Literature Review

CMS will not resume implementation of Hospice SFP in 2025 Hospice News; by Jim Parker; 3/25/25 A federal court has ordered a stay on litigation intended to block the hospice Special Focus Program (SFP) after the U.S. Centers for Medicare & Medicaid Services (CMS) pledged that it would not resume implementation during 2025. The crux of a lawsuit filed by hospice organizations against the U.S. Department of Health and Human Services (HHS) is the criteria that the agency uses to select hospices for the new Special Focus Program (SFP). [Continue reading ...]

What happens to care when private equity firms buy hospice providers? KALW Public Media / 91.7 FM, Bay Area, CA; by Rose Aguilar and Nina Kissinger; 3/12/25 On this edition of Your Call, we discuss the rise of for-profit hospice agencies in the US and how that's affecting care. Between 2015 and 2022, 47 private equity firms bought 124 hospice providers. Though hospice began as a nonprofit, community-based service in the 1970s to provide specialized end-of-life care, over 70 percent of hospice providers are now for-profit, according to the CDC. What’s behind this alarming trend? And how is it affecting patient care and the right to transition with dignity?  uests: Dr. Ira Byock, palliative care physician, public advocate, founder of the Institute for Human Caring and Jennifer Moore Ballentine, CEO of the Coalition for Compassionate Care of California.

"The hospice heart": Hospice industry battles misconceptions, staffing shortages as expectations grow Pharos-Tribune, Logansport, IN; by  Josh Flynn Pharos; 3/9/25 ... There are a lot of misconceptions about hospice care and one of the largest is that entering hospice care is equal to giving up. ...Hospice care is one of the fastest growing industries as the Baby Boomer generation continues to age. The hospice care industry was valued at $34.5 billion in 2022 and is expected to grow in value to $67.7 billion by 2030. But misconceptions about hospice care and nursing shortages could threaten that future success. ... Maria Rogers is the public relations liaison at Guardian Angel Hospice in Logansport and she has devoted herself to tackling the misconceptions that surround hospice care. ... “You don’t have to be actively passing away to receive our services,” Rogers said. ... Jennifer Edwards, executive director of Heart to Heart in Mishawaka and Logansport, said many families don’t understand the role of medicine in hospice care. While something like chemotherapy would be discontinued, a hospice staff would never discontinue medications or fail to treat new problems that came up. ...

Amid huge growth in Southern Nevada’s hospice industry, lawmaker pushes for more oversight The Nevada Independent; by Tabitha Mueller; 3/5/25 The number of licensed hospice providers in Southern Nevada jumped by more than 350 percent since 2020 — a proliferation combined with minimal industry regulation that health care experts warn harms patients and leads to fraud. To address the issue, Assm. Rebecca Edgeworth (R-Las Vegas) is sponsoring AB161, which is scheduled for a hearing Wednesday. The measure, Edgeworth said, is a way to “raise the bar” for hospice providers and protect patients. “In the last few years, there has been this horrendous influx of charlatans and flimflam artists,” Edgeworth told The Nevada Independent.

What's driving change in end-of-life care for February 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux; 3/5/25 In this episode, Chris Comeaux and Cordt Kassner, PhD—Publisher of Hospice & Palliative Care Today and CEO/Founder of Hospice Analytics—unpack the latest trends shaping end-of-life care in America.  Drawing on extensive experience and data-driven insights, they spotlight key Hospice headlines, research, and podcasts influencing the Hospice sector.  … Plus, Cordt delivers a masterclass on Hospice technology, offering practical tools and strategies to enhance care delivery.

The Pennant Group to ramp up hospice, home health transactions during 2025 Hospice News; by Jim Parker; 2/28/25 The Pennant Group (Nasdaq: PNTG) plans to ramp up acquisitions later this year as it works to integrate assets purchased in late 2024. Among those deals was The Pennant Group’s acquisition of Signature Healthcare at Home’s hospice and home health assets for a price tag of $80 million which closed in January. The company also completed some senior living transactions. Pennant is on the hunt for more deals but will likely be more active later in the year. 

VITAS’ 'powerhouse’ growth in hospice hitting ‘all-time highs’ Hospice News; by Holly Vossel; 2/27/25 Florida-based VITAS Healthcare is anticipating fruitful hospice growth on its horizon. The Chemed Corp. (NYSE: CHE) subsidiary has seen record-highs in patient census volumes and is ramping up strategic plans to expand its geographic footprint across its home state. Acquisitions and de novos will make up an important mix of VITAS’ expansion, Chairman and CEO Nick Westfall said in Thursday’s earnings call. The company is optimistic about future opportunities in the Southeast, executives indicated. [Click on the title's link to continue reading.]

UnitedHealth Group's year of DOJ probes, layoffs and backlash Modern Healthcare; by Lauren Berryman; 2/24/25 UnitedHealth Group has faced an unprecedented past year, navigating events that have tested its finances, operations and reputation. Here is a timeline of key events during the company’s past 12 months. [Click here and scroll down to the timeline with links to Modern Healthcare's articles through the year.]

[West Virginia] House HHR Committee holds hearing on CON Wrap Up - Official Blog of the West Virginia Legislature; by Cheyenne DeBolt; 2/20/25 The [West Virginia] House Health and Human Resources Committee met [Thursday Feb. 20] for a lengthy committee hearing on certificate of need repeal. Several people showed up to speak about CON and questions about patient choice, patient access, and affordability came up. House Bill 2007 repeals the certificate of need (CON) process on January 1, 2026. The bill also terminates the WV Health Care Authority, transferring its assets and powers to the Secretary of the Department of Health. The bill was advanced to markup. ... Every state around West Virginia except Pennsylvania and Ohio has CON meaning WV could only go into two other states but all the states around us could come into WV. There are seven hospice houses in West Virginia which are all nonprofit. There are 18 hospice providers throughout the state, which are divided based on the CON processes.

[Updated] Trump administration suspends hospice Special Focus Program Hospice News; by Jim Parker; 2/14/25 The Trump Administration has suspended implementation of the hospice Special Focus Program. Finalized in the 2024 home health payment rule, the program is designed to identify poor performing hospices, mandate quality improvement and in some cases impose additional penalties. However, stakeholders in the hospice space have contended that the agency’s methodology for selecting hospices for the program is deeply flawed. Notice of the suspension appeared [Friday, 2/14] on the U.S. Centers for Medicare & Medicaid Services (CMS) website.

UnitedHealth, Amedisys plan divesture of up to 128 locations Modern Healthcare; by Diane Eastabrook; 2/11/25 UnitedHealth Group said in a court filing Friday [2/7/25] its plans to sell at least 128 home health and hospice locations to ease the Justice Department's antitrust concerns around its acquisition of Amedisys. The divestiture plans were part of a filing in the United States District Court for the District of Maryland in a response to the Justice Department’s lawsuit to block the proposed acquisition. ... The company didn’t identify which locations would be sold, but said they would be in areas where UnitedHealth Group and Amedisys’ combined market share would exceed the thresholds federal regulators allege could harm competition. UnitedHealth Group said in the court filing it was in the process of identifying qualified buyers who would be able to operate and grow the divested locations.

Hospice leaders applaud CMS’s decision to reevaluate Special Focus Program, call for meaningful reforms National Alliance for Care at Home, Washington, DC and Alexandria, VA; Press Release; 2/14/25 Effective February 14, 2025, the Centers for Medicare & Medicaid Services (CMS) has ceased the implementation of the Hospice Special Focus Program (SFP) so that CMS may further evaluate the program. This decision is a positive move acknowledging that the current approach is not working as intended. The hospice community has long advocated for strong oversight and patient protections, but the SFP, as implemented, was deeply flawed, unlawful, and harmful to the very patients it was meant to protect. A multi-state coalition of hospices and hospice associations took legal action in January to challenge the program, citing its misrepresentation of hospice compliance records, misleading data, and jeopardized access to high-quality end-of-life care. The flawed algorithm behind the SFP failed to distinguish fraudulent providers from reputable ones, disproportionately penalized well-established hospices, and ignored repeated warnings from congressional leaders and industry stakeholders. ... Now that CMS is reassessing its approach, there is an opportunity to ensure that oversight efforts truly enhance patient protections without restricting access to trusted hospice providers. The National Alliance for Care at Home (the Alliance) and the National Partnership for Healthcare and Hospice Innovation (NPHI) remain committed to protecting access to high-quality hospice care and ensuring that regulatory oversight is fair, transparent, and aligned with congressional intent. ... [Click on the title's link to continue reading.]