Strategic Restructuring for the Future: Exploring How Hospices Are Using Joint Ventures, Mergers and Acquisitions, and Service Diversification to Transform

Change, transformation, disruption: whatever you want to call it, it’s happening in the hospice industry over the next 5 years. It is unquestionable that the carve-in to Medicare Advantage, the rise of value-based care and steady market consolidation is changing the playing field. How do hospices respond? In this series, we explore how hospices are and can restructure their businesses. We discuss the opportunities and limits of different models: palliative care, affiliations for payor contracting or the more transformative change brought through a merger or acquisition. While there is no one-size-fits-all approach, hospices can explore new ways of being. We are excited to guide you on this road and hope these conversations help as you explore these important questions within your organization and determine your best path into the future.

In the recent Hospice Insights episode, “Think Before You Sign – Five Key Insights for VBID and Managed Care Contracts,” we unpack five takeaways learned in working with hospices on their managed care contracts. Private payor contracts will define future revenue for hospices. Whether it be Medicare Advantage Value-Based Insurance Design (VBID) contracts for hospice services or for upstream non-hospice services (palliative and supportive care), the rules of the road will be defined by what hospices negotiate with payors. We hope you enjoy the conversation and thanks for listening: https://bit.ly/3xMicCV

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Photo of Meg S.L. Pekarske Meg S.L. Pekarske

Meg has devoted her legal practice to serving the everchanging legal needs of the hospice industry. As chair of Husch Blackwell’s Hospice and Palliative Care Practice Group, she manages the firm’s hospice practice. In working day in and day out with hospice clients

Meg has devoted her legal practice to serving the everchanging legal needs of the hospice industry. As chair of Husch Blackwell’s Hospice and Palliative Care Practice Group, she manages the firm’s hospice practice. In working day in and day out with hospice clients across the country, Meg is intimately familiar with the operational challenges of hospices and has the experience to address the full spectrum of legal issues facing the industry, from routine regulatory compliance issues to multimillion dollar Zone Program Integrity Contractor (ZPIC), Medicaid and other government audits. Additionally, Meg routinely advises hospices on palliative care program development, innovative inpatient unit structures, fraud investigations and a wide range of contracting issues. With an extensive background in long-term care, Meg brings a unique perspective and skill set to helping hospices create successful partnerships with nursing homes and assisted living facilities and providing quality end-of-life care to patients.

Photo of Andrew Brenton Andrew Brenton

Andrew is part of the firm’s coast-to-coast Hospice & Palliative Care Team, working with clients on a broad range of regulatory concerns, from compliance to business growth. He answers questions that might otherwise keep clients awake at night. Andrew and the team…

Andrew is part of the firm’s coast-to-coast Hospice & Palliative Care Team, working with clients on a broad range of regulatory concerns, from compliance to business growth. He answers questions that might otherwise keep clients awake at night. Andrew and the team also help navigate clients through a wide range of Medicare and Medicaid audits, fraud and repayment investigations, and contracting issues.