Literature Review

Ascension Living residents, employees among 6 million affected by data breach McKnights Senior Living; by Kathleen Steele Gaivin; 1/6/24 Senior living and care residents and employees are among the six million people Ascension said Dec. 19 that it was notifying of potential stolen personal information in the wake of a May 8 ransomware attack. The St. Louis-based nonprofit healthcare network, which includes Ascension Living, operator of three dozen senior living and care communities and also a provider of home care and hospice services, announced Dec. 19 that a review by third-party experts of the attack was complete. On that date, Ascension began notifying individuals whose personal information was involved and is providing them with free credit monitoring and identity protection services.

Hospice M&A market to ‘return to sanity’ in 2025 Hospice News; by Holly Vossel; 1/2/25The hospice mergers and acquisitions market has seen a host of changes in recent years, with buyers and sellers examining a range of risks and opportunities in the field this year. The industry saw a flurry of M&A activity in 2019 and 2020, with record high valuations and deal volume. Subsequent years saw cooling periods that left many operators wondering what’s next in store as 2025 unfolds. The previous “buy, buy, buy” mentality among hospice investors has morphed into a more disciplined strategic approach, according to New Day Healthcare LLC CEO G. Scott Herman. Certain lessons learned are driving future hospice investment decisions, particularly those around valuations and keys to sustainable growth, Herman said during a recent Hospice News Elevate podcast. [Click on the title's link to continue reading.]

UnitedHealth Group waives deadlines to complete $3.3B home health acquisition The MInnesota Star Tribune; by Brooks Johnson; 12/27/24 UnitedHealth Group has filed for more time to complete a $3.3 billion deal to buy Amedisys, a home health care and hospice company, after the companies agreed to waive deadlines in the face of antitrust scrutiny. The U.S. Department of Justice and several states last month sued to block the deal, alleging the merger would give the Minnetonka-based health care conglomerate a commanding stake in many areas. “ ... UnitedHealth and Amedisis agreed to waive two deadlines to complete the deal, according to a Securities and Exchange Commission document filed Friday. One would have given 10 days after a court ruling to complete the deal; the other gave the companies until the end of 2025. UnitedHealth will now have to pay $275 million if the company backs out of the deal, a $25 million increase, and that figure could rise to $325 million.

Providence’s joint venture with Compassus likely delayed amid concerns about patient care and rural access Home Health Care News; by Audri Martin; 12/19/24Oregon’s Health Care Market Oversight (HCMO) program is reviewing a proposal to spin off Providence’s home health and hospice services into a joint venture supported by private equity. ... OHA’s HCMO program evaluates health care business transactions to ensure they do not negatively impact citizens or communities. The program also empowers state regulators to impose conditions on acquisitions and mergers or reject deals they find anti-competitive. Critics of the deal argue that the joint venture will result in cost-cutting measures, increased staff workloads and reduced patient services. Providence is the fifth largest nonprofit health care provider in the United States, while Compassus is a private equity-backed provider of home-based care services operating in more than 30 states. 

Cherish Hospice celebrates new location in Springfield Springfield News-Sun; by Brooke Spurlock; 12/17/24 Cherish Hospice celebrated its new headquarters location at 1929 E. High St. in Springfield [OH] on Tuesday. Cherish officials said that since 2021, they have served hundreds of patients in Southwest Ohio, with a staff of more than 25 caregivers and a volunteer program. “This is a great symbol of us, how we’ve grown,” said Jason Casto, administrator for Cherish Hospice. “This is a ribbon cutting event to celebrate our growth and the fact that we plan to remain here in Springfield as a staple.”

Santa Paula doctor sentenced to 2 years in federal prison for role in hospice fraud that bilked Medicare out of $3.2 million United States Attorney's Office - Central District of California; Press Release, Los Angeles, CA; 12/16/24 A Ventura County physician who worked for two Pasadena hospices was sentenced today to 24 months in federal prison for defrauding Medicare out of more than $3 million through claims for medically unnecessary hospice services. Dr. Victor Contreras, 69, of Santa Paula, was sentenced today by United States District Judge André Birotte Jr., who also ordered him to pay $3,289,889 in restitution. Contreras pleaded guilty on July 24 to one count of health care fraud. From July 2016 to February 2019, Contreras and co-defendant Juanita Antenor, 62, formerly of Pasadena, schemed to defraud Medicare by submitting nearly $4 million in false and fraudulent claims for hospice services submitted by two hospice companies: Arcadia Hospice Provider Inc., and Saint Mariam Hospice Inc. Antenor controlled both companies. Editor's note: This press release follows-up on the post we recently posted: Glendale woman and Lakewood man found guilty of $3.2 million hospice fraud scheme involving kickbacks for patient referrals. 

Why private equity healthcare investment may rise in 2025 Modern Healthcare - Mergers & Acquisitions; by Alex Kacik; 12/12/24 Private equity investment in healthcare is expected to pick up in 2025 but still fall short of the highs of 2021, merger and acquisition advisers said. Private equity-linked healthcare transaction volume is poised to rebound after a sluggish 2024 as interest rates cool, state-led oversight bills lose momentum and a new presidential administration begins. Corporate investors will likely prioritize deals that involve healthcare information technology and other administrative support services over physician practices, industry observers said. 

2023 hospice index scores, by state Becker's Hospital Review; by Elizabeth Gregerson; 12/11/24 In 2023, the District of Columbia had the lowest hospice care index score among states while Maryland had the highest, according to CMS data released Nov. 26.  CMS collected state data between Jan. 1 and Dec. 31, 2023, on the quality of patient care measures, including facility observed rates of hospice care. Hospices earn points for each of the 10 claims-based indicators they meet between admission and discharge. Here are the hospice care index overall scores for each state: [listed in alphabetical order].

Glendale woman and Lakewood man found guilty of $3.2 million hospice fraud scheme involving kickbacks for patient referrals United States Attorney's Office - Central District of California, Los Angeles, CA; Press Release; 12/12/24A Glendale woman and a Lakewood man have been found guilty by a jury of paying and receiving hundreds of thousands of dollars in illegal kickbacks for patient referrals that resulted in the submission of approximately $3.2 million in fraudulent claims to Medicare for purported hospice care, the Justice Department announced today. Nita Palma, 75, of Glendale, was found guilty late Wednesday of 12 counts of health care fraud and 16 counts of paying illegal kickbacks for health care referrals. Percy Abrams, 74, of Lakewood, also was found guilty late Wednesday of six counts of receiving illegal kickbacks for health care referrals. ... Consistent with instructions provided by Palma, Abrams falsely represented to prospective patients that they did not need to be dying to be on hospice. After collecting personal identifying information from prospective patients that were not dying, Abrams sent the information to Nita Palma so she could bill Medicare for purported hospice care.Editor's note: Caution. How many hospices have misused information about President Jimmy Carter's long Length of Stay (LOS) to purport similar messaging that "hospice is not about dying"? Too often, articles we would review used "not about dying" language and never mentioned anything about ongoing clinical review for hospice appropriateness, 6-month Face to Face visits, et al. 

Vitas Healthcare unveils inpatient hospice unit at Franciscan Health Olympia Fields GlobeNewswire, Chicago, IL; Press release; 12/12/24 Residents of Olympia Fields and Chicagoland’s surrounding southern suburban communities can now access quality end-of-life care at the VITAS Healthcare Inpatient Hospice Unit at Franciscan Health Olympia Fields. Located on the second floor of the hospital at 20201 South Crawford Ave., this new facility is expected to serve more than 500 seriously ill patients each year. “We are grateful to have this hospice unit as part of our hospital campus, where we can provide compassionate care to patients and families during one of life’s most sacred and challenging times,” said Raymond Grady, president and chief executive officer of Franciscan Health Olympia Fields. “This unit meets a critical need in our community, offering comfort, dignity and spiritual support to those at the end of life.”

Hospice's legacy carried on by new local ownership PRLOG Press Release Distribution, Meridian, ID; by Doctor's Hospice of Idaho; 12/11/24 The locally owned and operated hospice facility known for its dedication to celebrating the lives of patients and providing exceptional care, Doctor's Hospice of Idaho, announced that they have been acquired by Kristopher Stice, Capital Eleven and Willowbridge Group. This strategic move marks a significant step towards further enriching the local hospice care landscape while continuing the legacy established by Cody Freston. "We are thrilled to embark on this journey with Doctor's Hospice of Idaho, a facility deeply rooted in the community it serves. Our vision is to build upon the legacy established by Cody Freston and bring a renewed focus on patient care and employee well-being." said Ashley Copeland, newly appointed CEO/Administrator of Doctor's Hospice of Idaho. "By combining our years of experience in hospice care with the values upheld at Doctor's Hospice of Idaho, we aim to create a world-class hospice that starts from within."

Gentiva Hospice sues Bristol Hospice over noncompete violations in Maine PressHerald.com; 12/7/24 Gentiva Hospice has filed a federal lawsuit against Bristol Hospice, claiming that a former employee shared confidential information to help Bristol establish a competing operation in Bangor, Maine. The lawsuit alleges violations of noncompetition and confidentiality agreements.

Killing of UnitedHealthcare CEO brings resentment of the health care system to the fore STAT Business, Boston, MA; by Bob Herman and Tara Bell; 12/6/24 The targeted killing of UnitedHealthcare CEO Brian Thompson has become a defining moment in the zeitgeist of American health care. The attack was a tragedy that adds to the country’s grim tally of gun deaths. But instead of eliciting sympathy, it opened the floodgates for an outpouring of rage, captured across social media and online forums, over the health care system — one that charges people the highest prices in the world, erects financial and bureaucratic barriers to getting care, and has plunged millions of people into debt. Social media posts have ranged from mournful to apathetic to joyful, including morbid celebrations of Thompson’s death. That deluge has forced people across the country to grapple with two heavy subjects at once: the callousness of a slaying, and an undercurrent of deep-seated anger at a health care industry that makes a lot of money by exploiting Americans. ... [Click on the title's link to continue reading.]