Run program integrity & fraud control

Year 1 onward · UHA Program Integrity; HHS-OIG; DOJDiscuss this step

Medicare hospice benefit

amendedYear 1Federal programs

Today

Per-diem payment for terminally ill patients who forgo curative treatment; rapid growth of for-profit hospices with documented fraud.

Under the plan

Continues under UHP with concurrent care allowed (patients need not give up curative treatment) and enhanced program-integrity review.

Trade-off

Concurrent care improves end-of-life choice but raises spending; stricter review burdens legitimate hospices.