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Hospices nationwide have been diversifying their services to include palliative care, PACE, home-based primary care and a host of other business lines. However, some organizations have found success with disease-specific programs reimbursed through the MedicareHospice Benefit. Also in 2024, The Connecticut Hospice Inc.
A Ventura County, California, physician has been sentenced to 24 months in federal prison for Medicare fraud for medically unnecessary hospice services. Dr. Victor Contreras worked for two hospices in Pasadena California Arcadia Hospice Provider Inc., and Saint Mariam Hospice Inc. Justice Department indicated.
Petros Fichidzhyan, 44, of Granada Hills, California, has been sentenced to 12 years in prison and three years of supervised release for his role in a mulit-year scheme to defraud Medicare of more than $17 million. Fichidzhyan committed the fraud through sham hospicecompanies and a home health company that he owned, according to the U.S.
A guilty plea has been filed in a hospice fraud scheme that allegedly bilked Medicare for $17 million in false claims. Fichidzhyan was among the five individuals that the FBI arrested in June 2024 in connection with the hospice fraud and money laundering scheme. Justice Department.
Montana-headquartered Stillwater Hospice has found a successful rhythm to strategic rural-based growth and sustainability. Launched in 2017, the hospicecompany serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. If youre a rural hospice, you may have higher reimbursement needs.
The nation’s publicly traded hospicecompanies are primed for more acquisitions after a 2023 slump, fueled by census and growth. Transaction volume declined in the hospice and home-based care space in 2023, following the two record-breaking prior years. Case in point, VITAS Healthcare, a subsidiary of Chemed Corp.
After a rocky year for M&A, two of the publicly traded hospice providers are poised to pursue more deals in 2024. While the majority of the hospice industry is not publicly traded, the actions of those large companies can have an impact on smaller organizations that are on the hunt for deals. Its hospice segment earned $53.1
Labor shortages and other headwinds have battered hospices during 2022, including large companies. This year brought the return of Medicare sequestration, and pandemic-driven disruption in referral streams are lingering. This includes the home health and hospice provider Amedisys (NASDAQ: AMED). “On The company saw a 10.6%
A federal jury has convicted Dr. John Thropay, a hospice medical director, on charges of health care fraud in a $2.8 Thropay was the medical director of several hospicecompanies, including Blue Sky Hospice, based in Van Nuys, California. The post Blue Sky Hospice Medical Director Convicted of $2.8M million scheme.
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.
The FBI has arrested five people in connection with a $15 million hospice fraud and money laundering scheme. The arrests took place in California, a state that has been rife with hospice fraud in recent years, along with Arizona, Texas and Nevada. The post FBI Arrests 5 in $15M Hospice Fraud Plot appeared first on Hospice News.
Years after it was first introduced, hospice leaders are calling on Congress to move forward legislation that would bolster their dwindling workforce. The most significant bill in recent years is the Palliative Care and Hospice Education Training Act (PCHETA), which has come before Congress time and again but has not yet been passed.
Hospices and Accountable Care Organizations have the ability to customize payment contracts within the Realizing Equity, Access and Community Health (ACO REACH) program. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. Effective Jan.
Hospice operators in 2024 are navigating a rapidly transforming environment. The prior three years have laid the groundwork for change, particularly in the regulatory space as well as gradual migration towards value-based reimbursement and in tandem, the proliferation of business lines beyond hospice.
Some hospice owners have been selling their businesses soon after securing a license. 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.
Medicare Advantage organization SCAN Group has invested an undisclosed dollar amount in tech-enabled hospice startup Guaranteed. The move comes nearly a year after California-based Guaranteed launched in August 2022, when founder and CEO Jessica McGlory began her own provider company two years after her father passed away.
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. Several co-conspirators were also convicted, including the company’s owner, Rodney Mesquias, and CEO Henry McInnis.
Justice Department has indicted three individuals who are linked to California hospices on alleged False Claims Act violations, among other charges. Karen Sarkisyan, Gayk Akhsharumov, and Babken Chalkadryan, of San Gabriel Hospice & Palliative Care and Broadway Hospice were each charged in the U.S
Two hospice fraud cases are moving forward in California and Arizona, states that some stakeholders consider to be potential hotbeds of malfeasance in the space. False Claims Act violations in California San Gabriel Hospice & Palliative Care submitted roughly $3.67 million in false and fraudulent claims to Medicare, of which $3.18
Some hospicecompany leaders have signaled the labor market may be showing signs of stabilization. This is of particular significance for hospices that also provide palliative care, home health, or other upstream services.
Most hospices are sliding into 2023 between a rock and a hard place, beset by headwinds, labor shortages and questions with no easy answers. Government oversight of hospice providers will tighten during 2023. Hospices have faced ever-intensifying scrutiny from regulators in recent years. Be ready for regulation.
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 We know that hospice care has demonstrated $3.5
The Texas-based home health and hospicecompany VitalCaring Group was built largely through acquisitions, and the company expects to step up that strategy in 2024 with an emphasis on hospice. The company, which also offers pediatric and companion care, has also opened a few de novos and has more planned for this year.
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 hospice care across 30 states. Thinking about legacy Compassus, we began as and have been a hospicecompany.
In 2022, the hospice community laid the groundwork for a transformational 2023. Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. The following are the most-read Hospice News articles of 2022. #1
Though hospice deal volume dipped in 2022 compared to previous years, five particular transactions could paint a larger picture of where investors see value in the space. These interesting, unusual or groundbreaking deals could signal what’s to come in 2023 and help shape the hospice market’s long-term future. This was Humana Inc.’s
New rules for changes in hospice ownership are likely to slow down or kill some mergers and acquisitions, according to Ari Markenson, partner at the law firm Venable LLP. Another recently proposed rule would require anyone who holds 5% ownership or more in a hospice must submit to a criminal background check, including fingerprints.
Rumors that the company would come up for sale began circulating earlier this month following reports from the Wall Street Journal, which also reported that Amazon was in the running as a buyer. None of the companies are commenting to the media about a potential sale or bids.
In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. Frontpoint Health has completed its acquisition of the Texas-based home health and hospicecompany High Plains Senior Care Group (HPSC). You can subscribe to Palliative Care News here: Subscribe today!
Hospices are blazing trails toward growth, each provider with its own range of strategies. Regardless of providers’ disparate methods, hospice remains a high-growth industry, expanding at an annual rate of 7% to 8% annually, Bank of America (BofA) Global Research reported in TKTK. Hospice News edited comments for length and clarity.
More hospitals and health systems are stepping into the home-based hospice space, often seeing joint ventures as a promising route to a return on their investment. You’re seeing different types of transactions taking place in hospice and home health,” Mark Kulik, managing director at M&A advisory firm The Braff Group, told Hospice News.
Also on the table is the question of how to meet the needs of Medicare beneficiaries who increasingly seek to receive care in their homes, according to Center for Medicare & Medicaid Innovation (CMMI) Director Elizabeth Fowler. “In Going forward, this could mean greater collaboration with private-sector payers and providers. .
(NYSE: EHAB) is continuing to mull over a potential sale, with executives providing few details as the company determines its next steps. The Dallas-based home health and hospicecompany has been digging into a strategic review process since August that could result in a possible sale or merger of some or all of its assets. “As
The contract between those two companies contained a “Superior Proposal Clause” that enabled the home health and hospice provider to pull out if they received a better offer. Another factor is the rising tide of Medicare Advantage, particularly on the home health side. Billion Transaction appeared first on Hospice News.
“Shady” brokers allegedly continue to facilitate “license flipping” among fraudulent hospices, though new regulations have started bearing down on the practice. Right now they’re selling like hot tamales from anywhere between $300,000 to $500,000 per license,” one former hospice leader told Hospice News on condition of anonymity.
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.
Justice Department has sentenced two individuals linked to California hospices on alleged False Claims Act violations, among other charges. Gayk Akhsharumov, manager and owner of San Gabriel Hospice & Palliative Care and Broadway Hospice, received a sentence of one year and one day in prison and was ordered to pay close to $9.2
Jay Duty, the newly appointed senior vice president and chief corporate development officer of Enhabit Home Health and Hospice (NYSE: EHAB), is spearheading the company’s ambitions for growth, including acquisitions and de novos. Earlier this month, it acquired Caring Hearts Hospice in Texas for an undisclosed amount. .
The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, 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 wasn’t in the health care field.
De novos have propelled recent growth among some hospice providers. Hospice of the Midwest expands with de novo Hospice of the Midwest recently opened a de novo in Marshalltown, Iowa, adding a fifth location to its footprint in the state. The hospice provider also has two locations in Minnesota and one in Nebraska.
Lauren O’Dwyer, CFO at Anvoi Hospice and Anvoi Management, LLC, has been named a 2022 Future Leader by Hospice News. 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 hospice care. What drew you to the hospice industry?
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 hospice care days also saw increases, as did average length of stay and average number of patient visits per week.
Deciding to begin hospice care can be hard. However, Shining light hospice care can help you, your family, and even your doctor. Of course, many patients are unsure how to speak with their doctor about hospice care. Of course, many patients are unsure how to speak with their doctor about hospice care. That’s incorrect.
The nations hospice utilization rate among Medicare decedents has once again surpassed 50%, for the first time since the pandemic. Hospice utilization reached 51.7% in 2023, up more than two percentage points from the prior year, according to recent data from the Medicare Payment Advisory Commission (MedPAC).
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