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U.S. Senators Call on CMS to Boost Palliative Care Resources

Hospice News

Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, calling for a payment model demonstration designed to support greater access to palliative care. Many hospices are currently participating in other CMMI programs, including the value-based insurance design demonstration (Medicare Advantage carve-in.

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Hospice Care Found Lacking in Assisted Living Setting

Hospice News

Hospices that see higher numbers of patients in assisted living facilities tend to have lower quality scores than other providers, research has found. The findings point to possibly growing gaps of unmet needs among hospice patients in assisted living (AL) settings, according to the researchers.

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Excel Hospice Owner Sentenced to 18 Years for Fraud, Kickbacks

Hospice News

“In total, Atoyan, Karapetyan and others caused the agencies to submit over 8,000 claims to Medicare for the cost of home health care and hospice services. Based on those claims, Medicare paid the agencies approximately $31 million,” the U.S. Justice Department indicated in a statement. Attorney Phillip Talbert.

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CMS to Sunset Look-Alike Dual-Eligible Special Needs Plans in 2023

Hospice News

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Some hospice patients rely on these plans for other health needs, such as nursing home costs.

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California Hospice Owner Receives 25 Months in Prison for Fraud, Kickbacks

Hospice News

Justice Department accused the pair of submitting thousands of false claims to Medicare and of arranging more than $2 million in kickbacks in exchange for referrals. In total, Atoyan, Karapetyan and others caused the agencies to submit over 8,000 claims to Medicare for the cost of home health care and hospice services. “In

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Regulatory Focus in Hospice Giving Buyers Pause in M&A Deals

Hospice News

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Two OIG reports in 2019 shook the industry with findings that condition-level deficiencies posed safety risks to patients.

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How New Day Healthcare Is Rethinking Home-Based Care Delivery

Hospice News

Assisted living facilities were restricted. So a lot of my trusted colleagues say down in my dining room table in late 2019. The skyrocketing increase in Medicare Advantage enrollees hit our home health business, causing costly, deeper disruptions. At the time, facilities were closed.