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The Case for a Palliative Care Medicare Carve-Out

Hospice News

The future of palliative care payment is reaching an uncertain, but potentially promising time in the Medicare landscape. But palliative providers have long-faced a challenging reimbursement trajectory in supporting their sustainability, she said during Hospice News virtual Palliative Care Outlook Summit.

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Hospices to ‘Optimize’ Telehealth Amid Regulatory Uncertainties

Hospice News

Centers for Medicare & Medicaid Services (CMS) during the public health emergency have been extended several times. If they end as planned, hospice providers, as well as patients and families, could face potentially detrimental impacts, according to several hospice leaders. Hospice News photo by TBAR Productions.

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Leadership Transitions at 4 Hospice Providers

Hospice News

Hospices coast-to-coast have undergone leadership transitions, including changes in legal executives and a slew of newly appointed CEOs, among other roles in the industry. Texas-based New Day provides home health, hospice, palliative and personal care services across 31 locations in Illinois, Kansas, Missouri and in its home state.

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Blue Sky Hospice Medical Director Convicted of $2.8M Hospice Fraud

Hospice News

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 hospice companies, including Blue Sky Hospice, based in Van Nuys, California. The former medical director will be sentenced on May 28.

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Dr. Andrew Mayo: Hospice Leaders Face ‘Delicate Balance’ in Today’s Regulatory, Workforce Climate

Hospice News

Today’s hospice leaders need to take a wide view into the range of challenges facing their interdisciplinary care teams, according to Dr. Andrew Mayo, chief medical officer at St. Croix Hospice. Croix Hospice in 2014 as an associate medical director. Mayo joined St. Croix Falls, Wisconsin.

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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 Texas Medical Board suspended his medical license in 2019, when he pleaded guilty to the fraud charges.

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Palliative Care, ACO Collaborations Fuel ‘Historical Savings’ in MSSP Program

Hospice News

Centers for Medicare & Medicaid Services (CMS) recently announced that its Medicare Shared Savings Program (MSSP) yielded more than $2.1 As of January 2024, roughly 480 ACOs are participating in MSSP, which include more than 608,000 clinicians who provide care to nearly 11 million Medicare beneficiaries.