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Researchers Link Social Determinants to Pain Management in End-of-Life Care

Hospice News

These patient populations had less hospice access and utilization of pain medications such as opioids when approaching the end of life, researchers found. Black or Latino patients in socially vulnerable areas were less likely to utilize hospice than white patients, and there’s a compounding effect on end-of-life pain management.”

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Canon Healthcare Owner Receives Prison Sentence, $42 Million Fine in Fraud Case

Hospice News

The court also ordered Akula to repay $42 million in fraudulent Medicare billing claims made between January 2013 and December 2019, which totaled roughly $84 million during that six-year span. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.

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California’s Leads the State-Level Battle Against Hospice Fraud

Hospice News

As hospice program integrity remains in the spotlight, California remains the only state to take action on curbing the problem. Beginning in 2021, numerous reports emerged of unethical or illegal practices among hundreds of newly licensed hospices, particularly among new companies popping up in California, Texas, Nevada and Arizona.

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How Palliative Care Generates Savings, Boosts Hospice Utilization

Hospice News

Past payment model demonstrations that included community-based palliative care offer a window into how these services could generate cost savings and improved quality. Among those demos is the Medicare Care Choices Model (MCCM), which ran between 2016 and 2021. An analysis from the U.S.

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CMS Report: Concurrent Hospice, Curative Care a Winning Proposition

Hospice News

The Medicare Advantage hospice carve-in has been the focus of much attention among providers, and many are watching closely for the demonstration’s outcomes. Centers for Medicare & Medicaid Services (CMS) launched the MCCM in 2016 to explore the idea of allowing hospice patients to receive concurrent curative care.

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Partners in Care Sues HHS Over Claims Denials

Hospice News

Partners in Care took this unusual step after pursuing every other available means of redress, including the U.S. Centers for Medicare & Medicaid Services’ (CMS) review and appeals process, according to CEO Greg Hagfors. The lawsuit contends that the claims denials denied Partners in Care its right to procedural due process.

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Guaranteed Taps SVP of Strategic Growth; Nurses Step Into C-Suite at Hospice of the Piedmont, Hudson Valley Hospice

Hospice News

Guaranteed’s New SVP of Growth, Strategy Tech-enabled hospice startup Guaranteed has named Ryan Malone as its new senior vice president of growth and strategy. Previously, he was head of growth at Mavencare, and served in sales manager and director roles at Hometeam from 2013 to 2016. The funding follows a $6.5

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