Subnostr

Incentives matter: the less a hospice does for their patients, the more profits they reap. And the private hospice system is administered with the lightest of touches: at the $203/day level, a private hospice has *no* mandatory duties to their patients.

You can set up a California hospice for the price of a $3,000 filing fee (which is mostly optional, since it's never checked).

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Cory Doctorow 2y ago

You will have a facility inspection, but don't worry, there's no followup to make sure you remediate any failing elements. And no one at the Centers for Medicare & Medicaid Services tracks complaints.

So PE-owned hospices pressure largely healthy people to go into "hospice care" - from home. Then they do *nothing* for them, including continuing whatever medical care they were depending on.

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Cory Doctorow 2y ago

After the patient generates $32,000 in billings for the PE company, they hit the cap and are "live discharged" and must go through a bureaucratic nightmare to re-establish their Medicare eligibility, because once you go into hospice, Medicare assumes you are dying and halts your care.

PE-owned hospices bribe doctors to refer patients to them.

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