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As Headwinds Rage, Large Hospice Companies Lay Groundwork for Potential 2023 Growth

Hospice News

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 hospice care, according to industry observers and companies’ own reports. The company saw a 10.6%

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CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

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 hospice care has demonstrated $3.5 Hospice care saves Medicare roughly $3.5

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Frontpoint Health Acquires High Plains Senior Care Group

Hospice News

Frontpoint Health has completed its acquisition of the Texas-based home health and hospice company 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.

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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 company operated dozens of locations across Texas. Of that amount, Merida actually received $124 million.

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Hospice Advocacy Groups Call on CMS, Congress to Strengthen Program Integrity Oversight

Hospice News

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.

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

Hospice News

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.

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What New Allegations that HCA Healthcare Pressured Patients Mean for Hospices

Hospice News

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.