article thumbnail

Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

Medicare 238
article thumbnail

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

Hospice News

After three years of investigation, a federal court in Louisiana has sentenced the former owner of Canon Healthcare, Shiva Akula, to serve 240 months in prison for his involvement in health care fraud. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Providers to Lawmakers: Hospice a ‘Huge Value to Medicare’

Hospice News

Rising regulatory scrutiny around length of stay may be having adverse impacts on health care costs and quality, hospice leaders said in a recent Congressional briefing. Longer stays yield greater savings Regulators have fixed their gaze on longer hospice stays as signals of potential fraud, waste and abuse. Additionally, the U.S.

Medicare 238
article thumbnail

Former Canon Healthcare Owner Convicted for $47 Million in Hospice Fraud

Hospice News

A federal jury has convicted former Canon Healthcare owner Shiva Akula for False Claims Act violations totalling nearly $47 million. Canon Healthcare was a New Orleans-based hospice provider that also served the Baton Rouge and Covington, Louisiana, markets, as well as parts of Mississippi.

article thumbnail

Helios Care Partners with Bassett Healthcare to Expand Hospice, Palliative Services

Hospice News

The hospice and senior care provider Helios Care is partnering with the integrated health system Bassett Healthcare Network to bring more extensive access to hospice and palliative care to patients in central New York. Formerly known as Catskills Area Hospice and Palliative Care, the organization rebranded as Helios in 2019.

article thumbnail

Quality Data, Cost Control: Hospices’ ‘True North’ in Medicare Advantage

Hospice News

Medicare Advantage plans are connecting the dots between quality scores and care delivery costs. When choosing a hospice to work with, payers in the Medicare Advantage (MA) realm zero in on providers’ quality scores and its patient population growth potential, according to Frontpoint Healthcare CEO Brent Korte.

Medicare 223
article thumbnail

The Role of Medicare Advantage in Growing Palliative Care Services

Hospice News

For the time being, Medicare Advantage may be providers’ best bet for palliative care reimbursement. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit. She is also co-founder of the company’s hospice and home health service segment.

Medicare 261