Literature Review

Two California residents plead guilty in connection with $16M hospice fraud scheme and money laundering schemeDOJ press release; 7/8/25Two California residents pleaded guilty yesterday in connection with their roles in defrauding Medicare of nearly $16 million through sham hospice companies and to laundering the proceeds of the fraud as part of a multi-year scheme. According to court documents, Karpis Srapyan, 35, of Winnetka, California, conspired with others, including co-defendants Petros Fichidzhyan and Juan Carlos Esparza, to bill Medicare for hospice services that were not medically necessary and never provided. To conduct their fraudulent scheme, they used a series of four sham hospice companies: one owned by Esparza and the other three owned by foreign nationals but controlled by the defendants. Srapyan and his co-defendants concealed the scheme by using foreign nationals’ personal identifying information to open bank accounts, submit information to Medicare, and sign property leases. They also misappropriated names and other identifying information of several doctors, two of whom were deceased, to fraudulently bill Medicare for purported hospice services. In total, Medicare paid the fake hospice companies nearly $16 million.

HR1: The One Big Beautiful Bill Act - Provisions relevant to Medicaid HCBS providersNational Alliance for Care at Home; 7/7/25The Alliance has created a detailed summary for providers that deliver Medicaid-funded home and community-based services (HCBS) about provisions in the House Resolution 1, the One Big Beautiful Bill Act, also known as the “Reconciliation” bill. View the Alliance's recent statement following House passage of the bill. President Trump signed the legislation on July 4, 2025, and therefore the provisions below will now become law.Publisher's note: Membership required to access full analysis. Also, direct hospice impact appears minimal; indirect hospice impact (e.g., hospice impact as a result of Medicaid nursing home impact) unclear.

Reopening of Hospice House stalls after Seasons Hospice exits Steele County Southernminn, Faribault, MN; by Annie Harman; 7/1/25 What has been a continuing journey of peaks and valleys has come upon yet another roadblock as volunteers with the Homestead Hospice House announce the reopening of the residential hospice facility will be put on hold. The news comes after Seasons Hospice, a nonprofit hospice care organization based out of Rochester, has made the decisions to discontinue their home care and hospice services in Steele County. Seasons had initially partnered with the board of the Homestead Hospice House in August 2024 to work toward reopening the facility, raising $850,000 — $350,000 to reopen the facility and cover startup funds for IT and staff, and an additional $500,000 to secure operating funds for the first year. 

Creach Family Holdings acquires Freudenthal Home-Based Healthcare to expand in-home care services Associated Press, Overland Park, MO; Press Release; 7/2/25 Creach Family Holdings, LLC (CFH), a privately held investment firm focused on healthcare technology and tech-enabled services, today announced the acquisition of Freudenthal Home-Based Healthcare, a leading provider of in- home health services based in St. Joseph, Missouri. ... Freudenthal Home-Based Healthcare will continue to operate under its existing name and will become part of CFH’s growing Home Health and Hospice group which includes Faith Home Health and Hospice, with headquarters in Overland Park, KS.

When less is more: Addressing polypharmacy in high-risk populations Pharmacy Times; by Andrew E. Esch, MD, MBA and Alain Hipensteele; 7/7/25 As digital health tools and artificial intelligence (AI)–powered clinical decision support systems become increasingly embedded in pharmacy workflows, pharmacists are gaining new opportunities to identify and address the risks of polypharmacy—particularly in high-risk populations such as older adults and those receiving palliative care. At the same time, evolving deprescribing guidelines and ongoing drug shortages have underscored the need for coordinated, patient-centered medication management strategies. In this interview with Pharmacy Times®, Andrew E. Esch, MD, MBA, director of the Palliative Care Program Development at the Center to Advance Palliative Care, discusses how pharmacists are using emerging technologies to streamline medication reviews, reduce therapeutic duplication, and engage caregivers in deprescribing conversations. 

A physician’s reflection on love, loss, and finding meaning in grief [podcast] The Podcast by KevinMD; KevinMD's podcast with hospitalist Jasminka Vukanovic-Crily; 7/1/25 Hospitalist Jasminka Vukanovic-Criley discusses her article, “When grief hits all at once: a morning of heartbreak and love.” Jasminka shares a deeply personal account of a Saturday morning where unexpected news of the passing of two friends, Natasa’s mother Mirjana and her friend Thomas, both from cancer, suddenly immersed her in profound grief. She reflects on the fragility of life and the ripple effect of these losses, which led to a cascade of memories: ... 

5 ways to have a ‘good death’ — including one of the biggest mistakes people make New York Post; by Reda Wigle; 7/3/25 No one gets out of life alive — but one expert says we can take steps to make sure we leave the earthly plane riding the high of a “good death.” “While 80% of people want to die at home surrounded by loved ones, only 30% actually do,” End Well founder Dr. Shoshana Ungerleider told The Post. “This massive gap reflects our system’s inability to honor what patients actually value.” As our cultural relationship to mortality has changed, Ungerleider notes that we have become disconnected from the process of death and, in turn, fail to plan appropriately for it. But if you’re not sure where to start, she has a helpful checklist of everything you should be doing to avoid a “bad death.”

We all have wisdom inside us, my friend, but it's a very quiet, gentle voice, so you might need to be very still to hear it. ~ James Norbury, The Journey

There's zero correlation between being the best talker and having the best ideas. ~ Susan Cain

Essentia Health is putting Duluth Hospice patients in jeopardy, healthcare workers speak out Minnesota Nurses Association; Press Release; 7/1/25 In a move hospice nurses are calling “cruel and unnecessary,” Essentia Health has informed staff that it will suspend patient care at Solvay Hospice House beginning July 8, the same day an open-ended unfair labor practice (ULP) strike is set to begin across Duluth hospitals. The Minnesota Nurses Association has proposed seven bargaining dates in the week before the strike, but Essentia Health has not accepted a single date for Solvay Hospice House or its hospitals and clinics. Solvay healthcare workers say these transfers are not being driven by a shortage of caregivers, but by Essentia’s refusal to engage in good faith bargaining with frontline healthcare workers at Solvay and across Duluth facilities. Caregivers at Solvay have been seeking a fair contract for nearly a year. 

Avera Medical Minute: Family shares their experience with hospice care Dakota News Now, Sioux Falls, SD; by Dakota News Now staff; 6/30/25 Hospice care is more than just medical support. At the Dougherty Hospice House, it can be considered a home away from home, where staff aim to offer patients and their families the assistance and comfort they need during this difficult time. In this Avera Medical Minute, one Sioux Falls family shares how, thanks to the hospice team, they were able to focus on spending time with their loved one. Craig Lloyd was known as a development leader in the Sioux Falls community, building homes and more throughout the city. “He had a big heart, so he just kept trying to improve things, his thought was always ‘God put me on this Earth to make it better,’” said Craig’s wife, Pat Lloyd. ... Craig was also in Florida at the time when he needed hospice care and Pat credits the work of Avera and the hospice team in making a smooth transition for Craig from there to home in Sioux Falls and then to Dougherty Hospice House.

Pennant announces home health acquisition in Southern California Classic 96.7 FM BWZ, Eagle, ID; 7/1/25; 7/1/25 The Pennant Group, Inc. (NASDAQ: PNTG), the parent company of the Pennant group of affiliated home health, hospice, home care and senior living companies, announces the acquisition of a premier home health agency, GrandCare Health Services. The newly acquired agency, to be known as GrandCare Home Health, provides services in Los Angeles, Orange, Riverside and San Diego counties in California, and broadens Pennant’s service area in the region.