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Hospices coast-to-coast have undergone leadership transitions, including changes in legal executives and a slew of newly appointed CEOs, among other roles in the industry. Texas-based New Day provides home health, hospice, palliative and personal care services across 31 locations in Illinois, Kansas, Missouri and in its home state.
Social media has emerged as a crucial engine for hospice marketing, allowing them to reach consumers directly rather than through a referral source. Hospices can post on social media with a few clicks of a mouse, but marketing effectively via those channels requires a bit more thought.
But palliative providers have long-faced a challenging reimbursement trajectory in supporting their sustainability, she said during Hospice News virtual Palliative Care Outlook Summit. Launched in 2016, the MCCM model was designed to curb costs, improve quality and family satisfaction, and keep patients in their homes.
Hospice providers and patients are having difficulty procuring medications due to nationwide drug shortages, threatening quality of care and patients’ access to hospice. Medication shortages can serve as a barrier to transitioning to hospice,” Paglino told Hospice News in an email. NYSE: CHEM).
Gavin Newsom (D) recently approved legislation that expands upon last years’ moves to strengthen hospice oversight in the state, among other enforcement actions. The bills — Senate Bill 664 and Assembly Bill 1280 — followed a Los Angeles Times investigation into alleged misconduct among hospice providers statewide. California Gov.
The Dallas-based home health and hospice provider Intrepid USA will pay $3.85 The company was accused of enrolling patients for both home health and hospice services who were not eligible. The company was accused of enrolling patients for both home health and hospice services who were not eligible. Department of Justice.
Residential Hospice has acquired Illinois-based Safe Haven Hospice from the senior living provider Christian Horizons for an undisclosed sum. More than 57,000 Illinois residents enrolled in hospice during 2021, a utilization rate of about 47%, according to the U.S. Graham went on to acquire Residential Hospice in 2014.
Canon Healthcare was a New Orleans-based hospice provider that also served the Baton Rouge and Covington, Louisiana, markets, as well as parts of Mississippi. Between 2013 and 2016, the company billed Medicare for $62 million and received $47 million in payments, according to the U.S. Justice Department.
A hospice physician in California is facing up to a decade in prison after pleading guilty for their involvement in a kickback fraud scheme that bilked Medicare of nearly $30 million. Contreras served as a physician for two Pasadena-based providers, Saint Mariam Hospice Inc. and Arcadia Hospice Provider Inc. Meanwhile, St.
A group of 17 Illinois health care organizations is collaborating to expand access to home-based primary care, including a number of hospice and palliative care providers. Among the participants is Lightways Hospice and Serious Illness Care. To maximize their opportunity, hospices have to adapt to taking on that role.
NYSE: HCA) and the University of Central Florida (UCF) recently added a new graduate fellowship in hospice and palliative care medicine to their existing repertoire of training programs. Demand for culturally diverse hospice and palliative care in Florida is growing as minority aging populations swell. Utah held the highest rate at 60.5%
As health care stakeholders work to improve care coordination, more hospices are exploring home-based primary care. Organizations that are delivering hospice and palliative care now are looking to the future and wanting to provide more of a full-service solution for seriously ill patients,” Singleton told Hospice News.
Given the critical role of family caregivers in home-based care, hospices have a vested interest in expanding their access to support. And while hospices offer social workers and spiritual care, many families continue to have unmet needs that could impede some patients’ access to hospice.
Guaranteed’s New SVP of Growth, Strategy Tech-enabled hospice startup Guaranteed has named Ryan Malone as its new senior vice president of growth and strategy. Previously, he was head of growth at Mavencare, and served in sales manager and director roles at Hometeam from 2013 to 2016.
As hospice program integrity remains in the spotlight, California remains the only state to take action on curbing the problem. Beginning in 2021, numerous reports emerged of unethical or illegal practices among hundreds of newly licensed hospices, particularly among new companies popping up in California, Texas, Nevada and Arizona.
Two hospice fraud cases are moving forward in California and Arizona, states that some stakeholders consider to be potential hotbeds of malfeasance in the space. False Claims Act violations in California San Gabriel Hospice & Palliative Care submitted roughly $3.67 Karen Sarkisyan, a.k.a.
Three such organizations currently have deeming authority for hospices, The Joint Commission, the Accreditation Commission for Health Care (ACHC) and Community Health Accreditation Partner (CHAP). In 2022, for example, CMS revamped the hospice survey process as mandated by the Consolidated Appropriations Act of 2021.
Hospices, in aggregate, are showing improvement on the quality measure for visits in the last days of life. In Calendar Year 2021, the share of hospice care days with nurse visits in the last seven days of life rose to 63%, up from 62% year over year, according to the National Hospice and Palliative Care Organization (NHPCO).
The omnibus spending bill to currently before Congress includes provisions that would extend the waiver for recertification using telehealth through the end of 2024, among other items pertaining to hospice. For many hospices, what began as a temporary measure has evolved as an integral part of clinical operations.
Centers for Medicare & Medicaid Services (CMS) allowed hospices to perform routine home care visits virtually, as well as conduct face-to-face recertification visits. Congress has extended hospices’ ability to do recertifications via telehealth through Dec. The first version of the bill was introduced in 2016. The post U.S.
has acquired Trio Home Health Care and Hospice, growing its reach in the Lone Star State, which is a key focus area for the company. This latest acquisition fills our quest to expand our geographic footprint within our primary service areas,” said Jet Health CEO Stace Bratcher in a statement shared with Hospice News.
Program integrity issues that have heated up in the hospice space during the past five years reached a boiling point in 2023. Hospice providers have seen an array of increased regulatory oversight in 2023. There is scrutiny on hospice care [that’s] setting the stage for the next phase of what hospice oversight looks like.
Michigan-headquartered Residential Hospice has acquired Comfort Hospice in Missouri and Grace Hospice in Ohio for undisclosed amounts. Residential purchased the two hospices from health care company U.S. Medical Management will retain its hospice locations outside of St. Hospice utilization in Missouri reached 50.2%
The work being done at CMMI has a direct impact on hospice providers. CMS is gradually migrating some hospice payment structures towards value-based care programs. CMS is gradually migrating some hospice payment structures towards value-based care programs. The center is a component of the U.S.
Justice Department has indicted Eduardo Lopez, a former hospice executive and current senior vice president of a private equity firm, for violations of the Sherman Act. Lopez is charged with agreeing to “suppress and eliminate competition” for nursing services between March 2016 and May 2019, the U.S. Justice Department has indicated.
Hospice providers are increasingly focused on memory care settings and physician offices as referral sources. Though many hospices see facility-based care as their primary referral engines, a growing base of providers are seeking ties to community-based organizations to increase access and utilization this year.
A federal court has sentenced Liana Karapetyan, former co-owner of California-based ANG Health Care, Excel Hospice, and Excel Home Healthcare, to 18 years in prison for hospice fraud and anti-kickback violations. Atoyan was co-owner of the hospice and home health businesses and has pled guilty for his role in the scheme.
The trend is an aim to address prolific workforce shortages, including in hospice, but could also have impacts on improving diversity, equity and inclusion. Seigel leads the nonprofit senior living and health care organization’s home- and community-based services, which include hospice.
Careful management of hospice care manager workloads correlates with longer lengths of stay. For many patients length of stay is a week or less, which is too short for them to receive the full benefit of hospice care. Among the hospices that BerryDunn surveyed, 88% of the best performers kept case managers’ workloads between 13 to 18.
Among those demos is the Medicare Care Choices Model (MCCM), which ran between 2016 and 2021. Patients that utilized community-based palliative care services were more likely to enroll in hospice further upstream, she indicated. “We We also think it would most likely result in driving more timely access to hospice.”
Increased hospice oversight aimed at curbing fraud in the industry could come with a mixed bag of financial and operational impacts for providers. Centers for Medicare & Medicaid Services (CMS) has honed in on hospice program integrity, rolling out a swath of new measures to reduce fraud, waste and abuse in the space.
A federal court has dropped a False Claims Act (FCA) case against hospice provider Care Alternatives that has been working its way through the legal system for 16 years. Supreme Court ruled in favor of the plaintiff in 2016. The post Federal Court Dismisses Care Alternatives Hospice Fraud Case appeared first on Hospice News.
Hospice providers can face legal repercussions if they don’t strike the right balance in their payroll practices. Miscalculated compensation or miscommunicated policies are among the most common reasons that hospices are facing legal concerns related to staff compensation, according to Russell Bruch, partner at Morgan Lewis.
Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. Medicare Advantage currently does not cover hospice care.
The future outlook of hospice compliance is a mixed bag of uncertainty as program integrity oversight heats up alongside evolutions in telehealth regulation. Hospices today are facing one of the most challenging regulatory environments that the industry has seen, according to Pamela Duncan Owens, chief compliance officer of Agape Care.
A federal court has sentenced Akop Atoyan, former co-owner of three California home health and hospice agencies, to 25 months in prison for health care fraud and kickback schemes. He and his wife Liana Karapetyan owned ANG Health Care, Excel Hospice, and Excel Home Healthcare in the Sacramento area. Atoyan pled guilty to the changes.
Certificate of need (CON) laws have a huge influence on hospices’ ability to expand, patients’ access to care, as well as the competitive landscape and quality of care in a given market. . It really depends on the current culture of the state,” Lund Person told Hospice News. Currently, 14 states have CON laws that include hospices.
Hospices should be paying close attention to effective development and adherence to care plans when it comes to compliance in 2023. Centers for Medicare & Medicaid Services (CMS) has implemented significant changes to the hospice survey process effective Jan.
IntellaTriage has acquired NurseLine, a national provider of hospice and home health triage services. Established in 2008, IntellaTriage provides after-hours nurse triage services for a range of health care providers, including hospice and home health providers, hospitals, physician groups, health plans and specialty practices.
The nonprofit hospice and senior services provider plans to offer primary care to a larger population of chronically ill patients with an emphasis on the Arlington County, Virginia, region. A number of hospices have launched their own programs or partnerships with other providers. million primary care visits in 2016.
“The interdisciplinary nature of palliative care, especially the inclusion of social workers, positions palliative care nicely to help to address the myriad needs that people have,” Maxwell told Hospice News. For example, 2016 research found that close to 3.6 Cameron Muir, M.D.,
The health care system, in both private and public settings, that is engaged with financing, managing, and providing palliative and hospice care must directly address the issue of racism, discrimination, and disparities, particularly among marginalized underserved non-Hispanic Blacks,” authors stated in the study. Researchers from Charles R.
All Ireland Institute of Hospice and Palliative Care (AIIHPC ) conducted the research on public perceptions of palliative care. The results show that people were less inclined to discuss palliative care than they were in previous surveys in 2015 and 2016. The survey polled 1,000 people in the Republic of Ireland throughout July 2023.
After more than a decade working in hospice leadership, Alli Collins came across something she had never seen before — a financially viable, all-volunteer provider that is not Medicare-certified. I am the new executive director for Hospice and Palliative Care of the Wood River Valley. One of them is a retired CEO of St.
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