Health Affairs December 18, 2025
Hospice in the United States is in trouble, having fallen victim to severe dysfunctions that afflict American healthcare. Dishonest business practices and instances of outright fraud are not hard to find and would seem hard to ignore in the face of multiple federal and state government reports and exposés in print and broadcast media. The vast majority of hospice programs are legitimate and well intentioned, nevertheless, the quality of hospice care is highly variable and unreliable. The professional and trade associations that represent the country’s hospice industry have been perfunctory in responding to these problems, largely confining their efforts to writing recommendations to Congress and the Centers for Medicare & Medicaid Services (CMS).
Years of vague program guidelines, insufficient regulations,...
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