What a Hospice Benefit Revamp Could Signal for M&A Trends

A restructuring of the Medicare Hospice Benefit could have impacts on merger and acquisition activity in the industry. Calls for changes to hospice eligibility and length of stay are growing louder among industry stakeholders. A main concern being voiced to the U.S. Centers for Medicare & Medicaid Services (CMS) is that the current six-month prognosis […]

Defining the Undefined Scope of Palliative Care Payment, Services

Breaking down the payment barriers that impede access to palliative care will take building up a reimbursement structure that more narrowly defines service scope and sets specific parameters for quality. The nation’s fragmented payment structures for palliative care reimbursement create opportunities for regulators to examine the facets of these different models across varied geographic areas […]

Palliative Care’s Evolving Presence in VBID

Palliative care lacks a standardized definition within current value-based reimbursement systems, making it difficult to determine the full scope of services for seriously ill patients. Palliative care services are intended to address physical, psychosocial, social and spiritual needs of seriously ill individuals. However, the full breadth of interdisciplinary services involved in palliative care has yet […]

Regulatory Pressures Contributing to M&A Slump

Regulatory challenges have contributed to the hospice sector’s current M&A slump, but this year’s volume nevertheless aligns with experts’ forecasts. In addition to those pressures, the industry is also in a cooling period in which companies focus on integrating the assets that many acquired during flurries of activity in 2021 and 2022, according to Mark […]

Quality Data, Cost of Care Crucial to VBID Payer Negotiations

Having a detailed lens into quality metrics and service costs is a key for hospices that are searching for sustainable value-based payment pathways. Quality and cost data are important pieces to bring to negotiating tables with payers in value-based reimbursement, according to Joe Calcutt, CFO of Liberty Healthcare Management. Hospices that can demonstrate the ability […]

Dr. Amar Desai Takes Helm at Optum Health as New CEO

UnitedHealth Group (NYSE: UNH) subsidiary Optum Health recently tapped Dr. Amar Desai as its new CEO. The change in leadership comes on the heels of Optum Health’s growing presence in the hospice and home health landscape. The company has acquired two of the nation’s largest providers — LHC Group and Amedisys Inc. (NASDAQ: AMED) — […]

The Forces Fueling the Palliative Care Market

Evolving demographic and economic forces have placed palliative care among the nation’s fastest growing health care sectors. Interest in the palliative care market has spiked in recent years, partly due to the value proposition these services offer to patients, families, providers and payers alike, according to Fred Bentley, managing director at health care consulting firm […]

Hospice & Community Care Affiliates with Hospice of Central Pennsylvania

Hospice & Community Care has inked a deal to affiliate with Hospice of Central Pennsylvania. The affiliation is set to solidify at the beginning of next year, with each organization retaining its own brand and locations. Joining forces will also allow the two Pennsylvania-based nonprofit hospice and palliative care providers to realize cost-savings potential when […]

Hospices in a Regulatory ‘Fight’ for Quality

Fraud, waste and abuse issues that have percolated in the hospice space have put providers up against some regulatory walls. Heightened scrutiny around hospice from regulatory agencies is not without warrant, but increased oversight can have adverse effects on the ability to provide quality care, according to Bill Dombi, president, National Association for Home Care […]