Literature Review

LA’s shameful hospice fraud crisis laid bare — and the tens of millions of your cash going down the drainNY Post; by Benjamin Brown; 3/1/26A network of hundreds of hospices are under investigation for allegedly ripping tens of millions of dollars from taxpayers in Los Angeles Country and across California. The Centers for Medicare and Medicaid Services is now actively cutting off payments to suspicious operations across Los Angeles, which is home to almost half of America’s end-of-life care providers.Notible mentions: Dr. Mehmet Oz, Dr. Ira Byock, and Sheila Clark.

Husch Blackwell’s Meg Pekarske: Hospices facing ‘huge pendulum shift' Hospice News; by Holly Vossel; 2/27/26 The hospice space has seen waves of regulatory changes in recent years that are affecting sustainable access, according to Meg Pekarske, partner at the law firm Husch Blackwell. Ensuring program integrity and quality will take an overhaul of hospice regulation. Pekarske, a hospice and health care attorney, is retiring with more than 25 years of legal experience, effective March 31. She recently sat down with Hospice News to reflect on the most significant regulatory changes impacting the future scope of hospice care delivery. Greater consideration is needed around a potential revamp of the Medicare Hospice Benefit, Pekarske said.

The trends—and traps—shaping 2026 JD Supra; by Morgan Lewis; 2/24/26 The global business landscape in 2026 is marked by accelerating political realignments, intensifying regulatory oversight, rapid technological maturation, and shifting market expectations. In this year’s report, our lawyers assess the trends and emerging risk areas that organizations across industries and regions are likely to encounter in 2026 and beyond. Drawing on insights from a dynamic array of developments—from the business repercussions of geopolitical recalibration to the continued expansion of transformative technologies—this compilation delivers a forward-looking perspective designed to support informed strategy and purposeful decision-making for businesses worldwide.

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. ...

Oregon considers bill to stop hospice scammers from entering state Hospice News; by Jim Parker; 2/13/26 State lawmakers in Oregon are mulling a bill designed to combat hospice fraud. Senate Bill 1575 would prevent hospices that have committed fraud or provided substandard care in other states from setting up shop in Oregon. If enacted, the Oregon Health Authority, a state agency, would examine the history of companies seeking to open hospices before approving a license, including Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey results, among other information. 

Oregon lawmakers consider tightening hospice oversight over fraud, abuse concerns The Lund Report; by Lynne Terry; 2/10/26For the second year in a row, Oregon lawmakers are considering a bill designed to tighten state oversight of the hospice industry, which has been rife with fraud and abuse. Senate Bill 1575 aims to block new hospices from Oregon that have committed fraud or neglected patients in other states. It would require the Oregon Health Authority to review the past history of companies seeking to operate new hospices, ensure they have enough financing to serve patients for about a year and run criminal background checks on the proposed administrator, medical director and any owners with more than a 5% stake in the company.Editor's Note: Dr. Cordt Kassner--owner/publisher of this newsletter and owner/data expert for Hospice Analytics, was interviewed for this article. His data provides insight on Oregon's hospice provider growth, for-profits and non-profits, and comparisons with nearby states.

Woman who allegedly stole $3.2m from Medicare boasted about lavish home Complex; by Helen Storms; 2/7/26 A California woman has been arrested after allegedly stealing $3.2 million from Medicare as part of an elaborate hospice scam. The woman, identified as 49-year-old Flor Mora, shared photos of the lavish $4 million dream home she bought from the funds she is accused of stealing before being hit with felony charges. Mora purchased the luxurious seaside home located in the Carmel Highlands in Monterey County, California, in November 2025. It would later be featured in the Washington Street Journal and even voted the House of the Year. Little did voters know that Mora had paid for the early 20th-century style home with reportedly stolen funds.

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.

What Salem-area lawmakers are prioritizing for the 2026 session Salem Reporter, Salem, OR; by Rachel Alexander and Hailey Cook; 2/4/26 ... Oregon’s month-long legislative session got underway on Monday, Feb.2. The fast-paced short session occurs in even years. ... Hospice care oversight: SB 1575 would add protections for patients in hospice care. The new rules would include requiring a background check for business owners, ensuring agencies have the financial resources to care for patients and pausing the issuance of new hospice licenses until the state rules are implemented.  Patterson said the change was at the request of the Oregon Hospice and Palliative Care Association. “In other states there has been a lot of fraud and abuse, and we want to prevent that from happening here in Oregon,” she said. 

O&I Subcommittee holds hearing on ongoing fraud in Medicare and Medicaid programs Energy & Commerce - Chairman Brett Guthrie, Washington, DC; Press Release; 2/3/26 Today [2/3], Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, led a hearing titled Common Schemes, Real Harm: Examining Fraud in Medicare and Medicaid. ... Watch the full hearing here. [Key excerpts:] ... Congressman Buddy Carter (GA-01): “Auditors found 112 hospice providers operating out of a single physical address. 112...holy cow. As a result, hospice agencies in LA County alone likely overbilled Medicare by $105 million in just one year. […] It looks like it’s a problem in a lot of different places. 

Los Angeles County hospice industry under scrutiny for suspected Medicare fraud Santa Monica Observer, Santa Monica, CA; by Chet McSnark; 2/1/26 With 2,000 hospice agencies, Los Angeles County has more than 36 states combined and 30x more than Florida and New York. ... Recent reports indicate that the county accounts for approximately 18% of the nation's total Medicare billing for these services, despite representing only about 2.5% of the U.S. population. According to statements from CMS Administrator Dr. Mehmet Oz ... has estimated that fraudulent activity in Los Angeles County hospice and home health care could amount to roughly $3.5 billion annually. Federal data shows the county hosts nearly 1,923 hospice providers, a number that exceeds the total in many other states combined.

California revokes 280 hospice licenses in fraud fight; Congressional hearing set Hospice News; by Holly Vossel; 1/28/26 California Gov. Gavin Newsom (D) has provided an update on how the state is tackling fraudulent activity in the hospice space amid rising federal concerns. More than 280 licenses have been revoked among new hospice operators entering the state during the last two years, the governor reported on Tuesday. ... CMS Administrator Dr. Mehmet Oz and other agency officials visited hospices in California and Nevada earlier this month, pledging greater efforts to combat fraud.