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Launched in 2017, the hospicecompany serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. As we look at diversity, language barriers and being more inclusive, were doing a better job of providing Medicare beneficiaries with more care. How does Stillwater Hospice approach growth?
This year brought the return of Medicare sequestration, and pandemic-driven disruption in referral streams are lingering. Generally, fewer clinicians has meant fewer patients have been receiving hospicecare, according to industry observers and companies’ own reports. The company saw a 10.6%
The 2025 proposed hospice rule is raising some questions along with payment rates. Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% increase in hospice per diems for 2025. We know that hospicecare has demonstrated $3.5 Hospicecare saves Medicare roughly $3.5
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 company operated dozens of locations across Texas. Of that amount, Merida actually received $124 million.
Four national hospice and senior care industry groups have called on Congress and the U.S. Centers for Medicare & Medicaid Services (CMS) to make regulatory and legislative changes to instill stronger program integrity safeguards. The Hospice Program Integrity plan lists 34 recommendations that center around five key areas.
Frontpoint Health has completed its acquisition of the Texas-based home health and hospicecompany High Plains Senior Care Group (HPSC). The HPSC deal expands Frontpoint’s footprint and builds density in markets the company already serves, according to CEO Brent Korte. Financial terms were undisclosed.
The practice appears to stem from a rash of newly licensed hospices that have emerged in California, Nevada, Texas and Arizona. Some of these providers have secured licenses, as well as Medicare certification and, sometimes, accreditation. In that time frame, Nevada saw 56 newly certified hospices, and 369 emerged in Texas.
SEIU analyzed Medicare claims data showing that the average hospice transfer rate among HCA hospital discharges was nearly 40% above the national average in 2021 and represented a 50% growth rate over four years. For one, hospice utilization has been on a steady upswing nationally for several years. told Hospice News.
Home-based care, including hospice, has become an increasingly attractive space for facility-based health care providers of all walks. Assisted living and skilled nursing facilities (SNFs) have been joining the mix, taking varied routes to growth into home-based hospicecare. Among the 1.6 Among the 1.6
Home-based care provider Compassus has been on a growth trajectory for several years running – placing hospice and home health at the center of its strategic vision. Compassus provides home health, home infusion, palliative and hospicecare across 30 states. The average patient is in hospicecare for 20 or 30 days.
A coalition of hospice industry organizations recently urged the U.S. Centers for Medicare & Medicaid Services (CMS) to examine the issue and to consider actions like targeted moratoria on licenses. The agency will also implement a hospice program complaint hotline through which the public can report issues to CMS.
Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. million hospice fraud scheme.
Control of these assets also allows payer organizations to better manage the financial risks that come with the value-based payment models that many expect will overtake traditional Medicare in coming years. hospicecompany by market share and the leader of a growing for-profit provider based in the Midwest.
Developing an inpatient hospice center has been part of Oasis’ “vision” since the beginning, according to Oasis CEO Sade Bello and Hakeem Bello, director of business development. The faith-based hospicecompany received Medicare certification in 2015 and primarily serves an urban region around the Chicago area.
John Thropay, a former medical director for several hospicecompanies, to 37 months in prison for his involvement in a $2.8 million hospice fraud scheme. Among the companies for which Thropay worked was Blue Sky Hospice, located in Van Nuys, California.
The recent entry of large numbers of newly created hospice organizations in several states has heightened long-standing concerns among hospice leaders (as shared with CMS in November 2022) about the adequacy of Medicare certification, accreditation, and enforcement processes.
The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospicecare, senior housing, skilled nursing, and behavioral health. Tej Dhillon, founder and CEO of Seva Hospice, has been named a 2024 Future Leader by Hospice News. I knew of the benefit.
The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospicecare. Centers for Medicare & Medicaid Services (CMS). What has changed the most since you came into the hospice industry?
Deciding to begin hospicecare can be hard. However, Shining light hospicecare can help you, your family, and even your doctor. Working with your doctor is a critical step to ensuring that you’re getting the best possible care and treatment during this time. Can the doctor even make an impact on your hospicecare?
Hospice leaders will need to keep their eyes on five key trends in the new year when it comes to compliance, business operations and finance. Hospice utilization reached 51.7% The number of hospicecare days also saw increases, as did average length of stay and average number of patient visits per week.
The nations hospice utilization rate among Medicare decedents has once again surpassed 50%, for the first time since the pandemic. However, fraud issues in the space create questions around the quality of care patients are receiving. Hospice utilization reached 51.7% Total Medicarehospice payments in 2023 reached $25.7
.” – Jim Palazzo, CEO, Transitions Care “I was interested in PACE services just because of the similarity that it has to hospicecare and the need that it fills, often for some of the poor folks in a community. Because most of the individuals accessing PACE are going to be Medicare and Medicaid beneficiaries.
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