Literature Review

MedPAC debates hospice payment updates via outlier, add-on payments Inside Health Policy; by Sigi Ris; 3/17/26 When it comes to addressing hospice provider’s high-cost treatments for patients with end-stage renal disease or cancer, Congress’ Medicare advisors seemed to support updating the hospice payment system with outlier payments rather than an add-on payment and commissioners debated the merits of creating a transitional care model for those patients that would reduce barriers to these support services. [Full access requires subscription, with option for 30 days free access.]

Alliance concerned by MedPAC’s misguided 2026 home health and hospice payment recommendations National Alliance for Care at Home, Alexandira, VA and Washington, DC; Press Release; 3/13/26The National Alliance for Care at Home (the Alliance) is deeply concerned by the Medicare Payment Advisory Commission’s (MedPAC) March 2026 Report to Congress: Medicare Payment Policy. MedPAC’s congressionally mandated report provides analysis and recommendations on various Medicare programs, including home health and hospice. The Commission’s findings focus on payment adequacy, access to care, quality, financial performance, and projections for 2026 and beyond. The Alliance previously expressed concern in response to MedPAC’s vote in January 2026.

Hospice nurse weekend visit rates, by state Becker's Hospital Review; by Elizabeth Gregerson; 3/11/26 ... CMS collects skilled nursing visit data, submitted directly by hospice providers, from Medicare hospice claims, and from the Hospice Consumer Assessment of Healthcare Providers and Systems survey, through the Hospice Quality Reporting Program. The national percentage of hospice nurse visits provided during the weekend was 9.6%. Here are the percentage of weekend skilled nursing minutes provided between Jan. 1, 2023, and Dec. 31, 2024, by state, according to CMS: ...

Infographic: Compliance you can’t ignore HR Daily Advisor Staff; by HR Daily Advisor Staff; 1/21/26 In the age of AI and remote work, HR leaders are dealing with tough compliance challenges, and they must have strategies to keep everything straight and in order for their organizations. Want to learn best practices and what HR leaders should do right now to deal with compliance issues such as AI governance, leave laws, classifying workers, remote and global jurisdictional risk, data privacy, and employee monitoring/surveillance? Check out our infographic to ensure you’re as proactive as possible.

Medicare, Medicaid, and Children's Health Insurance Programs: Nationwide Temporary Moratoria on enrollment of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) supplier medical supply companies Federal Register; by the Centers for Medicare & Medicaid Services; 2/27/26 Summary: This notice announces the imposition of a 6-month nationwide moratorium on the Medicare enrollment of DMEPOS supplier medical supply companies. Background: ... Under the Patient Protection and Affordable Care Act (Pub. L. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152) (collectively known as the Affordable Care Act), Congress provided the Secretary with new tools and resources to combat fraud, waste, and abuse in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).

14th Annual healthcare fraud & abuse review 2025 JD Supra; by Theresa Androff, Cody Anthony, Denise Barnes, Michael Bassham, Angela Bergman, Justin Brown, Nathan Brown, J. Taylor Chenery, Hannah Choate, Matthew Curley, John Eason, Charlotte Elam, Emily Ann Farmer, Lindsey Brown Fetzer, Emily Fountain, Lauren Gaffney, Scott Gallisdorfer, Anna Grizzle, Becca Guthrie, Stephanie Higdon, Brian Irving, Stewart Kameen, Travis Lloyd, Andrés Martinez, Garrah Carter-Mason, William Mathias, Jennifer Michael, Jack Nelson, Benjamin Peterson, Brianna Powell, Lisa Rivera, Brian Roark, Molly Ruberg, Taylor Sample, Reagan Schmidt, Ben Schrader, Danielle Sloane, Hannah Webber; 2/17/26 Bass, Berry & Sims is pleased to bring you our 14th annual Healthcare Fraud & Abuse Review in which we cover significant civil and criminal enforcement issues for healthcare providers. Please see full publication below for more information. ...

Medicare crackdown on hospice affiliations threatening providers Bloomberg Law; by Patric Hooper, Jordan Kearney, and Maydha Vinson; 2/18/26 A new federal enforcement trend is sending shockwaves through California’s hospice sector and beyond. Health care providers are discovering that their Medicare enrollment, and often their entire practice, can be jeopardized simply because of whom they once worked with, not because of anything they personally did. The Centers for Medicare and Medicaid Services calls it affiliation. Under federal regulations, CMS or its contractors can revoke a provider’s Medicare enrollment if the agency determines that an affiliation poses an “undue risk” of fraud, waste, or abuse. 

Forefront Living Hospice agreed to pay $1.9 million for allegedly violating the Civil Monetary Penalties Law by submitting claims for services that identified the incorrect provider or were performed by non-enrolled or incorrect providers HHS-OIG, U.S. Government; 1/30/26 After it self-disclosed conduct to OIG, Forefront Living Hospice d/b/a Faith Presbyterian Hospice and d/b/a T. Bonne Pickens Hospice and Palliative Care Center (Forefront), Dallas, Texas, agreed to Pay $1,959,718.74 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Forefront billed for: (1) hospice services provided by "attending physicians" who were nurse practitioners, but billed as if they had been performed by physicians; and (2) "attending physician" services performed by an attending physician who was not the physician chosen by the patient or where the provider was not properly enrolled in Medicare.

Vance to lead sweeping anti-fraud task force investigating California Before It's News; Press Release; 2/4/26 Vice President JD Vance is poised to chair a new White House task force aimed at rooting out potential fraud and abuse in government programs in California, according to CBS News. Andrew Ferguson, chairman of the Federal Trade Commission, is expected to serve as the task force’s vice chairman and handle day-to-day operations, CBS News reports. President Donald Trump is anticipated to issue an executive order in the coming days to formally establish the group, the news outlet said.

Hospice regulatory 2025 updates- year-end overview The National Law Review; by Benjamin J. Fenton, Nick D. Jurkowitz, Much Shelist, P.C.; 2/3/26 As 2025 comes to an end, many hospice-related regulatory changes from the start of the fiscal year are now in effect and actively shaping daily operations. Providers nationwide have spent the year changing workflows, training staff, and improving infrastructure to remain compliant. 2025 Hospice Regulatory Updates:

From new division to new leadership: White House appoints national “Fraud Czar” Benesch; by Robert J. Kolansky, Pilar G. Mendez, Briana Cowman; 1/30/26  The White House has announced the creation of a new senior enforcement role focused on identifying, coordinating and advancing large-scale fraud matters across federal programs and the private sector, signaling a renewed emphasis on centralized fraud enforcement strategy rather than a shift in underlying legal standards. According to recent reporting, the Administration has appointed a seasoned investigator and prosecutor, Colin McDonald to serve in this newly created role, informally described as a national “fraud czar.” 

Protecting patients at the end of life: Why CON still matters / part one, with Tim Rogers and Paul A. Ledford Teleios Collaborative Network (TCN); podcast/video hosted by Chris Comeaux with Time Rogers and Paul A. Ledford; 1/28/26 Certificate of Need (CON) laws remain one of the most debated—and misunderstood—regulatory frameworks in healthcare.  In this in-depth conversation, Chris Comeaux is joined by two of the nation’s most respected Hospice association leaders: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.

Fighting hospice fraud an OIG priority Hospice News; by Jim Parker; 1/26/26 The U.S. Department of Health & Human Services (HHS) Office of the Inspector General (OIG) has identified hospice fraud among top management and performance challenges. This is according to an annual document that OIG prepares, a statutory requirement that is designed to help HHS improve the effectiveness and efficiency of its operations. A major challenge for HHS is the “sizable” reduction in workforce and a slew of program changes instituted by the Trump Administration, the report indicated. “Effectively managing a changing organizational and workforce environment is itself a significant management challenge,” OIG said in the report.