‘Churning’ hospice patients yields no significant financial benefits, study finds

‘Churning’ hospice patients yields no significant financial benefits, study find 
McKnights Home Care; by Adam Healy; 9/22/25 
Hospices that try to game Medicare payment rules by “churning” patients are producing negligible financial benefits, according to a new study published in the Journal of Public Economics. Researchers used Medicare hospice claims data from 2000 to 2019 to identify instances of providers churning patients. “Churning” refers to the practice of rapidly enrolling and discharging beneficiaries as a means of undercutting Medicare payment caps. ... For FY 2026, the hospice cap amount is $35,361.44, an increase of 2.6% from FY 2025, the Centers for Medicare & Medicaid Services said in the hospice final rule. ... Hospices may try to “game” the system by rapidly enrolling and discharging patients to raise their payment cap, the researchers noted. ... Previous research has indicated that churning may be associated with worse end-of-life outcomes for Medicare beneficiaries, researchers noted.