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Anti-kickback and health care fraud cases have recently cropped up in two southern states, with hospice personnel facing millions in fines and one owner facing imprisonment for their involvement. David Lovell, its founder and owner, launched the for-profit hospice in 2010, and the enterprise became Medicare-certified in 2012.
Kristal Glover-Wing, the former owner of Louisiana-based Angel Care Hospice, has been found guilty of one count of conspiracy to commit health care fraud and three counts of health care fraud. Justice Department, Angel Care enrolled 24 patients in hospice between 2009 through 2017 who did not meet Medicare eligibility requirements.
Hospice providers will be looking to Congress in 2024 to address issues related to program integrity, quality improvement and industry-wide workforce pressures. As legislative efforts develop, hospices may want to focus their attention on a few key legislators. We don’t have confidence in the algorithm that they proposed.
Department of Justice (DOJ) is prioritizing hospice as the agency cracks down on health care fraud. DOJ counts hospice claims among the root causes of rising Medicare costs in recent years, according to Lisa Miller, deputy assistant attorney general overseeing the department’s Crime Fraud Section.
Earl Blumenauer (D-Oregon) has emerged as a champion for hospice policy and reform, but he will not seek re-election to Congress in 2024. Since then, he has sponsored a number of bills designed to improve the quality of hospice care as well as combat fraud in the space. In recent years Rep. House of Representatives.
Croix Hospice recently unveiled data showing how the company leveraged predictive analytics technology to improve quality outcomes. In 2019 the Minnesota-headquartered hospice provider began utilizing a predictive analytics tool from Medalogix. Croix Hospice. Established in 2009, St.
The University of Pittsburgh Medical Center (UPMC) Somerset health system is halting inpatient services at its Pennsylvania-based hospice facility, effective Aug. Closure of the In Touch Hospice center has inflamed the community, with cries growing louder to urge UPMC to reconsider the move.
Ohio-headquartered CommuniCare Health Services recently acquired hospice and home health provider Stonerise, expanding the company’s reach in its home state as well as West Virginia. The company was established in 2009. Hospice utilization among Medicare decedents in West Virginia reached 43.6%
The hospice, palliative care, and home health network Care Synergy has become the national center for the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program, developed by Johns Hopkins University. The Johns Hopkins School of Nursing launched CAPABLE in 2009 and since then has overseen the program nationally.
A recent court decision in a False Claims Act (FCA) case involving hospice provider Care Alternatives may set a precedent that could influence similar cases. Additional allegations of hospice fraud came the following year in November 2009, when the U.S. The current appellate case seeks to overturn that ruling.
Four former employees of Care Alternatives have alleged that the New Jersey-based company billed Medicare for hospice services when patients were not eligible to receive them. Additional allegations of hospice fraud came the following year in November 2009, when the U.S. The lawsuit was filed in the third circuit U.S.
The Southern District Court of Mississippi granted hospice provider SouthernCare Inc.’s Former SouthernCare nurse Rhonda McClinton filed a qui tam complaint against the organization in 2016, alleging that the hospice provider submitted hospice claims to Medicare for patients who were not eligible and billed for services it did not provide.
The hospice space — and the health care system at large — is in a state of flux, driven by value-based reimbursement models, an expanding home-based care continuum and industry-changing transactions. All of these factors herald big changes for Amedisys and the hospice community at large. Before that, he was president of Walgreens Co.,
Stretching back more than a decade, a rising number of states have passed laws designed to raise awareness of hospice and palliative care, but to date, few if any have achieved measurable results. Some states offer hospice- and palliative care-themed license plates or designate an official Hospice and Palliative Care Awareness Month.
Summary Transcript Summary In November of 2022, Ava Kofman published a piece in the New Yorker titled “How Hospice Became a For-Profit Hustle.” Some viewed this piece as an affront to the amazing work hospice does for those approaching the end of their lives by cherry picking stories of a few bad actors to paint hospice is a bad light.
De novos have propelled recent growth among some hospice providers. Hospice of the Midwest expands with de novo Hospice of the Midwest recently opened a de novo in Marshalltown, Iowa, adding a fifth location to its footprint in the state. The hospice provider also has two locations in Minnesota and one in Nebraska.
We also invited Beth Klint to speak about the doula’s role within a traditional hospice organization. Alex: We’re delighted to welcome Beth Klint who is executive director of Goodwin Hospice and is joining us from the DC, Northern Virginia area along with Jane. Hospice volunteers do lots of things. Why Beth?
Hospice Supports Families as Well as Patients. Fortunately, as America has begun going home to die with higher quality of life at ever increasing rates, the hospice industry has also grown to support that. In 1984, there were only 31 Medicare-certified home hospice agencies. Caregiver Education in Hospice.
This unexpectedly and undesirably increased health insurers’ medication costs, including Medicare and Medicaid (22). Competing Interests : Dr. Kollas recently served as Secretary on the Board of Directors of the American Academy of Hospice and Palliative Medicine (AAHPM). Anderson Cancer Center Orlando. ISSN 0885-3924. Twillman B.
Many years ago for the first study; I believe it was in 2009, 2010; I met with Susan Mitchell at the Institute for Aging Research, and told her that I wanted to study the use of feeding tubes for people with advanced dementia. And I wrote a paper a couple years ago, entitled Forced to Choose: When Medicare Policy Disrupts End of Life Care.
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