In November 2018, the Health and Human Services Office of Inspector General (OIG) issued a report entitled “Vulnerabilities in the Medicare Hospice Affect Quality Care and Program Integrity – An OIG Portfolio.” The following month, in its semi-annual Report to Congress, the OIG described the Portfolio Report as “a seminal report…to spur improvements in the quality and integrity of care that hospices offer.” Although the report is based, in some cases, on dated information, it provides a blueprint for hospice risk assessment and compliance work plan development. Anyone interested in hospice compliance should be familiar with the report.