Literature Review

Home health services drive elevated medical costs for UnitedHealth Group Home Health Care News; by Morgan Gonzales; 10/28/25 Home health services are touted as cost-saving for payers, and industry stakeholders often advise providers to share data demonstrating these savings with payers and policymakers. The cost-saving nature of home health may not always be evident, however. UnitedHealth Group reported that home health services have contributed to elevated medical cost trends when discussing Medicaid margins on the company’s third-quarter earnings call.

7 women now charged in $100M Fort Bend hospice fraud scheme Houston Chronicle, Houston, TX; by John Wayne Ferguson; 11/3/25 Four more people have been charged in connection with a Fort Bend County Medicare scam, meaning seven are now accused of stealing tens of millions of dollars from the government by charging the health care fund for hospice care for patients who weren't actually dying. Hattie Banks, Lydia Obere, Cheryl Brooks and Ena Cowart were indicted by a federal grand jury on Oct. 8. All four were charged with healthcare fraud and two felony conspiracy charges related to the fraud and a plan to receive kickbacks. Banks, Obere and Brooks were also accused of receiving kickbacks.

VITAS and Miami Dade College partner to shape the next generation of compassionate nurses South Florida Hospital News and Healthcare Report; by Daniel Casciato; 11/1/25 For Miami Dade College (MDC) nursing students Khadijah Norelus and Shanel Cantave, the decision to pursue nursing came from deeply personal experiences. Shanel was inspired after nearly losing her father to a hemorrhagic stroke. Khadijah’s calling was born when she witnessed the care and compassion a hospice nurse gave her cousin in his final moments. Today, both women are VITAS Scholars—recipients of the Miami Dade College LPN Scholarship supported by hospice provider VITAS Healthcare—and represent the next generation of caregivers preparing to serve South Florida’s communities amid a national nursing shortage.

Healthcare trends & transactions Q3 2025 JD Supra; by Delaney Durst, Ali Gallagher, Angela Humphreys, Ben Kelly, Zoebedeh Malakpa, Mariah R. Rhodes, Marc Rigsby, Morgan Tandy, David Wilson; 10/29/25  [Scroll down to "Home Health, Hospice Care & Personal Care Services"]The home health and hospice sector saw a modest decline in deal activity since Q2, as the industry faced changes in Medicare reimbursement rates and ongoing regulatory uncertainty. The most notable transaction in the space occurred in August when, following two years of regulatory scrutiny, UnitedHealth closed its $3.3 billion acquisition of Amedisys, a provider of home health and hospice services.  ... In the hospice sector, LifeCare Home Health announced in September its acquisition of St. Gabriel’s Hospice & Palliative Care, a hospice care provider serving approximately 300 patients in Texas, and BaneCare Management, a senior care services provider in Massachusetts, announced its acquisition of Longwood Hospice.

Hospice organizations: 5 tips for building a direct-to-consumer campaign McKnights Home Care; by Andrew Robinson; 10/22/25 [... Why] are so many hospice organizations so reliant on waiting for families to find you through referrals? Referrals usually come too late. And families are left scrambling to make sense of their options. This is why direct-to-consumer marketing is not only appropriate, it’s essential. Here are five tips on how to effectively create and execute hospice direct-to-consumer marketing.

Ex-employee sued bankrupt SLO County hospice group 3 times. Here's whyMSN San Luis Obispo County, CA; 10/13/25 A former employee of Wilshire Health and Community Services filed three lawsuits against the organization in the past two years, accusing the now-bankrupt nonprofit of violating numerous labor laws including using unfair pay practices, gender-based discrimination and wrongful and retaliatory termination.

Home health & hospice's top advocacy priorities TIMSHME.com; by Steve Landers; 10/5/25 The National Alliance for Care at Home (the Alliance) is the largest organization representing, advocating for and convening providers of home-based care, representing over 1,500 organizations and more than 10,000 agencies serving millions of people nationwide. ... Last month, the Alliance convened more than 230 frontline providers and leaders in Washington to advocate for these priorities.  ... Advocates shared the key issues impacting care, why it matters and what Congress should do about it.

Study: PE-owned hospices have highest profits, lowest spending on direct patient care McKnights Home Care; by Liza Berger; 10/8/25 Compared to publicly traded company-owned and other for-profit hospices, private equity (PE)-owned hospices reported the highest profits and lowest spending on direct patient care and nonsalary administrative services, a study published Tuesday in Health Affairs revealed. The study, which used 2022 Medicare cost reports, compared revenue and expense data across four hospice ownership models: PE-owned, publicly traded company-owned, other for- profit, and not-for-profit. The sample consisted of 2,989 freestanding hospices ... [Across] the board, not-for-profits spend about 20% more on direct patient care services than other for-profits. And that seems to be driven by a pretty big difference in nurse salaries, which to us implies that staffing tends to be better at or at least more robust at not-for-profits. ... A body of research has found that for-profit hospice ownership, including private equity, is associated with poorer quality, higher rates of complaints, a higher number of live discharges, and a higher hospitalization rate compared with not-for-profit ownership.

Uplift Hospice acquires Grace Hospice, Medical Group Hospice News; by Jim Parker; 10/2/25 Uplift Hospice has acquired Tucson, Arizona-based Grace Hospice & Palliative Care and Grace Medical Group for an undisclosed amount. The transaction not only boosts the company’s average daily census and builds density in their Arizona service region, it will also help them scale their small but growing home-based primary care and palliative care businesses. Uplift currently has one medical group active in Nevada and is seeking to expand those services across their footprint, which also extends into Texas. 

Report sounds alarm about private equity’s growing involvement in PACE McKnights Home Care; by Adam Healy; 9/24/25 The Program of All-inclusive Care for the Elderly (PACE), a program funded by Medicare and Medicaid, is an increasingly attractive target for private equity investors. This may be a cause for concern, according to a new report by the Private Equity Stakeholder Project. “Private equity sees PACE as a guaranteed revenue stream, not a care model,” Michael Fenne, report author and PESP’s senior healthcare research coordinator, told McKnight’s Home Care Daily Pulse Wednesday in an email. “The result is that PACE, once a nonprofit-driven model focused on keeping seniors healthy at home, is increasingly being treated as a financial opportunity for investors.”

Commentary: New York must act now to protect quality hospice care Times Union; by Cara Pace, Liz Krueger and Amy Paulin; 9/30/25 When your loved one is entering the final stage of their life, who would you rather manage their care: a nonprofit solely dedicated to providing the highest quality care possible? Or a private entity seeking to maximize profits? ... However, for-profit hospices now account for 70% of the market, up from 5% 35 years ago. This comes despite studies showing that for-profit hospices provide fewer essential services, employ less skilled staff, receive a higher volume of complaints and contribute less to their communities than their nonprofit counterparts. ... That's why we introduced legislation (S.3437/A.565) to prohibit the state from approving new applications for the establishment, construction or increased capacity of for-profit hospice entities. The two existing for-profit providers would not be touched, though their capacity to expand would be limited. The legislation now awaits Gov. Kathy Hochul’s signature.Editor's Note: For-profit or non-profit status alone does not speak to the quality of care provided by the individual hospice. Some for-profits provide excellent care; some non-profits do not. This article speaks to evidence-based data, quality scores, patterns, trends, and cumulative results from CAHPS, HIS (which is being replaced by the HOPE Tool, effective today), and more. Examine quality scores in your services with the National Hospice Locator (ranked by scores), provided by National Hospice Analytics.

Uplift Hospice acquires Stoneridge in Arizona Hospice News; by Jim Parker; 9/17/25 Uplift Hospice has acquired Stoneridge Hospice in Arizona for an undisclosed amount. Uplift’s footprint stretches across the southwest and into the mountain states with locations in Texas, Arizona and Nevada. The Stoneridge transaction adds density to its Arizona operations and brings the company’s average daily census up to 500 patients. The owners of Stoneridge were looking to exit the business and were more concerned about cultural alignment than the financial terms, according to Uplift CEO Owen Lawrie.