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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Department of Health & Human Services Office of the Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC), and the Government Accountability Office.

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M&A Volume May Shift From Hospice to Home Health

Hospice News

Though many expect a hospice M&A rebound in 2024, the scales are tipping in favor of home health companies among buyers. After 2023’s slump, PE firms have been sitting on more than $800 million in dry powder, according to data shared with Hospice News by The Braff Group. But additional data point to a resurgence.

2024 268
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NAHC President Bill Dombi: History Repeating Itself on Hospice Program Integrity

Hospice News

Issues of fraud in the hospice industry echo events that previously affected the home health space, and providers can learn from that prior experience. This is according to Bill Dombi, president of the National Association for Home Care and Hospice (NAHC), who spoke Thursday in a Relias webinar.

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Pennant Group Acquires Guardian Hospice

Hospice News

NASDAQ: PNTG) has acquired Guardian Hospice and Guardian Hospice of Oklahoma for an undisclosed amount. Guardian Hospice of Oklahoma received Medicare certification in 2015 and has since grown its presence in the state and across Texas. Centers for Medicare & Medicaid Services (CMS). The Pennant Group Inc.

Hospice 241
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What Hospices Can Learn from Home Health Agencies on New Program Integrity Rules

Hospice News

Hospices seeking to gauge the potential impact of new regulatory actions in the space can look to their counterparts in the home health field. We then started seeing the greater degree of impact,” Dombi told Hospice News. CMS is no doubt hoping for similar results for the Medicare Hospice Benefit.

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Three Key Gauges of Hospice Business Performance

Hospice News

Today’s health care environment is flooded with data, but hospice leaders should include three types of indicators in mind as they assess their performance. Numbers like costs-per-day, payer-specific margins, and measures of community support can paint a picture of an organization’s position, executives told Hospice News.

Hospice 244
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CMS Proposes ‘36-Month Rule’ to Curb Hospice License ‘Flipping’

Hospice News

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.

Hospice 215