Literature Review

Cherish Hospice celebrates new location in Springfield Springfield News-Sun; by Brooke Spurlock; 12/17/24 Cherish Hospice celebrated its new headquarters location at 1929 E. High St. in Springfield [OH] on Tuesday. Cherish officials said that since 2021, they have served hundreds of patients in Southwest Ohio, with a staff of more than 25 caregivers and a volunteer program. “This is a great symbol of us, how we’ve grown,” said Jason Casto, administrator for Cherish Hospice. “This is a ribbon cutting event to celebrate our growth and the fact that we plan to remain here in Springfield as a staple.”

VITAS Healthcare unveils inpatient hospice unit at Lee Memorial Hospital South Florida Hospital News and Healthcare Report, fort Myers, FL; by cfelixcpa; 12/16/24 Residents of Lee County now have access to dedicated end-of-life care at the new VITAS Healthcare Inpatient Hospice Unit at Lee Memorial Hospital, offering expert, patient-centered hospice services in the comfort of a homelike setting. This inpatient unit (IPU) is the only hospital-based hospice facility in the county and is the first VITAS IPU in Lee County and second in Southwest Florida. It is expected to serve more than 400 patients annually. ... The VITAS hospice unit at Lee Memorial features eight private patient rooms with internet access, flatscreen TVs, private bathrooms and overnight accommodations for loved ones. A shared family room provides space for visiting guests, and children’s activities keep little ones occupied.

Hospice utilization rebounds to pre-pandemic levels, but fraud casts a shadow Hospice News; by Jim Parker; 12/17/24 The nation’s hospice utilization rate among Medicare decedents has once again surpassed 50%, for the first time since the pandemic. However, fraud issues in the space create questions around the quality of care patients are receiving. Hospice utilization reached 51.7% in 2023, up more than two percentage points from the prior year, according to recent data from the Medicare Payment Advisory Commission (MedPAC). This is the highest rate since 2019. MedPAC observed increases in utilization across the board, even when stratified into subgroups by age, sex, race and rural or urban location. ... Despite these positive trends, an influx of new hospices continued in states considered hotbeds for Medicare fraud, including Arizona, California, Nevada and Texas. Many of these new additions came in areas where additional hospices were likely not necessary based on the needs of the patient population. Georgia also saw a large spate of new providers emerge in 2023.

Why private equity healthcare investment may rise in 2025 Modern Healthcare - Mergers & Acquisitions; by Alex Kacik; 12/12/24 Private equity investment in healthcare is expected to pick up in 2025 but still fall short of the highs of 2021, merger and acquisition advisers said. Private equity-linked healthcare transaction volume is poised to rebound after a sluggish 2024 as interest rates cool, state-led oversight bills lose momentum and a new presidential administration begins. Corporate investors will likely prioritize deals that involve healthcare information technology and other administrative support services over physician practices, industry observers said. 

Glendale woman and Lakewood man found guilty of $3.2 million hospice fraud scheme involving kickbacks for patient referrals United States Attorney's Office - Central District of California, Los Angeles, CA; Press Release; 12/12/24A Glendale woman and a Lakewood man have been found guilty by a jury of paying and receiving hundreds of thousands of dollars in illegal kickbacks for patient referrals that resulted in the submission of approximately $3.2 million in fraudulent claims to Medicare for purported hospice care, the Justice Department announced today. Nita Palma, 75, of Glendale, was found guilty late Wednesday of 12 counts of health care fraud and 16 counts of paying illegal kickbacks for health care referrals. Percy Abrams, 74, of Lakewood, also was found guilty late Wednesday of six counts of receiving illegal kickbacks for health care referrals. ... Consistent with instructions provided by Palma, Abrams falsely represented to prospective patients that they did not need to be dying to be on hospice. After collecting personal identifying information from prospective patients that were not dying, Abrams sent the information to Nita Palma so she could bill Medicare for purported hospice care.Editor's note: Caution. How many hospices have misused information about President Jimmy Carter's long Length of Stay (LOS) to purport similar messaging that "hospice is not about dying"? Too often, articles we would review used "not about dying" language and never mentioned anything about ongoing clinical review for hospice appropriateness, 6-month Face to Face visits, et al. 

ONA accuses Providence of trying to sidestep state regulators as it partners with private equity Oregon Nurses Association; by ONA; 12/12/24 The Oregon Nurses Association (ONA) sent a letter to the Oregon Health Authority asking them to intervene in the recently proposed joint venture between Providence Health and private equity-backed Compassus to manage Providence’s home health and hospice program. The full letter is included below. Providence announced the so-called joint venture in October but has failed to file the proper paperwork with Oregon’s Healthcare Market Oversight (HCMO) to allow state regulators time to review the sale. Concerns from patients and caregivers have already been raised about transparency, patient care, and the potential negative effects on health outcomes in Oregon’s vulnerable communities with this joint venture.

New Day Healthcare acquires Good Samaritan Society’s hospice operations Hospice News; by Holly Vossel; 12/11/24 Texas-based New Day Healthcare LLC has announced its acquisition of Good Samaritan Society’s hospice operations in its home state. The financial terms of the deal were undisclosed. The transaction includes Good Samaritan’s hospice assets in El Paso, Texas, expanding New Day’s existing presence in that market. The deal marks an important strategic move as New Day Healthcare ramps up M&A activity in the near future, according to CEO and Founder G. Scott Herman.

Coaching and caring for others with Meredith Damore Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux; 12/11/24 In this episode of the Anatomy of Leadership podcast, Meredith Damore, Elevate’s SVP of Organizational Effectiveness and Managing Director, Consulting for Elevate Talent, and Chris discuss various topics related to leadership and organizational effectiveness. Meredith has spent a large portion of her career taking coaching and leadership into the private equity world to help start ups be more successful.  A great quote from their time together was a definition of culture that Meredith uses from Carolyn Taylor, “Culture is the patterns of behavior that are encouraged, discouraged, tolerated and not tolerated, most often starting with a leadership team and exhibited broadly by people and systems within an organization over time.” Editor's note: Telios Collaborative Network (TCN) is a sponsor of our newsletter.

VitalCaring’s PE backers considering appeal of Encompass, Enhabit lawsuit Hospice News; by Jim Parker; 12/6/24 Nautic Partners and The Vistria Group, the private equity backers of home health and hospice provider Vital Caring, are mulling a potential appeal of a federal court’s recent decision in a dispute with Encompass Health (NYSE: EHC) and Enhabit Inc. (NYSE: EHAB). A federal judge in Delaware on Monday ordered VitalCaring, Nautic and Vistria to share 43% of future profits Encompass Health and Enhabit Inc. The two companies allege that the founders of VitalCaring, including CEO April Anthony, used unethical practices to get the company off the ground, adversely affecting the two plaintiffs. Anthony previously served as CEO of Encompass Health’s home health and hospice segment. The two private equity firms, co-defendants in the lawsuit, are now considering their legal options.

UnitedHealthcare CEO's slaying adds tragic twist to parent company's tumultuous year CBS News WCCO, Minneapolis, MN; by Beret Leone, Stephen Swanson; 12/5/24 Minnesota-based UnitedHealthcare Group Inc. has faced a firestorm of controversy this year. And as investigators search for a motive in the slaying of Brian Thompson, CEO of its insurance arm, they aren't counting anything out. Between a software attack, protests, lawsuits and layoffs by one of its subsidiaries, Thompson's killing adds a tragic end to a troubled year for the company. [Click on the title's link to continue reading.]

Residential Hospice brings hospice care to eastern Kansas and western Missouri PR Newswire, Kansas City, MO; by Residential Home Health and Hospice; 12/4/24 Tutera Senior Living & Health Care (Tutera) and Residential Home Health and Hospice (Residential) have expanded their partnership and service offering, Residential Hospice is now acting as the preferred provider of hospice services. Tutera and Residential have been in a partnership since May 2022 with Residential providing home health care in their Kansas City market. "The focus of our partnership with Residential is to support patients at every stage of care in the communities we serve," said Randy Bloom, President/COO Tutera Health Care Division. "By expanding the partnership with Residential, we increase access to care and are better able to meet the healthcare needs of our community."

UnitedHealthcare CEO Brian Thompson fatally shot in New York City, reports say USA Today; by Christopher Cann; 12/4/24, updated 11:11 am ET The CEO of UnitedHealthcare, one of the largest insurance providers in the nation, was fatally shot Wednesday morning outside the Hilton hotel in midtown Manhattan, where the company was hosting an investors conference, multiple news outlets reported, citing police sources. Brian Thompson, 50, was shot just before 7 a.m. near the hotel on 54th Street between 6th and 7th Avenues, the New York Post, New York Times and WPIX reported. UnitedHealth did not immediately respond to a request for comment from USA TODAY. A spokesperson for the New York City Police Department who declined to be identified by name told USA TODAY a 50-year-old man was fatally shot outside the hotel, but did provide the victim's name, saying the department was waiting to notify the family. 

Why the DOJ’s lawsuit against the UGH-Amedisys merger may not go anywhere MedCityNews; by Marissa Plescia; 11/21/24 Experts aren’t sure what the outcome of the DOJ’s recent lawsuit against the proposed UnitedHealth Group/Amedisys merger will be under the incoming Trump administration. The Biden administration has focused more on supporting clinicians, while the previous Trump administration favored corporations. ...  But even aside from the differences in governing philosophy, one expert noted that the main reason for antitrust lawsuits — prices would rise as a result of the transaction, hurting consumers and patients — seems to be missing from the equation here. That’s because of the outsized role Medicare and Medicaid play in the home health industry. ... By acquiring Amedisys, UHG would grow its home health and hospice footprint to five more states, as well as receive 500 additional locations across 32 states it already operates in. The deal would also give UHG control of at least 30% of the home health or hospice services in eight states. ... Will the DOJ succeed? It's hard to say for sure what the outcome of the DOJ’s lawsuit will be, particularly with the change in administration. ...