Supreme Court May Weigh In on Hospice FCA Cases

The U.S. Supreme Court may take up a False Claims Act (FCA) case involving Georgia-Based Bethany Hospice & Palliative Care LLC, despite indications from the U.S. Justice Department that such a review would be unnecessary. The case comes at a time when regulators are intensifying scrutiny on hospice providers, seeking to root out those who […]

Courts Applying a Broader Brush to False Claims Act Suits

Developments in a False Claims Act (FCA) suit involving Curo Health Services signal that mounting a defense may become more complicated for accused hospices. Regulators and investigators have sharpened their gaze on alleged False Claims Act violations by hospice providers, as well as the closely related anti-kickback statute, sometimes resulting in multi-million settlements. These cases […]

Court Dismisses SouthernCare Fraud Allegations, Proceeds with Whistleblower Retaliation Complaint

The Southern District Court of Mississippi granted hospice provider SouthernCare Inc.’s motion to dismiss a whistleblower’s False Claims Act complaint. However, the court will proceed in hearing allegations that the company terminated an employee who raised concerns about these practices. Former SouthernCare nurse Rhonda McClinton filed a qui tam complaint against the organization in 2016, […]

False Claims Case to Proceed Against Hospice Provider Southerncare

A federal False Claims Act case against hospice provider Southerncare Inc. is moving forward in the Southern District Court of Mississippi. Whistleblowers associated with the company have alleged that Southerncare submitted hospice claims to Medicare for patients who were not eligible, billed for services it did not provide and terminated an employee who raised concerns […]

Justice Department, Tennessee File False Hospice Claims Suit Against Curo Health Services

The U.S. Department of Justice and the State of Tennessee have filed a consolidated complaint against Curo Health Services Holdings, Regency Healthcare Group and TNMO Healthcare, doing business as Avalon Hospice. The complaint alleged that the affiliated companies violated the False Claims Act (FCA) as well as Tennessee state laws. FCA cases often hinge on […]

Top 10 Largest Hospice Providers of 2020

Despite facing forceful pandemic-related headwinds from COVID-19, mergers and acquisitions and organic growth are fueling market share growth among the organizations listed in the LexisNexis 2020 Top Hospice Providers report. VITAS Healthcare, a subsidiary of Chemed Corp. (NYSE: CHE), led the charge as the largest hospice provider in the United States last year, with 4.42% […]

Humana to Build Up In-Home Services, Focus on Social Determinants

Expanding health care services in the home setting will be a key priority during 2020 for Louisville, Ky.-based Humana (NYSE: HUM), as will an intensified focus on social determinants of health. A Humana spokesperson told Hospice News that hospice services would be a part of this effort. “The next phase beginning in 2020 is to […]

The Top 10 Largest Hospice Providers of 2019

Though the hospice space remains fragmented, mergers and acquisitions are driving up market share, particularly for large providers. Along with service diversification and application of emerging technologies, M&A is helping to drive growth among the organizations named in LexisNexis Top 100 Hospices of 2019. With 4.5% of market share, VITAS Healthcare, a subsidiary of Chemed […]

Hospices to Focus on Reducing Hospitalizations Under Value-Based Models

Ensuring that patients avoid unnecessary hospitalizations will be a key value proposition for hospice and palliative care providers, particularly when working within value-based payment models such as the forthcoming Medicare Advantage hospice carve-in in 2021 and the U.S. Centers for Medicare & Medicaid Services’ new Primary Cares Initiative, set to begin in 2020. These emerging […]

As Technology Advances, Hospice Evolves

Hospice is in a state of flux. The industry is evolving with the changing health care landscape in terms of practice, payment models and the pervasive presence of technology. Hospices nationwide are leveraging technological advancement to improve their workflows, improve efficiency and enhance patient care. Technologies such as predictive analytics, telemedicine systems, artificial intelligence and […]