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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.
A federal judge has sentenced Jesus Virlar-Cadena, formerly a medical director for the Texas-based hospicecompany Merida Group, to 50 months in prison for his role in a $152 million scheme. The Texas Medical Board suspended his medical license in 2019, when he pleaded guilty to the fraud charges.
“If you think about how they’ve taken on strains in their capacity, these post-acute services – home health and hospice – they can get patients out of very expensive settings,” Klementz told Hospice News at the Home Care 100 Conference. Among the 1.6 Among the 1.6
The Texas-based home health and hospicecompany VitalCaring Group was built largely through acquisitions, and the company expects to step up that strategy in 2024 with an emphasis on hospice. Centers for Medicare & Medicaid Services (CMS)] implements that. That keeps me up at night.
Humana’s two Kindred at Home transactions added notches to the company’s belt as it expands its value-based care portfolio as both a provider and payer. The divestiture fits into Humana’s stated goal of raising its enterprise value by $1 billion , while building out its health care services and Medicare Advantage business.
Hospices simply did not have enough staff to meet demand, which drove some of them out of business. Executives from almost every publicly traded hospicecompany raised this issue in earnings calls and presentations throughout the year. Centers for Medicare & Medicaid Services (CMS).
You have to have that reverse engineer look at [hospice billing] in the financial model.”. Compared to other health care settings, hospices lack diversity in revenue streams such as private insurers and Medicaid funding. Through the hospice benefit, Medicare covers nearly 90% of a provider’s patient care revenue.
When I took the reins over the business, I had always wanted to get into hospice care from personal experiences. We know people who have gone through hospice care. So in 2019 I launched a hospicecompany, which became Seva Hospice. It’s turned me into a huge advocate for hospice.
Hospice utilization reached 51.7% among Medicare decedents in 2023, up more than two percentage points from the prior year, according to recent data from the Medicare Payment Advisory Commission (MedPAC). This is the highest rate since 2019. Total Medicarehospice payments in 2023 reached $25.7
The nations hospice utilization rate among Medicare decedents has once again surpassed 50%, for the first time since the pandemic. Hospice utilization reached 51.7% in 2023, up more than two percentage points from the prior year, according to recent data from the Medicare Payment Advisory Commission (MedPAC).
Medicare is going to set higher standards for nursing homes and make sure your loved ones get the care they deserve and expect.”. With these factors in mind, a rising number of patients are being cared for by PE-owned hospices. Even President Joe Biden called out PE investors during his State of the Union address this year. “As
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