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1 at Large, 1 Facing 10 Year Imprisonment in California $30M Hospice Fraud Scheme

Hospice News

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.

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Hospice Medical Director Receives 50-Month Prison Sentence for $150M Fraud

Hospice News

A federal judge has sentenced Jesus Virlar-Cadena, formerly a medical director for the Texas-based hospice company 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.

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Why Skilled Nursing, Assisted Living Operators Invest in Home-Based Hospice Programs

Hospice News

“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

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VitalCaring Primed for Hospice Expansion in 2024

Hospice News

The Texas-based home health and hospice company 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.

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5 Most Game-Changing Hospice Deals from 2022

Hospice News

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.

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5 Numbers that Shaped Hospice in 2022

Hospice News

Hospices simply did not have enough staff to meet demand, which drove some of them out of business. Executives from almost every publicly traded hospice company raised this issue in earnings calls and presentations throughout the year. Centers for Medicare & Medicaid Services (CMS).

2022 246
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Hospital, Health System Activity Creating ‘Very Disruptive Point’ in Hospice M&A Landscape

Hospice News

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.

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