Hospices, MA Plan Leverage Data to Align Contract Incentives

As more hospices engage with Medicare Advantage (MA) plans, they may be able to learn from the experiences of some home health providers. Historically, MA has not covered hospice. Now, many operators are contracting with managed care plans for other service lines, such as palliative care, or they may be participating in the hospice component […]

[UPDATED] Optum Swoops in to Buy Amedisys in $3.3 Billion Transaction

The UnitedHealth Group (NYSE: UNH) subsidiary Optum has penned a deal to acquire Amedisys (NASDAQ: AMED) in an all-cash transaction of $101 per share, or about $3.3 billion. The pending transaction followings a previous offer to aquire Amedisys by the home infusion company Option Care Health (NASDAQ: OPCH) for $3.6 billion. “We are excited about […]

CareSource Partnership with Radiant Alliance, to Combine Hospice, Palliative Care, Senior Living and Payer Assets

The nonprofit health plan CareSource has signed a definitive agreement to partner with Radiant Alliance, a new entity formed by Metta Healthcare and United Church Homes. The creation and subsequent partnership with Radiant Alliance will bring a hospice and palliative care company and senior living operator under the auspices of a payer. The transaction will […]

Where Hospices Are Seeing the Greatest ROI on Staffing Investments

Amid persistent workforce shortages, sign-on and employee referral bonuses, as well as enhanced benefits, are bearing the most fruit for hospice providers. Though many providers are reporting upward trends when it comes to recruitment and retention, some clinical and administrative vacancies remain pain points. Filling gaps in the hospice workforce has come with hefty financial […]

What New Allegations that HCA Healthcare Pressured Patients Mean for Hospices

Recent allegations that staff at HCA Healthcare (NYSE: HCA) put pressure on patients to enter hospice dovetail with longstanding questions over how and when patients should be referred. A recent report from the Service Employees International Union (SEIU) alleges that HCA has pressured clinicians to inappropriately “push” patients and families to accept hospice referrals. The […]

OIG Launches Audit of Inappropriate General Inpatient Hospice Billing

The U.S. Department of Health & Human Services (HHS) Office of the Inspector General (OIG) recently announced plans to launch a new audit that will focus on general inpatient hospice services. Longer general inpatient hospice stays and high-cost issues are reasons for the audit, dubbed the “Audit of Selected, High-Risk Medicare Hospice General Inpatient Services,” […]

U.S. Senators Reintroduce Telehealth Bill, Would Make Permanent Hospice Recertification Waiver

U.S. Sen. Chuck Grassley (R-Iowa) and 59 bipartisan co-sponsors have reintroduced legislation that would expand Medicare coverage of telehealth and make permanent flexibilities implemented during the COVID-19 public health emergency. If enacted, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act would remove all geographic restrictions on telehealth services and […]

Hospices Seek Congressional Action on Staffing Constraints

Years after it was first introduced, hospice leaders are calling on Congress to move forward legislation that would bolster their dwindling workforce. The most significant bill in recent years is the Palliative Care and Hospice Education Training Act (PCHETA), which has come before Congress time and again but has not yet been passed. The bill’s […]

How Hospices Are Complying with Telehealth, Data Privacy Rules Post-PHE

Patient data protection and telehealth compliance are key pieces for hospices to bear in mind when navigating technology partnerships in a post-pandemic regulatory landscape. Hospices are facing regulatory concerns since the COVID-19 public health emergency ended (PHE) on May 11 that have centered around telehealth. Some telehealth flexibilities temporarily instituted during the PHE will linger […]

Pennant Group Acquires Bluebird Hospice, Home Health

The Pennant Group Inc. (NASDAQ: PNTG) has acquired Idaho-based Bluebird Home Health, Bluebird Hospice and Bluebird Home Care for an undisclosed sum. The transaction follows Pennant’s May acquisition of the assets of Benefit Home Healthcare and Benefit By Your Side, a Colorado-based company that offers home health care, private duty and community health services. Financial […]