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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.
The Chicago-based Elea Institute is seeking to improve public awareness of hospice and palliative care as well as convene discussions about ways to rethink the Medicare benefit. One is access to hospice and palliative care and serious illness care, then education and awareness. We boiled it down to three major areas.
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.
Hospices have grown increasingly frustrated by fraudulent operators in the space and how their activities affect legitimate operators’ financial health. This is the second of a two-part Hospice News series that explores how fraud, waste and abuse in the hospice space could create headwinds for the industry at large.
Centers for Medicare & Medicaid Services (CMS) recently elaborated on its plans to expand public education campaigns designed to help protect hospice beneficiaries from fraudulent actors in the space. Program integrity concerns have heated up in the hospice industry.
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.
The soon-to-be-implemented hospice Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care. It might make them even fearful about hospice care, which is the last thing we want to see happen. The program, set to begin Jan.
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.
Rising competition in the hospice space has fueled pivotal changes in end-of-life care delivery both for better and for worse, according to Arizona-based Hospice of the Valley Executive Director Debbie Shumway. We began in 1977 as a nonprofit hospice, and we are still a nonprofit today.
New trends in hospice care delivery are pointing to a growing need for improved equitable access and diversified services that address a broader range of disease-specific patient needs. Hospice providers have been expanding the depth of their interdisciplinary disease-specific programs to meet that need, Ware said.
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.
Centers for Medicare & Medicaid Services (CMS) in response to fraud allegations that have resulted in licensure and billing privilege revocation. Shaarawy provides internal and family medicine, palliative care and hospice services and operates a private practice in Canoga Park, California. court documents stated.
The long term care company Mission Health Services has acquired Utah-based Angel’s Crossing Home Hospice. The deal marks Mission’s first foray into the hospice space. About 15,900 Medicare decedents in Utah elected hospice in 2022, a rate of slightly more than 59%. Centers for Medicare & Medicaid Services (CMS).
Carol Miller (R-West Virginia) and Jared Golden (D-Maine) have reintroduced the Hospice Recertification Flexibility Act. If enacted, the bill would allow hospices to conduct face-to-face recertification visits via telehealth. Hospice care exists to provide comfort and compassion during heartbreaking times.
Six nonprofit hospice providers recently joined forces to form the Hawaii Palliative and Hospice Care Collaborative. The new collaborative includes Hawaii Care Choices, Hospice Maui, Kauai Hospice, Navian Hawaii, North Hawaii Hospice and St. Francis Healthcare System of Hawaiis hospice program.
Beth Van Duyne (R-Texas) and Jimmy Panetta (D-California) have introduced a bill that would reform aspects of the hospice Special Focus Program (SFP). If enacted, the Enhancing Hospice Oversight and Transparency Act also would increase the penalty for hospices that do not report quality measure data to 10% by 2027, up from 4% currently.
Centers for Medicare & Medicaid Services (CMS) has issued a memo to accreditation bodies and state agencies advising surveyors to watch out for potential hospice fraud. These actions were spurred by a rash of fraudulent hospices that have emerged primarily in California, Texas, Nevada and Arizona.
Centers for Medicare & Medicaid Services has made public its first cohort for the hospice Special Focus Program (SFP). Finalized in the 2024 home health payment rule, the program is designed to identify poor performing hospices, mandate quality improvement and in some cases impose additional penalties. million annually.
Mahogany Home Health and Hospice recently launched services in southwestern Ohio. The new hospice startup is the first Black-owned hospice and home health organization statewide with a drive to improve utilization among underserved populations. Couzens has also held hospice chaplain roles at St.
Newly launched or acquired hospice businesses have come under a finer regulatory microscope in recent years as regulators respond to fraudulent activity in the space. Some legitimate hospices may be buckling under ramped up regulatory pressures that have impacted their financial sustainability.
Stymied Medicaid reimbursement for nursing home room and board could threaten access to care for hospice patients in California and possibly other states. The issue centers around patients in nursing homes who are dually eligible for Medicare and Medicaid. This has caused hospices to lose thousands to millions of dollars in some cases.
The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress a freeze on hospice payment increases starting in 2026. In its annual report to Congress, MedPAC urged policymakers to eliminate hospice base-rate increases for 2026. The 2021 aggregated Medicarehospice margin was 10.4%, according to MedPAC.
Hospice of the Chesapeake has unfurled a new dementia care program aimed at providing improved emotional, educational and practical support for patients and their caregivers as their conditions progress. The new program provides patients and their caregivers with direct support from Hospice of the Chesapeake’s interdisciplinary care team.
Nevada lawmakers have introduced a bill to curb hospice fraud in that state. Among the significant changes that the legislation proposed was having newly licensed hospice programs in Nevada undergo enhanced regulatory oversight for the first two years of operations.
Hospice News explores the issues garnering growing attention in end-of-life care delivery in seven of this years hidden gem stories. Topics span trends related to program integrity, workforce development, health equity, service diversification and the keys to hospices growth strategies. Optum completed its $5.4
NuHealth is partnering with Hospice of New York to offer inpatient end-of-life care to its patients. By offering inpatient hospice care at NUMC, we are ensuring all of Nassau County’s residents have access to compassionate end-of-life services regardless of their ability to pay,” said Megan C. “By
NYSE: EHAB) is projecting strong hospice growth in the next year fueled in part by investments in technology and workforce development. The home health and hospice provider is in part leveraging technology to fuel its plans, Jacobsmeyer said during the Bank of Americas Securities 2024 Home Care Conference. Enhabit Inc.
Hospice News spoke with a group of industry leaders about the most pressing market forces and trends that will shape the space during 2025. They also spoke about the need for greater integration of hospice into the larger health care continuum and the benefits of operators broadening their scope of services. Heath Bartness, CEO, St.
Eden Health of Northern Nevada, dba Eden Hospice, has acquired A Plus Hospice Care in its home state. Through the transaction, A Plus Hospice Care patients will have access to Eden Health’s additional services, including home health, home care and palliative care. Financial terms were undisclosed. About 17.4% of Nevada’s 3.1
Montana-headquartered Stillwater Hospice has found a successful rhythm to strategic rural-based growth and sustainability. Launched in 2017, the hospice company serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. If youre a rural hospice, you may have higher reimbursement needs.
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. That team approach I think is really extraordinary for what we do in hospice.
Dual pieces of legislation are circulating in New York proposing to block the entry of new for-profit hospices and limit expansion of existing entities in the state. If enacted, the bills would prohibit the establishment of new for-profit hospices in New York. Despite growing demand, hospice utilization runs low in the Empire State.
Hospices are traversing complex revenue cycle management processes that can hinder their ability to thrive amid growing demand, rising economic pressures and a complex regulatory environment. Croix Hospice. When you talk to hospice operators thats a real challenge in managing their back office.
payment increase for hospices is insufficient in today’s economic climate, the National Hospice and Palliative Care Organization (NHPCO) indicated in comments on the 2025 proposed payment rule. Centers for Medicare & Medicaid Services (CMS) in March issued its 2025 proposed hospice rule, which if finalized would include a 2.6%
Texas-based New Day Healthcare LLC has announced its acquisition of Good Samaritan Society’s hospice operations in its home state. The transaction includes Good Samaritans hospice assets in El Paso, Texas, expanding New Days existing presence in that market. Hospice utilization rates hovered at 49.1% Scott Herman.
Some hospices have delved deeper into service diversification to improve timely access and expand their patient reach, while others remain focused on end-of-life care delivery. The San Antonio, Texas-headquartered company provides hospice, home health, veterans services, assisted living and skilled nursing services.
The hospice industry is undergoing a transformative period of rising demand and regulatory changes. Levy recently sat down with Hospice News to discuss the array of regulatory and legislative evolutions on the horizon in hospice care delivery. Centers for Medicare & Medicaid Services (CMS)] and Congress.
Staff development, technology adoption and steady organic growth are top priorities for Family Hospice CEO Charles Hall as he takes the helm at that organization. Family Hospice was founded by Jack Draughon and Mark Kempsey three years ago. My father had been in hospice. Army officer.
The MedicareHospice Benefit could use an “upgrade” to ensure greater flexibility that may be necessary to fully support patients’ needs. Centers for Medicare & Medicaid Services (CMS) should consider is retiring the six-month terminal prognosis requirement and allowing for some concurrent care, Wallace and Wladkowski indicated.
s (Nasdaq: AMED) hospice segment has seen headwinds impact admissions growth as the company awaits its pending acquisition by the UnitedHealth Group (NYSE: UNH) subsidiary Optum. The company’s hospice segment revenue reached $207.9 Gross margin for the hospice segment fell slightly to 42.9% Amedisys Inc.’s year-over-year.
Quality, compliance and financial stability are top of mind in hospice merger and acquisitions (M&A) as this year comes to an end. Growing demand is among the constants driving investor interest in the hospice space, according to Tom Lillis, partner at the Kentucky-based firm Stoneridge Partners Strategic Consulting.
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.
Florida-based VITAS Healthcare is anticipating fruitful hospice growth on its horizon. The hospices average daily census volume reached 22,179 patients in Q4, a 14.6% VITAS adjusted EBITDA, excluding Medicare capitation rates, reached $93.2 The Chemed Corp. VITAS $411.0 rise compared to the same period last year.
Texas-based New Day Healthcare LLC on Monday announced its acquisition of Intrepid USA’s hospice operations in Missouri and in its home state. The deal includes Intrepid’s hospice assets in Joplin and Springfield, Missouri, as well as its locations in Beaumont, Texas. Hospice utilization rates hovered at 49.1% Census Bureau.
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