Congress recently passed the “One Big Beautiful Bill Act” (OBBBA), which contains Medicaid cuts totaling $1 trillion over the next decade. Hospices are preparing for a sea of unknowns, with concerns mounting related to sustainability, referral management and health equity. The new budget reconciliation bill is at the forefront of this second article of a […]
Hospice reform efforts should focus on allowing for “more care, not less,” according to National Alliance for Care at Home CEO Dr. Steve Landers. Key elements of this should include home-based respite care and a payment system for high-acuity palliative services that hospice patients often lose out on due to the costs. These can include […]
Hospice provider are welcoming a crackdown on hospice fraud by the U.S. Centers for Medicare & Medicaid Services (CMS). Home-based care providers that offer hospice services, including AccentCare and Elara Caring, told Hospice News’ sister site Home Health Care News they hope that CMS will act on their statements about bad actors in the industry […]
The. U.S. Centers for Medicare & Medicaid Services (CMS) has introduced a new shared savings cost containment demonstration. The Wasteful and Inappropriate Service Reduction (WISeR) Model is incentivizing the utilization of technology to help improve outcomes and curb fraud, waste and abuse in Medicare reimbursement. The WISeR Model is designed to leverage artificial intelligence (AI) […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is strengthening regulatory oversight of certain state-based and pediatric programs in an effort to reduce redundant spending. CMS recently released an analysis of 2024 beneficiary enrollment data, which found that 2.8 million individuals were simultaneously enrolled in Medicaid, Children’s Health Insurance Program (CHIP) or the subsidized […]
The U.S. Department of Labor has proposed a rule that would exempt hospice, home health and personal care aides from minimum wage and overtime requirements. The proposal, if finalized, would eliminate requirements instituted in a 2013 regulation. The move is part of the Trump administration’s overall effort to de-regulate across the board. “One of President […]
Reps. Earl “Buddy” Carter (R-Georgia) and Dr. Ami Bera (D-Calif.) have introduced the Palliative Care and Hospice Education and Training Act (PCHETA). The legislation was announced on Thursday and has a Senate companion bill led by Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.) The PCHETA legislation has been reintroduced several times, most recently […]
A joint effort by several federal agencies has resulted in the capture of parties responsible for, in aggregate, more than $14.6 billion in health care fraud. The U.S. Department of Justice (DOJ) coordinated the 2025 National Health Care Fraud Takedown in concert with the FBI, the U.S. Drug Enforcement Administration (DEA), several U.S. Attorney’s offices […]
Patients who receive hospice care through the U.S. Department of Veterans Affairs (VA) will now have access to burial benefits. The VA is implementing provisions of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Act. The omnibus legislation, passed last Congress, is designed to overhaul and improve benefits for veterans. Two key elements […]
Two hospice operators in California have pleaded guilty on fraud and money laundering charges.The pair submitted false Medicare claims totalling close to $16 million. The scheme involved several conspirators, all of whom have been convicted or have pleaded guilty. Petros Fichidzhyan, Juan Carlos Esparza and Karpis Srapyan allegedly operated four sham hospice companies, which were […]
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