News  OIG Issues Report on MassHealth's Administration of the Hospice Benefit

The OIG examined claims for hospice and other end-of-life care for MassHealth members and Health Safety Net users.  The goal of the review was to determine whether there were any systemic issues that made the hospice program vulnerable to fraud, waste, or abuse by providers.  In this review, the OIG examined hospice claims for 10,117 MassHealth members with dates of service from January 1, 2015 through December 31, 2016.  For this period, 67 hospice providers submitted claims to MassHealth, and MassHealth paid these providers over $153 million for 10,176 hospice stays.  MassHealth paid an average of $15,186 per member who received hospice services during this time.

For the full report see: MassHealth's Administration of the Hospice Benefit, March 1, 2018