The Business of Dying. The Corporatization of Hospice. Rob Stone MD FAAHPM All Souls Day, 2013. Woody Allen. “More than any other time in history, mankind faces a crossroads. One path leads to despair and utter hopelessness. . The other, to total extinction.
The Corporatization of Hospice
Rob Stone MD FAAHPM
All Souls Day, 2013
“More than any other time in history, mankind faces a crossroads. One path leads to despair and utter hopelessness.
The other, to total extinction.
Let us pray we have the wisdom to choose correctly.”
Joshua E. Perry and Robert C. Stone
“ In our society, some aspects of life are off-limits to commerce. We prohibit the selling of children and the buying of wives, juries, and kidneys. Tainted blood is an inevitable consequence of paying blood donors; even sophisticated laboratory tests cannot supplant the gift-giving relationship as a safeguard of the purity of blood. Like blood, health care is too precious, intimate, and corruptible to entrust to the market.”
- Woolhandler and Himmelstein NEJM 1999
journal of law, medicine & ethics cost and end-of-life care • summer 2011
“House brand” hospice – , part of SNF chain
Tuesday, January 3, 2012
US Files Complaint Against National Chain of Hospice Providers Alleging False Claims on the Medicare Program
“For-profit hospice companies like AseraCare are entitled to receive Medicare dollars only for Medicare recipients who are terminally ill.”
= Healthcare Partners Community Hospice
HealthCare Partners =
#2, Market Cap 366M market share 4.6%
Includes VistaCare and Odyssey Hospice
Purchase price > $400 million. Gentiva becomes the “preferred hospice provider” for 49 Texas nursing homes.
Peter Brunnick, CEO, Hospice & Palliative Care Charlotte RegionCharlotte Business Journal 9/30/13 How will the ACA affect your business model?
“The Affordable Care Act has clearly shifted the focus of a hospice and palliative care provider towards the alignment and coordination of care throughout the community’s continuum of care. Historically, hospice providers were often siloed from other health-care providers, but health-care reform has clearly broadened our outlook and has identified that having a seat at the table is now an imperative. We remain clearly focused on the patient, but understanding our role in managing the health of an entire population has heightened our awareness and has identified the importance of reaching out from our traditional domain to dialogue and understand the roles and requirements of other providers.”
You can’t make this stuff up. From a non-profit CEO