wound dressing changes etc. because these patients

Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7655334.post-6524234512270284802007-03-02T07:05:00.000-08:002007-03-02T07:05:00.000-08:00

Actually, I work for Hospice Pharmacia. We charge the same daily rate for every patient whether he/she has cancer or any other terminal diagnosis. Our rates differ ONLY for home care patients & facility patients. The beauty of our system is that we can manage pharmacotherapy in order to provide needed drugs for all our patients, no matter what their diagnosis, at a reasonable daily rate.

Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7655334.post-72344042936592495462007-02-28T07:06:00.000-08:002007-02-28T07:06:00.000-08:00

Such is the drawback of a capitated system. A hospice interested in serving all eligible patients (ie ANY patient that qualifies based on clinical criteria) may make a responsible decision to broaden their patient pool to find "the less expensive patients that help us finance care for the more expensive ones." But a capitated system creates the potential for an agency to make a financial decision

danielcnoreply@blogger.comtag:blogger.com,1999:blog-7655334.post-17100641430504144472007-02-27T09:34:00.000-08:002007-02-27T09:34:00.000-08:00

You do have very valid points on the difference between the care needed for home verses facility patients. You don't address patients in assisted livings with can be as complicated as home patients. My concern about a reimbursement variance for home/nursing home patients is that there are hospices out here that will adjust the amount of care/supplies/visits provided to nursing home patients

tlmoorebswnoreply@blogger.com