Hospice News

OCTOBER 31, 2024

Centers for Medicare & Medicaid Services (CMS) in response to fraud allegations that have resulted in licensure and billing privilege revocation. District Court for the Central Division of California to allow for continued Medicare licensure until the fraud dispute is resolved through the U.S. court documents stated.

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Hospice News

MARCH 4, 2025

Former NAHC President Joins New Day Healthcare, Law Firm Bill Dombi has recently stepped into two new roles following his retirement as president of the National Association for Home Care & Hospice (NAHC). New Day Healthcare LLC announced that Dombi recently joined its board of advisors.

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Hospice News

MARCH 17, 2025

Congress has passed the Full-Year Continuing Appropriations and Extensions Act 2025 (FY2025) , which allowed for continuation of several public health, Medicare and Medicaid authorities and programs. Centers for Medicare & Medicaid Services (CMS) temporarily instituted waivers during the public health emergency.

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Hospice News

JANUARY 8, 2025

Francis Healthcare System of Hawaiis hospice program. Hospice utilization reached 43.77% among Medicare decedents in Hawaii during 2022, according to a report from the National Alliance for Care at Home. Several of the hospices in the collaborative launched services in early 1980s when the Medicare Hospice Benefit was established.

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NOVEMBER 7, 2024

The Medicare Physician Fee Schedule (MPFS) is the system through which the Centers for Medicare & Medicaid Services determines payment rates for services provided by physicians and other healthcare professionals. This year’s Medicare Physician Fee Schedule rule was released last Friday (Nov.

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Hospice News

SEPTEMBER 15, 2023

For the time being, Medicare Advantage may be providers’ best bet for palliative care reimbursement. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit. This year, the number of MA plans swelled to 3,998 nationwide, up 6% from 2022.

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Hospice News

APRIL 9, 2024

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

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Hospice News

DECEMBER 12, 2024

Centers for Medicare & Medicaid Services (CMS) has not responded to congressional concerns about the hospice Special Focus Program (SFP). Set for 2025 implementation, the SFP promises to identify hospices delivering poor quality care and target them for improvement remedies.

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Hospice News

MAY 17, 2024

After three years of investigation, a federal court in Louisiana has sentenced the former owner of Canon Healthcare, Shiva Akula, to serve 240 months in prison for his involvement in health care fraud. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.

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Hospice News

JANUARY 17, 2025

Earl Blumenauers (D-Oregon)] proposal for reform incorporated both payment for some types of palliative care, and aspects of [the Medicare Care Choices Model ] that allowed some care and support prior to hospice election. Its complicated because there are so many treatments and interventions that are considered palliative.

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Hospice News

NOVEMBER 6, 2024

Hospices flagged by the SFP also will be surveyed every six months rather than the current three-year cycle and could face monetary penalties or expulsion from the Medicare program. The SFP has the authority to impose enforcement remedies against hospices with poor performance based on its algorithm.

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Hospice News

MAY 16, 2022

CVS Health Corporation (NYSE: CVS) subsidiary Aetna has selected Ohio’s Hospice and Pure Healthcare as part of the insurance company’s hospice and palliative care preferred provider network for Value-Based Insurance Design (VBID) in the Buckeye State. “This would allow for greater flexibility than the current Medicare model provides.”

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Hospice News

NOVEMBER 14, 2023

A federal jury has convicted former Canon Healthcare owner Shiva Akula for False Claims Act violations totalling nearly $47 million. 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. Williams, Jr.,

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Hospice News

DECEMBER 15, 2022

Florida-based Hope Healthcare has affiliated with Chapters Health System, a nonprofit provider of hospice, palliative care and home health, among other services. Beckwith has led Hope Healthcare for more than 30 years. NPHI NPHI Hope Healthcare CEO Samira Beckwith. Centers for Medicare & Medicaid Services (CMS).

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Hospice News

MARCH 19, 2025

After hiring their first nurse, Shayla Rowley, who is now COO, the team had plenty of knowledge about the home health and hospice aspects of Medicare Part A, which they used as the basis of their operational model. They quickly ramped up on Medicare Part B, physician care, and used it to create their service lines and billing codes.

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Hospice News

DECEMBER 21, 2023

The hospice and senior care provider Helios Care is partnering with the integrated health system Bassett Healthcare Network to bring more extensive access to hospice and palliative care to patients in central New York. In 2021, 48,644 Medicare beneficiaries in New York state elected the hospice benefit, according to the U.S.

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Hospice News

AUGUST 16, 2023

Medicare Advantage plans are connecting the dots between quality scores and care delivery costs. When choosing a hospice to work with, payers in the Medicare Advantage (MA) realm zero in on providers’ quality scores and its patient population growth potential, according to Frontpoint Healthcare CEO Brent Korte.

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Hospice News

JANUARY 10, 2025

While we predict labor markets will continue to open up, the demand for caregivers will be the most significant headwinds that hospice (and broader healthcare) continue to face. Centers for Medicare & Medicaid Services (CMS)] to design and implement effective reforms to address fraud and poor quality providers in the industry.

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Hospice News

OCTOBER 5, 2022

Addus HomeCare Corporation (NASDAQ: ADUS) has acquired Chicago-based Apple Home Healthcare, Ltd., among Medicare descendants during 2018, which is in line with the national average, the National Hospice and Palliative Care Organization reported. The post Addus Acquires Apple Home Healthcare appeared first on Hospice News.

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Hospice News

SEPTEMBER 15, 2022

A coalition of hospice and palliative care industry groups has urged lawmakers to make billing codes for telehealth available on Medicare hospice claim forms. Centers for Medicare & Medicaid Services (CMS) to develop and implement Healthcare Common Procedure Coding System (HCPCS) codes or modifiers for telehealth visits. .

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Hospice News

NOVEMBER 25, 2024

The new dementia services were developed in collaboration with the National Partnership for Healthcare and Hospice Innovation (NPHI) and the Center to Advance Palliative Care (CAPC). Centers for Medicare & Medicaid Services’ (CMS) Guiding an Improved Dementia Experience (GUIDE) payment model.

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Hospice News

MARCH 7, 2025

He most recently served as hospice executive director of Hartford Healthcare at Home, part of The Pennant Group (Nasdaq: PNTG). Elizabeth Healthcare and Trustbridge prior to its affiliation with Empath Health. In addition to his new role at Mahogany, Couzens is the lead pastor at Inspirational Bible Church.

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Hospice News

MARCH 28, 2025

Hospice utilization rates reached 26.34% among Medicare decedents in 2022, reported the National Alliance for Care at Home. The study gauged the caregiver experiences of for-profit entities as reported in Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data. This fell below the national average of 49.1%

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Hospice News

FEBRUARY 27, 2025

Florida-based VITAS Healthcare is anticipating fruitful hospice growth on its horizon. VITAS adjusted EBITDA, excluding Medicare capitation rates, reached $93.2 The Chemed Corp. Acquisitions and de novos will make up an important mix of VITAS expansion, Chairman and CEO Nick Westfall said in Thursdays earnings call.

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Hospice News

OCTOBER 11, 2023

Rechtin comes to Humana from Envision Healthcare where he is now president and CEO. All told, he has more than 22 years of experience with value-based health care and payment models, including Medicare Advantage, according to a Humana press release. Humana Inc. He transitions to the COO role for the insurance behemoth as of Jan.

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Hospice News

DECEMBER 9, 2024

VITAS Healthcare, a subsidiary of Chemed Corp. Centers for Medicare & Medicaid Services (CMS) fueled a total of $1.4 Fraudulent operators have misspent millions of Medicare dollars in recent years, though the actual amounts are difficult to narrow down. NYSE: CHE), returned to the M&A market after a several-year hiatus.

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Hospice News

MAY 12, 2023

As regulators turn their eyes toward hospice program integrity, Community Healthcare of Texas CEO Viki Jingle has seen first-hand the “heartbreaking disservice” that families experience due to unethical practices. Community Healthcare of Texas Chief Strategy Officer Robin Carter (Left), o Rep. She and Earl Blumenauer (D-Ore.)

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Hospice News

NOVEMBER 16, 2022

Nashville-based HCA Healthcare Inc. subsidiary (NYSE: CHE) VITAS Healthcare. subsidiary (NYSE: CHE) VITAS Healthcare. At a rate of 57.9%, Florida ranked fourth nationwide for hospice utilization among Medicare decedents in 2018, the National Hospice and Palliative Care Organization reported.

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Hospice News

APRIL 28, 2023

Ohio-based palliative care provider Pure Healthcare is collaborating with the nonprofit managed care organization CareSource to implement a new care management model designed to support chronically ill patients. Pure Healthcare and CareSource are both headquartered in Dayton, Ohio. It serves more than 2.3

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Hospice News

APRIL 16, 2025

Centers for Medicare & Medicaid Services (CMS) include five areas of social determinants of health: food and housing insecurity, transportation needs, utility difficulties and interpersonal safety. Screening tools developed by the U.S.

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Hospice News

APRIL 18, 2025

DBA Hope HealthCare Services. Florida-based Hope HealthCare is an affiliate of the nonprofit Chapters Health System. She is co-founder of the National Partnership for Healthcare and Hospice Innovation (NPHI) and also founder and president of the Florida PACE Provider Association.

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Hospice News

AUGUST 31, 2022

David’s HealthCare has expanded its services to include hospice and home health care in and around the City of Austin. David’s HealthCare was formed through a partnership between hospital operator HCA Healthcare (NYSE: HCA) and two nonprofit organizations — St. David’s HealthCare at Home and St. Texas-based St.

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Hospice News

JANUARY 16, 2024

So it may be fitting that the founders of New Day Healthcare crafted a vision for their company around the table in CEO Scott Herman’s Texas home. New Day Healthcare CEO Scott Herman In the past you’ve discussed your “burn the ships” strategy. Many families make home-based care decisions around a dining room table.

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Hospice News

JANUARY 17, 2025

Some other hospice industry organizations praised the lawsuit, including National Partnership for Healthcare and Hospice Innovation. This includes ensuring that the hospice SFP measures focus solely on compliance with the Medicare Hospice Conditions of Participation. Foremost, they argue that the data U.S.

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Hospice News

JUNE 11, 2024

Federal regulators should increase scrutiny of private equity activity in the hospice space, according to the National Partnership for Healthcare and Hospice Innovation (NPHI). In 2022, 5,899 hospices provided care to Medicare beneficiaries, up 10% year-over-year, according to the Medicare Payment Advisory Commission (MedPAC).

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Hospice News

NOVEMBER 1, 2023

Centers for Medicare & Medicaid Services (CMS) has finalized its 2024 home health rule, including the implementation of a hospice Special Focus Program (SFP). The final rule forbids any change in majority ownership during the 36 months after initial Medicare enrollment, including acquisitions, stock transactions or mergers.

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Hospice News

JULY 17, 2024

The Amedisys deal is among a slew of large acquisitions by Optum, which include the home health and hospice provider LHC Group and the health care tech company Change Healthcare. While the company didn’t indicate how many of these were hospice visits, a large proportion were home health activities reimbursed through Medicare Advantage plans.

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