Literature Review

Most newly enrolled California hospice agencies flagged for fraud, CMS says Washington Examiner; by Mia Cathell; 3/18/26 A top official at the Centers for Medicare & Medicaid Services informed Congress on Tuesday that federal investigators have stripped billing privileges from three-fifths of newly enrolled hospice agencies that have continued to pop up in California, a state long riddled with healthcare fraud. Of the remaining California-based hospice service providers that emerged over the past six months, 35% were flagged for corrective action, Kimberly Brandt, the chief operating officer of CMS, told the House Energy and Commerce Subcommittee on Oversight and Investigations.

Report: Over 40% of hospice centers in L.A. County ‘show multiple indicators’ of fraudulent activity One America News; by Addie Davis; 3/13/26 Over 700 of the roughly 1,800 hospice agencies in Los Angeles County show multiple state identified indicators of fraud, according to an analysis by CBS News. A 2022 California state audit highlights a staggering 1,500% surge in hospice agencies since 2010. By 2019, Los Angeles County’s density of hospice centers reached six and a half times the national average relative to its elderly population — a saturation point linked to an estimated $105 million in Medicare overbilling, according to CBS News.

Van Nuys address linked to nearly 200 hospice agencies, lawmaker says NBC Los Angeles-4, Los Angeles, CA; by City News Service; 3/11/26 A Van Nuys building is listed as the registered address for 197 hospice agencies, according to a state lawmaker who said Wednesday the discovery raises questions about oversight of California's hospice licensing system. Assemblywoman Alexandra Macedo, R-Tulare, said the agencies are registered at 14545 Friar St., where she said she visited the property after reviewing licensing records. ... The lawmaker said the situation highlights potential gaps in the state's oversight of hospice providers under Gov. Gavin Newsom's administration. In a statement to NBCLA, Newsom's office said the governor "cracked down on hospice fraud years." ... The statement did not comment on Macedo's findings at the Van Nuys building. NBCLA has also reached out to the Centers for Medicare and Medicaid Services for comment.

California hospice fraud: What to know as blame game erupts Newsweek; by Jasmine Laws; 3/11/26, updated 3/12/26 The social media platform X has been awash with criticism targeted at California Governor Gavin Newsom as a CBS News report detailed the extent of the state's hospice fraud problem. Newsom's office has been hitting back at the comments, reminding users that the state "cracked down on hospice fraud years ago," and has been pointing the finger at President Donald Trump, as his administration paused a hospice oversight program at the start of 2025. ... Responding to Newsom's office's comments, White House spokeswoman Abigail Jackson told Newsweek: "No one cares about Newscum’s boring X posts ..." While California has been in the spotlight for its hospice fraud, it is not the only state experiencing the problem—it is a nationwide issue. ... A report by the U.S. Department of Health and Human Services Office of the Inspector General in 2023 found that suspected hospice fraud amounts totaled an estimated $198.1 million nationwide. However, some states in particular have seen a surge in new operators, namely California, Arizona, Nevada and Texas, meaning these states are considered hotspots for potential hospice fraud.Editor's Note: This article aptly names the deeply partisan “blame game” now playing out across many media outlets. Hospice fraud is not a partisan issue—it is a human one. When hospice is exploited, it erodes trust in a field built on compassion and dignity at life’s most vulnerable moments. Political finger-pointing may generate headlines, but it does little to solve the problem. Stopping hospice fraud requires accountability, strong oversight, and a shared commitment to protect patients—and the integrity of hospice care itself.

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.