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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Department of Health & Human Services Office of the Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC), and the Government Accountability Office.

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M&A Volume May Shift From Hospice to Home Health

Hospice News

Transaction volume declined in the hospice and home-based care space in 2023, following the two record-breaking prior years. Only three hospice deals took place in the third quarter of this year compared to 11 in Q3 2022 and 18 in the same period in 2021, according to The Braff Group. But additional data point to a resurgence.

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What Hospices Can Learn from Home Health Agencies on New Program Integrity Rules

Hospice News

Hospices seeking to gauge the potential impact of new regulatory actions in the space can look to their counterparts in the home health field. CMS is no doubt hoping for similar results for the Medicare Hospice Benefit. Their recommendations included a temporary moratorium on new hospices enrolling in Medicare.

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Three Key Gauges of Hospice Business Performance

Hospice News

Rising expenses caused widespread margin compression among hospices during 2022, particularly those associated with wages and salaries, recruitment and retention, fuel and general inflation. “We’re This may include Medicare Advantage plans, ACOs and other entities. Medicare is the most reliable payer [for hospice].

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Hospice M&A Going Strong, But Non-Medical Home Care a Rising Star

Hospice News

Deal volume for non-medical home care companies outstripped that for hospice or home health during the first half of the year. As of the end of Q2, this included 23 deals compared to 17 each for Medicare-certified home health and for hospice, according to a report by M&A advisory firm Mertz Taggart.

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CMS Proposes ‘36-Month Rule’ to Curb Hospice License ‘Flipping’

Hospice News

Some of these providers have secured licenses, as well as Medicare certification and, sometimes, accreditation. They then proceed to enroll a small number of patients for whom they never bill Medicare, multiple hospice executives told Hospice News on background. By not billing, they are better able to avoid regulators’ attention.

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How Home Health, Personal Care Reimbursement Guiding Addus’ M&A Strategy

Hospice News

Hospice multiples broke records in 2020, 2021 and 2022, reaching as high as 29x. Potential shifts in home health reimbursement are also driving the company’s M&A decisions, Poff stated during an earnings call earlier this year. Proposed changes could make home health deals more attractive, he indicated.