The diminishing number of hospice pa-tients is taking its toll on providers, including Ari-zona’s largest hospice provider. Hospice of the Val-ley is laying off 100 workers, reports the Phoenix Business News.
Hospice census is down 20 to 40 percent nationally, executive director Susan Levine told the newspaper. "It’s still a mystery," she said. "We should have had a little uptick as an indirect result of preparation for the Affordable Care Act. Instead of that, we’ve had a downtick. That part baffles us."
A large-scale crackdown on hospices, in-cluding the high-profile audit of now-bankrupt San Diego Hospice, may have a "chilling effect" on hospice referrals, Levine mused.
Levine first tried measures ranging from turning up the air conditioner thermostat a few degrees to freezing hiring and manager salaries to cut costs. But it soon became apparent that layoffs were necessary due to the patient census falling.