Literature Review

The most connected hospice doctor in California CBS News Investigations; by Laura Geller, Rachel Gold, Adam Yamaguchi and Grace Manthey; 4/7/26 Physicians who oversee hospice clinics deliver a critical and delicate form of care to patients confronting terminal illness with the goal of helping them find dignity and comfort at the end of life. No active physicians oversaw more of these cases in California, or were reimbursed with more taxpayer money, than Dr. Rajiv Bhuva, according to federal records. ... Bhuva's name was listed on reimbursements for at least 2,800 patients across 126 California hospices in 2024. ... While fraud in the hospice industry is a long-running and complex problem, the role of physicians – knowingly or unwittingly facilitating it – has largely gone overlooked. 

Trump: JD Vance will be new fraud czar, focus on 'blue states' UPI (United Press International); by Lisa Hornung; 4/3/26 Vice President JD Vance is now the government's fraud czar, according to President Donald Trump, and he will focus on "blue states."

8 arrested in health care fraud takedown, including owners of hospices that billed taxpayers millions of dollars to serve the ‘dying’United States Attorney's Office - Central District of California, Los Angeles, CA; Press Release; 4/2/26More Than $50 Million in Intended Health Care Fraud Losses Charged In coordination with the Vice President’s Task Force to Eliminate Fraud, eight defendants, including three nurses, a chiropractor, and a purported psychologist, have been arrested on federal charges that they schemed to defraud the nation’s health care system out of more than $50 million – including by running sham hospice care facilities that bilked Medicare by using people without terminal illnesses as beneficiaries, the Justice Department announced today.Editor's Note: As coverage escalates—often with sensational framing—we are anchoring in the official U.S. Attorney’s press release. The allegations are serious and demand accountability, but do not reflect the broader hospice field. This is a moment for leaders to reinforce clear, disciplined narratives that distinguish fraud from the mission-driven care centered on dignity and what matters most.

Feds charge 15 in SoCal hospice fraud crackdown MyNewsLA.com, Los Angeles, CA; by Contributing Editor; 4/2/26 A Covina married couple — a psychologist and a registered nurse — were among 15 defendants facing federal charges Thursday in Los Angeles as part of a crackdown on health care fraud schemes such as sham hospice facilities that pay people without terminal illnesses to pose as dying Medicare beneficiaries. ... Three nurses, a chiropractor, and the Covina psychologist were among eight defendants recently arrested in the investigation local law enforcement dubbed “Operation Never Say Die.”

Hospice of Amador & Calaveras addresses statewide hospice fraud concerns, reaffirms commitment to ethical, community-based careLedger News; Press Release; 3/30/26 In response to recent national media coverage highlighting concerns regarding hospice fraud in California, Hospice of Amador & Calaveras (HOAC) is reaffirming its commitment to ethical, transparent and compassionate care for patients and families across Amador and Calaveras counties. ... “Hospice care is built on trust, dignity and compassion,” said Samantha M. Lukow, Executive Director of Hospice of Amador & Calaveras. “While the reports are deeply concerning, it is important for our community to know that not all hospice providers operate in this manner. The vast majority of hospice organizations, including ours, are dedicated to providing ethical, patient-centered care.” 

‘No one is safe’ in CMS’ fraud fight Hospice News; by Jim Parker; 3/25/26 The U.S. Centers for Medicare & Medicaid Services (CMS) is casting a wide net in its anti-fraud efforts, and some legitimate providers are finding themselves on the hook. ... CMS has pledged to crack down hard on fraudulent hospices, but to date some of their efforts lack transparency and could represent a threat to honest providers, according to Andrew Brenton, attorney with Husch Blackwell. “With the wide net that CMS is casting, certainly, good hospices are being caught up in that,” Brenton said at the Hospice News ELEVATE conference. “I think no one is really safe, because a lot of this is a black box; the methodology by which CMS chooses which hospices to audit or otherwise target for enforcement is kind of unknown.”

NPHI calls on CMS to enact temporary nationwide moratorium on new hospice provider enrollments to stop fraudulent operators National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 3/25/26 The National Partnership for Healthcare and Hospice Innovation (NPHI), representing the nation’s leading nonprofit, mission-driven, safety-net, hospice and advanced illness care providers, is calling on the Centers for Medicare & Medicaid Services (CMS) to implement a temporary, nationwide moratorium on new hospice provider enrollments in response to the continued growth of fraudulent providers exploiting the Medicare hospice benefit. In a letter sent today to CMS Administrator Dr. Mehmet Oz and Deputy Administrator Kimberly Brandt, NPHI outlines concerns regarding the unchecked expansion of fraudulent hospice providers and the impact on patients, families, and the integrity of the Medicare program.

Oversight Committee launches investigation into rampant taxpayer fraud in California hospice programs U.S. Committee on Oversight and Government Reform, Washington, DC; Press Release; 3/23/26Following alarming reports that California officials failed to properly safeguard federal funds, House Committee on Oversight and Government Reform Committee Chairman James Comer (R-Ky.) and Oversight Committee Republicans today launched an investigation into rampant taxpayer fraud in California’s hospice programs. In a letter to California Governor Gavin Newsom, the lawmakers emphasized that the Newsom administration has been aware of state audit reports of hospice fraud for at least four years but has failed to prevent or detect it and has enabled hospice providers to defraud the American taxpayer and exploit vulnerable patients. The Oversight Committee is now requesting documents and communications regarding California’s oversight and internal controls to detect and prevent fraud for its federally funded hospice programs.

Official statement from NPHI on recent hospice fraud media coverage and ongoing federal enforcement efforts National Partnership for Healthcare and Hospice Innovation (NPHI); Press Release; 3/20/26 ... NPHI is actively engaged with federal leaders to advance targeted solutions that root out bad actors while safeguarding the integrity of the hospice benefit. It is important to underscore that these issues are not representative of the majority of hospice providers, who are focused every day on delivering high-quality, compassionate care to patients and families. Official Statement by Tom Koutsoumpas, Founder & CEO of NPHI: "... It’s important to be clear — this is not a failure of the hospice model of care. It is the result of a subset of providers exploiting the healthcare system, and that must stop. ..."Carole Fisher, President of NPHI, added: "“At its core, hospice care is about trust — trust from patients and families during some of the most vulnerable moments in their lives. That’s why NPHI is committed to supporting decisive action to address bad actors, while continuing to uphold and protect the high standards that define this field.”

What the BrightSpring-Sevita deal means for large health care transactions Hospice News; by Jim Parker; 3/13/26 Though not a hospice transaction, the trajectory of BrightSpring Health Services’ (Nasdaq: BTSG) divestiture of its ResCare community living business could signal changes in the way the federal government approaches large health care deals. BrightSpring in January 2025 entered into a definitive agreement to sell ResCare Community Living to Sevita, a provider of home and community-based specialty health care, for $835 million in cash consideration. Closure of the transaction was delayed by a Federal Trade Commission (FTC) anti-trust complaint. The FTC later cleared the deal after reaching an agreement with Sevita, which required the company to sell 126 intermediate care facilities to reduce any anti-competitive impact of the acquisition. ... 

CMS implements enhanced oversight for MAC MBI lookup tools Hospice News; by Jim Parker; 3/17/26 ... In response to a rise in these fraudulent activities, CMS has strengthened oversight of Medicare Administrative Contractor (MAC) MBI lookup tools. The agency now monitors MBI searches against submitted claims using National Provider Identifiers (NPIs). Access to these tools may be revoked if providers conduct a high volume of lookups without submitting corresponding claims. This move by CMS is likely an important step in combatting fraud, according to Sheila Clark, president and CEO of the California Hospice and Palliative Care Association (CHAPCA).

Hospice fraud explodes in California after state ‘crackdown’: 742 flagged providers, $105 million overbilled, and ghost offices California Globe; by Megan Barth; 3/11/26 California investigative reporter Christian Hartsock, in collaboration with California State Assemblywoman Alexandra Macedo for the California Courier, released a breaking undercover investigation just days ago, exposing dozens of suspicious hospice and home healthcare agencies in Los Angeles. Their on-site visits revealed hundreds of companies registered to crumbling buildings with no ramps, no handicap parking, disconnected phones, and signs reading “Out to Lunch.” Hartsock’s footage highlights how over $3.5 billion in Medi-Cal fraud has been identified in Los Angeles County alone, with 31% of all U.S. hospices registered there despite only 2% of the nation’s aging seniors residing in the area.