@ronmortgageguy@garyadshade Disingenuous post, sir.
You can not negotiate with Trump as he has no interest in a good faith negotiation. Hi word & even the deals he agrees, mean nothing to him.
Carney has taken EXACTLY the right path here. Trump will be gone soon enough. Deal with the next admin.
@Tablesalt13 His points are correct as to what we should be doing, as are Carney's actions.
Using that stupid TDS term however, he loses all credibility
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At one Los Angeles hospice last year, 97 percent of the terminal patients survived.
That is not a typo.
The hospice was paid by Medicare to keep people who were within six months of dying alive and comfortable until they died.
The patients were not dying.
The hospice was billing Medicare $200 a day for hospice care on people with arthritis, diabetes, and mild dementia.
The federal prosecutors who finally caught them call the operation Never Say Die.
15 people were just charged across nine separate investigations in Southern California.
The combined size of the schemes is $60 million in stolen Medicare money.
A separate California case charged 21 people with a $267 million scheme.
This is a national pattern.
Private equity firms accounted for 18 of the 23 hospice acquisitions in the fourth quarter of 2021. They bought hospices the way they bought hospitals. Same financial engineering. Same debt loaded on the operator. Same management fees pulled out the top.
Hospice is uniquely vulnerable because Medicare pays per day, not per service.
The fraudulent operator goes looking for elderly people who are not actually dying. Nursing home residents with manageable chronic conditions. Diabetics. Arthritis patients. Mild dementia in early stages. The operator certifies they have less than six months to live.
The certifying doctor is paid a kickback for every signature.
The patient is enrolled.
Medicare starts the per-day payment.
Sometimes the patient is told to stop their medications because they are "comfort care now." Some of them then actually die. The ones who do not are quietly discharged before the audit and re-enrolled at a different hospice run by the same operator.
A 76-year-old woman in Los Angeles was enrolled in three different hospices in two years. None of them treated her. None of them paid for her medication. All three of them billed Medicare. She is still alive. She lost two years of curative treatment.
Medicare lost $60 million in just the Operation Never Say Die ring.
The House Oversight Committee opened a formal investigation. CMS published a proposed rule for FY 2027 trying to rein in the fraud. The fraud is still happening today.
HOW TO MAKE MONEY FROM THIS:
1. Long Encompass Health (EHC). Largest publicly traded post-acute and home health operator. Audited. Profitable. Capacity to absorb the legitimate demand as fraudulent operators get shut down.
2. Long Amedisys (AMED). Public home health and hospice operator. Acquisition target. Already in active merger discussions with regulated buyers.
3. Long Welltower (WELL) and Ventas (VTR). Healthcare REITs that own the buildings. They collect rent regardless of which operator runs the facility. Aging population is an arithmetic certainty.
4. Long Idexx Laboratories (IDXX) and Quest Diagnostics (DGX). Every CMS audit cycle drives demand for outside lab work, blood draws, and bona fide testing. They are the picks and shovels of compliance.
5. Long Burford Capital (BUR) for litigation finance. The False Claims Act whistleblower cases against fraudulent hospice operators pay 15 to 30 percent recovery to the funder. Pipeline is the next decade of these cases.
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(some old man with arthritis just got enrolled in hospice in los angeles. they told his daughter he had six months. he stopped his blood pressure pills because the hospice nurse said they weren't necessary anymore. eight months later he was still alive. nobody from the hospice called. medicare paid them every single day. then the audit hit. they discharged him alive and signed him up at the hospice across the street.)
@TheELongWave This is a completely ridiculous forecast. It completely ignores the fact that many home buyers are not end users. Investment in Canada is "safe", and thus attracts Capital from all of the world. This is not changing anytime soon.
@gregbradyx Cool. Pick someone to the the Conservative Party that is not a complete clown and perhaps your team will be given a chance to lead. Until then, no thank you.