Latest News

  • January 25, 2023 11:39 AM | Anonymous member (Administrator)

    Grassroots advocacy is the most powerful tool WiHPCA has at its disposal to shape public policy – and building relationships with lawmakers is the most important aspect of advocacy. In effort to capitalize on our greatest advocacy resource – our membership – WiHPCA has unveiled our Coffee Conversations with Legislators advocacy program.

    The initiative is designed  o help connect members with their local legislators. Under the program, the WiHPCA Government Affairs Team will set-up in-district meetings between WiHPCA members and state lawmakers who represent them in the Legislature. These meetings, which can be located at your facility, or a local coffee shop provide a tremendous opportunity for WiHPCA members to build or strengthen their relationships with local legislators and to educate them on hospice and palliative care and on policy issues important to hospice professionals and their patients.

    WiHPCA encourages all members to participate in this critical grassroots advocacy program. If you’re interested in participating in the program, contact the WiHPCA office at .

  • January 25, 2023 11:38 AM | Anonymous member (Administrator)

    ·         Legislative Session

    Both the State Senate and the State Assembly were on the floor this month, but only dealt with limited calendars. Both houses adopted an amendment to the constitution relating to bail imposed on defendants awaiting trial, as well as a resolution to create an advisory referendum to be held at the April non-partisan election on the issue of whether individuals receiving public assistance should be subject to a work requirement. The proposed constitutional amendment will also go before voters (to approve or deny) in April.

    ·         Protasiewicz with Early Supreme Court Fundraising Lead

    The first campaign finance reports for WI Supreme Court candidates were due earlier this month, and Milwaukee County Circuit Court Judge Janet Protasiewicz reported raising $756,000 in the last 6 months of last year, more than doubling her next closest competitors.  Waukesha County Circuit Court Judge Jennifer Dorow raised $306,000, former Supreme Court Justice Dan Kelly raised $312,000 and Dane County Circuit Court Judge Everett Mitchell raised $115,000.  The four face off in a primary in February, with the top two vote getters moving on to the April General Election.  While the Supreme Court is nonpartisan, its members do loosely line up along ideological lines, with Conservatives holding a 4-3 advantage. For Conservatives to maintain their majority, either Dorow or Kelly would need to win the April Election.

    ·         Legislative Republicans circulate Tax Proposals

    Legislative Republicans have proposed two bills early this session focusing on tax cuts, fulfilling campaign promises from last fall.  Earlier this month, Senate Majority Leader Devin LeMahieu circulated a bill that would phase in a flat tax over the next four years.  The State currently has four income tax brackets, and if this bill were to pass, everyone in Wisconsin would be paying a rate of 3.25%, down from 7.65%, which is what taxpayers in the upper bracket are currently paying.  Governor Evers has said he does not support this proposal, although he is likely to introduce his own income tax relief proposal in his budget bill.

    Republicans have also re-introduced legislation to eliminate the personal property tax in Wisconsin.  While Evers vetoed a bill to repeal the personal property tax last session, Republicans hope a compromise on the issue can be reached this session.

  • January 25, 2023 8:21 AM | Anonymous member (Administrator)

    Earlier this month, on Jan.12, WiHPCA held its latest quarterly meeting with the WI Department of Health Services’ Division of Quality Assurance (DQA), providing our members an opportunity to engage with agency staff and learn about DQA regulatory activity during the fourth quarter of 2022.  

    If you have not had an opportunity to attend one of our past DQA meetings, we would encourage you to attend the next meeting in April and help the hospice industry build and maintain a strong working relationship with DQA staff. The meetings also provide WiHPCA members with valuable regulatory information and updates, as well as a unique chance to ask questions and request guidance from the agency.

    For members who were not able to attend the Jan. 12 meeting, please find below a high-level overview of DQA’s quarterly report for fourth quarter 2022:

    • Hospice Surveys
    Total Surveys:  9
    Recertification Surveys:  1
    Complaint Surveys:  8

    Complaints Overview:

    Complaints investigated: 8

    Unique allegations: 11
    Substantiated complaints related to:
    ·         Quality of care and treatment
    ·         Nursing services
    ·         Patient rights
    Citations Overview
    o   No health citations were written in fourth quarter 2022
    o   Life safety code violations included:
    K281 – Exit lights not working
    K354 – Insufficient sprinkler outage plan
    K712 – Fire drill timing deficiencies
    Other Key Information
    o   DQA is currently up-to-date on recertification and complaint surveys.
    o   DQA provided an overview of their efforts to review the Hospice-Nursing Home Interface document for possible revisions. DQA asked for feedback from call participants and announced there would be more opportunities for input on possible revisions.
    o   There were 2 new hospice applications during fourth quarter 2022.

    For more data and information, please CLICK HEREto visit the DHS Hospice Statistics webpage.

  • January 25, 2023 8:20 AM | Anonymous member (Administrator)

    WiHPCA is happy to remind members about and provide links to the latest articles and information from Hospice News and other publications:

    ·         Hospice Advocacy Groups Call on CMS, Congress to Strengthen Program Integrity Oversight

    Four national hospice and senior care industry groups have called on Congress and the U.S. Centers for Medicare & Medicaid Services (CMS) to make regulatory and legislative changes to instill stronger program integrity safeguards. The organizations penned a joint letter to CMS in November urging for increased oversight to help curb hospice frauds, including the National Association for Home Care & Hospice (NAHC), National Hospice and Palliative Care Organization (NHPCO), National Partnership for Healthcare and Hospice Innovation (NPHI) and LeadingAge. Read more…

    ·         NHPCO: Language, Mistrust, Lack of Diverse Staff Come Between Hospices and Underserved Populations

    By Holly Vossel January 17, 2023

    Language barriers, mistrust of the health care system and a lack of diverse staff are the most common obstacles between hospice care and underserved communities, research from the National Hospice and Palliative Care Organization (NHPCO) recently found. Read more…

    ·         VA Study Finds 95% Increase in Palliative Care Utilization When Patients Have Access to Social Workers

    Patients are more likely to receive palliative care if they can access social workers through their primary care providers, Veterans Health Administration (VA) research has found. Researchers analyzed records for 43,200 veterans with prior hospitalization who had received primary care at a VA site between October 2016 and September 2019. They found a 95% increase in hospice or palliative utilization among veterans served by VA providers participating in the agency’s Social Work Patient Aligned Care Team (PACT). The average age among the veterans was about 65. Read more…

    ·         GAO: CMS Should Update Rules for Hospices Reporting Abuse or Neglect

    Hospices should be required to report all instances of abuse and neglect, even if the perpetrator was not an employee, the U.S. Government Accountability Office (GAO) has recommended.

    The U.S. Centers for Medicare & Medicaid Services (CMS) requires operators to report incidents of patient abuse and neglect that involve their staff. If the agency follows the GAO’s recommendation, they would also have to notify survey agencies when others, like family members or caregivers, become abusive or neglectful. This would bring the hospice rules in line with those used in long term care. Read more…

    ·         FTC Proposes Rule that Would Ban Employee Noncompete Clauses

    Associated Press – Alexandra Olson and Michelle Chapman| January 6, 2023

    The Federal Trade Commission proposed a rule Thursday that would ban U.S. employers from imposing noncompete clauses on workers, a sweeping measure that could make it easier for people to switch jobs and deepen competition for labor across a wide range of industries. The proposed rule would prevent employers from imposing contract clauses that prohibit their employees from joining a competitor, typically for a period of time, after they leave the company. Read more…

    ·         New York Governor Vetoes Bill to Limit For-Profit Hospices

    New York Gov. Kathy Hochul (D) has vetoed legislation that would have effectively banned new, for-profit hospices in the state. The New York State Assembly passed the bill in June and submitted it to the governor’s office in mid-December. It would have prohibited the establishment of for-profit hospices in New York state and forbid current for-profit operators from increasing capacity. Read more…

    Hospice News, which is part of the Aging Media Network, is a leading source for news and information covering the hospice industry.

  • January 25, 2023 8:19 AM | Anonymous member (Administrator)

    Concerned by Growth of Unscrupulous Operators, Organizations Outline Areas of Focus, Key Steps

    The four national hospice provider organizations: LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO), and the National Partnership for Healthcare and Hospice Innovation (NPHI), provided the Centers for Medicare and Medicaid Services (CMS) and key Congressional stakeholders with recommended legislative and regulatory changes to strengthen hospice program integrity.

    The recent entry of large numbers of newly created hospice organizations in several states has heightened long-standing concerns among hospice leaders about the adequacy of Medicare certification, accreditation, and enforcement processes. Today, the four national hospice organizations are joining forces to urge Congress and CMS to act expeditiously to ensure that only well-qualified advanced illness care providers are permitted to care for and support beneficiaries and their families at the end of life.

    These recommendations are the culmination of a year-long effort by each of these organizations to assess various options for improving program integrity in hospice care. The 34 recommendations are grouped into 11 core issue areas; five key points are listed below:

    ·         Limit enrollment of new providers with a targeted moratorium on new hospices: Use existing CMS moratorium authority to limit enrollment of new hospice providers in counties with troubling rates of explosive licensure and Medicare certification growth.

    ·         Enforce against non-operational hospices by revoking Medicare enrollment and increasing site visits: Investigate Medicare provider numbers that show aberrant gaps in Medicare billing. Revoking enrollment of non-operational hospices prevents them from being sold to inexperienced providers for a profit.

    ·         Develop hospice “red flag” criteria: Identify Medicare certification application “triggers” related to specific areas of concern that would prompt CMS to investigate an applicant before certification could be approved. Red flags should include:

    o   Co-location of multiple hospices at single address

    o   A single hospice administrator overseeing multiple hospices

    o   A patient care manager or other hospice leadership staff serving multiple hospices

    o   A hospice company that appears to be hidden behind a shell company

    ·         Require surveyors to confirm ability of hospices to provide all four levels of care: Surveyors must ensure hospices have the ability to provide all four levels of care, including General Inpatient Care (GIP) and respite contracts, as well as provision for continuous home care (CHC) and afterhours care.

    ·         Add hospice administrator and patient care manager qualifications to Medicare hospice Conditions of Participation (CoPs): Add education and/or qualifications to the hospice CoPs for these key personnel, including minimum years of experience or a combination of education and experience.

    “Good hospice care, because of its holistic, patient-and family-centered compassionate approach to the dying, is a godsend. Bad care and true fraud in this valuable benefit are intolerable. It’s time to take action. America’s population is aging, and high-quality services are needed now more than ever before. Reform must promote high-quality care, including the right services in the right quantity, and eliminate opportunity for misdeeds. Our goal in collaborating with other hospice provider groups, with Congress, and with CMS, is to ensure necessary change. Yet it is only part of the solution; our work will not be complete until we address the desperate need for a system of long-term services and supports that is responsive to how older adults live and die now,” said Katie Smith Sloan, president and CEO, LeadingAge, the association of nonprofit providers of aging services, including hospice.

    “NAHC believes strongly that improved hospice program integrity will benefit patients, families, providers, and the Medicare program, and that it is an essential element in ensuring quality of care. Historically NAHC has strongly supported meaningful solutions to problems as they have arisen within hospice and other programs. The series of recommendations that we are putting forth in conjunction with other national hospice organizations clearly communicate our continued commitment to designing and supporting effective regulations, processes, and operational standards in hospice. We look forward to working with Congress and the Administration to move these recommendations forward,” stated NAHC President William A. Dombi.

    “Ensuring program integrity is essential to enabling good hospice care. That's why NHPCO has worked for more than 40 years to engage government officials and other partners to shape policy that supports effective oversight of hospices. These recommendations are the latest such effort and are especially topical given the alarming recent growth of Medicare certified hospices in California, Arizona, Nevada, and Texas which are fraudulent actors. NHPCO and national partner organizations must be proactive in our response and intolerance toward deceptive hospice care that does not live up to the standards of high-quality care we expect from members of our community,” said NHPCO COO and interim CEO, Ben Marcantonio.

    “End-of-life care providers have an obligation to support and care for patients and their loved ones with dignity and respect at this most vulnerable time in their lives. Providers who manipulate the Medicare benefit solely to profit at the expense of their patients have no place in the hospice program,” said NPHI CEO Tom Koutsoumpas. “To curb the entry of bad actors into hospice, NPHI is pleased to put forth, in conjunction with our national partners, robust program integrity reform recommendations. We look forward to working with our partner organizations, Congress, and CMS to advance meaningful change that will better protect those receiving hospice care at the end-of-life.”

    These four national hospice organizations will continue to work together and with other partners to drive solutions to stop the growth of fraudulent hospices and strengthen the hospice Medicare certification and the survey process.

  • January 20, 2023 9:59 AM | Anonymous member (Administrator)

    On January 2, 2023, Wisconsin Department of Health Services (DHS) Secretary-designee Karen Timberlake resigned her position.  She was appointed to this position after the 2021 resignation of then-DHS Secretary-designee Andrea Palm, who resigned her position to join the Biden Administration in Washington, DC.  Karen Timberlake also served as the DHS Deputy Secretary and Secretary under former Wisconsin Governor Jim Doyle’s (D) administration in the mid-to-late 2000s. 

    Governor Evers has publicly stated that he will announce a new DHS Secretary-designee in the coming weeks.  As such, DHS Deputy Secretary Deb Standridge is the most senior official at this state agency at this time.  Once the Governor announces a new DHS Secretary-designee, we will share that in a future newsletter. 

  • January 20, 2023 9:58 AM | Anonymous member (Administrator)

    On January 17, 2023, the Wisconsin Department of Health Services (DHS) announced that it is looking for qualified applicants for two advisory councils addressing long-term care matters – the Long-Term Care Advisory Council (LTCAC) and the IRIS Advisory Committee (IAC).  This could be a great opportunity to have a WiHPCA member on one or both councils, particularly the LTCAC.  Applications are due to DHS by Friday, February 3, 2023.  

    According to the DHS website, LTCAC “Members give advice and make recommendations to the DHS Secretary about long-term care policy, programs, and services.”  For more information about the council or to apply, go to the LTCAC page on the DHS website

    The DHS website states that “The IAC advises DHS about the IRIS (Include, Respect, I Self-Direct) program. IRIS is a self-directed program for adults with disabilities and elderly people. IAC members have knowledge, experience, expertise, and community relationships relevant to this area. They give ideas, opinions, or facts to improve the IRIS program.”  For more information about the IRIS Advisory Committee, go to the IAC page on the DHS website.  If you are interested in applying, go to the DHS website

  • January 20, 2023 9:57 AM | Anonymous member (Administrator)

    On January 3, statewide constitutional officers – including governor, lieutenant governor, attorney general, secretary of state and treasurer – and newly-elected state legislators were sworn in.  In addition, the 2023-2024 session of the Wisconsin State Legislature began.  Republicans will continue to have majorities in both the Assembly and Senate. 

    In December, Assembly and Senate leadership announced the members of the various legislative committees.  The following is a list of the legislators who are now members of the health-focused committees for the 2023-2024 legislative session: 

    Assembly Health, Aging and Long-Term Care Committee

    •       Rep. Clint Moses (R-Menomonie), Chair
    •       Rep. Donna Rozar (R-Marshfield), Vice-Chair
    •       Rep. Rob Brooks (R-Saukville)
    •       Rep. Barbara Dittrich (R-Oconomowoc)
    •       Rep. Rick Gundrum (R-Slinger)
    •       Rep. Gae Magnafici (R-Dresser)
    •       Rep. Dave Murphy (R-Greenville)
    •       Rep. Angie Sapik (R-Lake Nebagamon)
    •       Rep. Ellen Schutt (R-Clinton)
    •       Rep. Rob Summerfield (R-Bloomer)
    •       Rep. Nancy VanderMeer (R-Tomah)
    •       Rep. Lisa Subeck (D-Madison), Ranking Democratic Member
    •       Rep. Daniel Riemer (D-Milwaukee)
    •       Rep. Jimmy Anderson (D-Fitchburg)
    •       Rep. Robyn Vining (D-Wauwatosa)
    •       Rep. Dora Drake (D-Milwaukee)

    Senate Committee on Health

    •       Sen. Rachael Cabral-Guevara (R-Appleton), Chair
    •       Sen. Patrick Testin (R-Stevens Point), Vice Chair
    •       Sen. Mary Felzkowski (R-Tomahawk)
    •       Sen. André Jacque (R-DePere)
    •       Sen. Dianne Hesselbein (D-Middleton), Ranking Democratic Member
    •       Sen. Tim Carpenter (D-Milwaukee)

  • December 21, 2022 8:15 AM | Anonymous member (Administrator)

    (Alexandria, VA) Congress has released the text of the Consolidated Appropriations Act, 2023, an omnibus funding package that will fund the government through Fiscal Year 2023. As NHPCO advised its members in a Member Alert this morning, the legislation contains measures that will affect hospices positively and negatively. We expect the legislation to pass and be signed into law later this week.

    Key developments in this legislation include the following.

    • Telehealth extension: The legislation extends hospice telehealth flexibilities through the end of 2024, which were initially enacted as part of the CARES Act in 2020. This allows hospice patients and providers to continue to use telehealth for low touch, face-to-face visits prior to recertification for the hospice benefit. Patients will also be able to continue to participate in telehealth visits from home. 
    • Continued slowdown of hospice caps: The legislation extends the cap calculation methodology implemented by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. For years that measure has slowed the growth of the hospice aggregate cap, reducing the total amount a hospice can be reimbursed for care provided to patients, as compared to the rates set prior to the IMPACT Act. The FY23 omnibus extends that IMPACT Act aggregate cap methodology by another year to 2032, meaning that for the next decade many hospices will have to do more with less to continue providing patient care.
    • Cap cut avoided: Beyond extension of the IMPACT Act methodology, there was some consideration to MedPAC’s recommendation to outright decrease the hospice aggregate cap by 20 percent. That cut was averted, protecting hospice patients and providers.
    • Expanded definition of the IDT: The legislation will allow hospices, starting in 2024, to use marriage and family therapists (MFTs) and mental health counselors (MHCs) as part of the hospice interdisciplinary team. There is no requirement for hospices to use MFTs or MHCs and a social worker is still required if needed under a patient’s plan of care.
    • Focus on Grief and Bereavement: Noting that more Americans are experiencing grief due to COVID-19 losses, the bill designates $1,000,000 for assessing the feasibility of developing consensus-based quality standards for high-quality bereavement and grief care. It also directs the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) to collaborate with other health officials to evaluate and report on the scope of need for high-quality bereavement and grief services, including a focus on the role of hospices in community services.

    “This package is a mixed bag for hospices. On the one hand, NHPCO members have been actively advocating for telehealth extension, against a 20 percent cap cut, and for national approaches to supporting grief and bereavement services. Those provisions are wins for patients, families, and communities across the country, as is the inclusion of marriage and family therapists and mental health counselors as part of the hospice interdisciplinary team,” said NHPCO COO and interim CEO, Ben Marcantonio “Thank you to everyone who has reached out to their elected officials on these issues. On the other hand, Congress has extended the slowdown of the growth of the hospice aggregate cap, even though the evidence shows that the seven percent reductions already implemented through the IMPACT Act have limited access to hospice care among patients with Alzheimer disease and other dementias.”

    Marcantonio continued, “Avoiding an across-the-board cap cut, while facing continued slowdown of cap growth is like two steps forward, one step back. Forty years after the creation of the Medicare Hospice Benefit, in bleak economic times, Congress has decided to put to the next ten years of hospice care at risk by continuing to recklessly use hospice as an ATM.”

  • December 01, 2022 9:03 AM | Anonymous member (Administrator)

    WASHINGTON, D.C. — U.S. Senator Tammy Baldwin (D-WI) joined her fellow co-chairs and co-founders of the Senate Comprehensive Care Caucus, Senators Jacky Rosen (D-NV), John Barrasso (R-WY), and Deb Fischer (R-NE), in passing a bipartisan resolution recognizing November 2022 as National Hospice and Palliative Care Month. National Hospice and Palliative Care Month, observed in November, honors the work and dedication of long-term and palliative care providers and volunteers, and the critical services they provide to families and their loved ones facing serious illnesses. This resolution is endorsed by the Coalition to Transform Advanced Care (C-TAC) and the National Hospice and Palliative Care Organization (NHPCO).

    “Serving as my grandmother’s primary caregiver as she grew older, I know the world of difference it makes in someone’s life to have compassionate palliative care,” said Senator Baldwin. “I’m proud to have passed this bipartisan resolution to recognize the importance of palliative and hospice care, and look forward to continuing our work to improve the quality of life for the millions of Americans facing serious illnesses.”

    “I am proud to have passed this resolution to designate November as National Hospice and Palliative Care Month,” said Senator Rosen. “As someone who took care of my parents and in-laws when they aged, I know just how critical access to quality long-term care and supportive services is. This resolution will recognize all the ways in which hospice and palliative care providers improve the quality of life of so many patients and their caregivers.”

    “I have experienced hospice care as both a doctor and family member,” said Senator Barrasso. “Hospice lets patients enjoy the highest quality of life when they need it most. Our bipartisan resolution recognizes all of the dedicated hospice providers in Wyoming and across the country.”

    “By marking November as National Hospice and Palliative Care Month, we can raise awareness about the benefits this type of care can provide,” said Senator Fischer. “Through our bipartisan work in the Comprehensive Care Caucus, we’ll continue to promote access to quality health care.”

    “It means a great deal to our providers to have this congressional honor from the Senate,” said NHPCO COO and Interim CEO, Ben Marcantonio. “This year marks the fortieth anniversary of the first Proclamation recognizing November as National Hospice Month. Hospice and palliative care providers work tirelessly to meet patients and their families where they are with compassionate care that places the individual at the heart of their own healthcare decisions. We thank Senators Rosen, Barrasso, Baldwin, and Fischer for continuing this important tradition of honoring and supporting the hospice and palliative care community. ”

    “Once again, Senators Rosen, Barrasso, Baldwin, and Fischer should be commended for drawing attention to serious illness and the tremendous value of palliative care and hospice services for millions of individuals and their families across the nation,” said Jon Broyles, CEO of the Coalition to Transform Advanced Care. “Thank you for the introduction and passage of this bill to designate November as National Hospice and Palliative Care Month. We believe in access to high-quality, equitable serious illness care that reflects individual care preferences. This should cover needed palliative care and community-based services and supports, and hospice care. For C-TAC, educational efforts to share information on the value and need for palliative care and hospice and the staff and volunteers that provide this essential care is a year-round effort, and we are so pleased to have these issues highlighted each November by our friends in the U.S. Senate.”

    Senator Baldwin has been committed to improving the quality of life for palliative care patients and their families. Senator Baldwin leads the bipartisan Palliative Care and Hospice Education and Training Act with her colleague Senator Capito (R-WV) and in 2021, she introduced the bipartisan Expanding Access to Palliative Care Act with Senators Barrasso, Fischer, and Rosen. The legislation would allow palliative care to be covered concurrently with curative treatment for illness under Medicare.

    An online version of this release is available here.

Wisconsin Hospice and Palliative Care Association

563 Carter Ct, Suite B

Kimberly, WI 54136

Phone: 920-750-7726 | Fax: 920-882-3655


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