The Hospice Compliance Index covers every Medicare-certified hospice in America — scored across HOPE quality measures, care continuity, patient experience, and billing patterns. Refreshed quarterly from primary federal sources.
On May 13, 2026, HHS enacted a six-month nationwide moratorium on new Medicare enrollments for hospice providers. CMS cited systemic fraud concentrated in specific markets — particularly Los Angeles County, where at least half of operating hospices are under suspicion.
Congress separately identified $3.5 billion in LA County hospice fraud alone. CMS has already suspended over 800 providers representing $1.4 billion in Medicare billings, and announced plans to launch a new public hospice scoring system.
CareIndex scored all 6,943 Medicare-certified hospice providers one day after the moratorium. Scores reflect the pre-moratorium baseline. The computed_at timestamp on every score row is permanent proof of when the snapshot was taken.
For investors and lenders underwriting hospice assets, this is the moment when compliance data moves from due diligence background to front-line credit risk.
CCN, name, address, ownership type, certification date, chain affiliation, and suspension flag for every Medicare-certified hospice in the U.S.
All Hospice Item Set and HOPE quality measures — one row per CCN per measure code per reporting period. Covers comprehensive assessment, symptom management, and care transitions.
Family caregiver survey results — 9 measures per provider including top-box scores (TBV), middle-box (MBV), and summary star ratings. Primary patient-experience signal in the compliance index.
HCI overall score (0–10) plus 10 sub-indicators covering care continuity, live discharge patterns, skilled nurse visit gaps, burdensome transitions, and per-beneficiary spending.
CareIndex composite score across 5 weighted dimensions. Pre-moratorium baseline established. Four tiers: COMPLIANT, MONITOR, ELEVATED, CRITICAL. Methodology fully disclosed.
Medicare PUF spending variation data (5,256 providers) and HCRIS Form CMS-1984-14 financial statements (13,629 records). Both ingested and wired into Financial Integrity scoring component.
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14,710 SNFs • 12,251 home health agencies • 6,943 hospice providers • 50 states
