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 […]
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) — […]
Home-based care veteran Rob Radics took the helm as CEO of Fortis Home Health & Hospice in May, and in the early days of his tenure is laser-focused on hospice growth. Radics’ 25-year career includes his founding of the hospice and home health company, Five Points Healthcare, which he led for nine years before selling […]
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 […]
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 […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days. The agency has contracted with Noridian Healthcare Solutions, LLC as its Supplemental Medical Review Contractor (SMRC). Noridian will perform the reviews and submit findings to CMS. “CMS internal data has […]
When it comes to hospice M&A, both buyers and sellers must have their eyes out for warning signs that could kill a potential deal. Consolidation remains widespread in the hospice space, though transaction volume has slipped in 2023 compared to prior years. During Q1 of this year, about 14 hospice, home care and home health […]
UnitedHealth Group (NYSE: UNH) has been relatively quiet on its strategic plans with Amedisys (NASDAQ: AMED), which it is in the process of acquiring via its subsidiary, Optum. The company shed some light on how the home health and hospice asset will fit into its overall scope of services Friday, however. Optum announced plans to […]
The U.S Centers for Medicare & Medicaid Services (CMS) is implementing a “period of enhanced oversight” for new hospices in California, Nevada, Arizona and Texas. A key component of the enhanced oversight includes a medical review of claims before a Medicare Administrative Contractor (MAC) will pay them. These actions follow reports of potentially unethical or […]
Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.) have reintroduced the Palliative Care and Hospice Education Training Act (PCHETA), designed to bolster the field’s shrinking workforce with federal support. If enacted, PCHETA would support hospice and palliative care training programs for physicians, nurses, pharmacists, social workers and chaplains. The bill would also expand continuing […]
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