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Welcome to Hospice & Palliative Care Today, a daily email summarizing numerous topics essential for understanding the current landscape of serious illness and end-of-life care. Teleios Collaborative Network podcasts review Hospice & Palliative Care Today monthly content - click here for these and all TCN Talks podcasts.
Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
Awards and Recognitions: June 2025
The Alliance Responds to CY 2026 Home Health Proposed Rule
National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 6/20/25
The National Alliance for Care at Home (the Alliance) issued the following statement today in response to the Centers for Medicare & Medicaid Services (CMS) Calendar Year (CY) 2026 Home Health Prospective Payment System Rate and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates proposed rule, which proposes payment and regulatory updates for Medicare home health agencies (HHAs). The proposed rule includes policies that would reduce payments to HHAs by over $1 billion dollars in 2026, at a time when providers also continue to experience unmatched inflationary pressure in a challenging labor market — making it difficult, if not impossible in some areas, to deliver care to Medicare beneficiaries entitled to receive it.
HOPE Tool Anxiety, Part II: From planning to practice
Teleios Collaborative Network (TCN); by Melissa Calkins; 6/30/25
The countdown has begun. With October 1 on the horizon, hospice teams across the country are deep into training and testing—but preparation alone won’t guarantee success. The shift to HOPE isn’t just operational; it’s cultural. And real readiness goes far beyond timelines and task completion. It demands that every clinician, across every shift and care setting, understands what’s changing and feels confident in how to respond. This is the critical moment when planning must translate into practice—because once HOPE is live, the margin for error disappears.
Editor's Note: Click here for Part 1, HOPE Anxiety: What are we forgetting in the rush to prepare?
Serious illness conversations in the Emergency Department for older adults with advanced illnesses - A randomized clinical trial
JAMA Network; by Kei Ouchi, Susan D. Block, Dorene M. Rentz, Donna L. Berry, Hannah Oelschlager, Youkie Shiozawa, Sarah Rossmassler, Amanda L. Berger, Mohammad A. Hasdianda, Wei Wang, Edward Boyer, Rebecca L. Sudore, James A. Tulsky, Mara A. Schonberg; 6/25
Does an emergency department (ED)–based intervention to discuss serious illness care goals improve advance care planning outcomes for older adults with advanced illnesses? In this randomized clinical trial including 141 patients in the ED, a nurse-led intervention to discuss serious illness care goals did not significantly improve patient-reported engagement in advance care planning but did increase subsequent clinician-documented serious illness conversations in the medical records. These findings suggest that ED visits may serve as a critical access point for serious illness conversations in clinically stable older adults with advanced illnesses.
Providence hospice workers to hold 1st strike
Becker's Hospital Review; by Kelly Gooch; 6/30/25
Providence workers are set to begin a two-day strike July 2 at Hospice of Petaluma (Calif.) and Memorial Hospice in Santa Rosa, Calif. The action marks their first-ever strike and comes amid ongoing contract negotiations. The strike involves more than 100 nurses, social workers, home health aides, chaplains and other hospice workers, according to their union, the National Union of Healthcare Workers. Union-represented hospice workers have been negotiating their first contract with Renton, Wash.-based Providence since 2023, when they unionized, according to NUHW. They contend that Providence has not adequately bargained — a concern compounded by the system’s planned transition of home-based care services to Compassus through a joint venture.
Solomon Center white paper outlines options to expand health care for children living with serious illness
Yale Law School; 6/25/25
As state lawmakers consider establishing a statewide pediatric palliative care program, a new white paper from researchers at the Solomon Center for Health Law and Policy at Yale Law School recommends ways that access to palliative care can be improved for Connecticut’s estimated 7,000+ children living with serious illnesses.
How Empath Health integrates end-of-life care into PACE
Hospice News; by Jim Parker; 6/26/25
Under the Programs for All-Inclusive Care of the Elderly (PACE) model, patients generally do not transition to the Medicare Hospice Benefit as they near death. Consequently, Empath Health has taken pains to ensure quality end-of-life care is integrated into its program. Empath considers these services to be a key component of its “Full Life Care” model, that seeks to longitudinally support patients over the course of their serious or terminal illness, according to Dr. Nick Joseph, senior vice president of Empath’s Complete Care Division. The organization provides end-of-life care in the home, with services that mirror its hospice program.
New Day Healthcare acquires Dunes Hospice
Hospice News; by Jim Parker; 6/25/25
The home health and hospice company New Day Healthcare has acquired Dunes Hospice in Indiana for an undisclosed amount. The deal marks New Day’s 16th acquisition to date, as well as its first entry into the Indiana market. The company plans to build density in that state by adding personal care services and skilled home health services to those markets. New Day now serves patients in six states... Just last week, Texas-based New Day inked an agreement to acquire New Mexico-based Heritage Home Healthcare LLC.
The Alliance responds to Senate passage of Reconciliation Bill
National Alliance for Care at Home, Alexandira, VA and Washington, DC; Press Release; 7/1/25
The National Alliance for Care at Home (the Alliance) issued the following statement today in response to the Senate’s passage of the “One Big Beautiful Bill Act,” also known as the Reconciliation bill. “The Alliance is alarmed by the Senate’s passage of the One Big Beautiful Bill Act, which prioritizes misplaced budget cuts over the health and wellbeing of our most vulnerable. The legislation will reduce access to care and support for the millions of Americans who rely on home and community-based services (HCBS),” said Alliance CEO Dr. Steve Landers. ... “The Alliance continues to maintain that the complexity of the Medicaid program makes it nearly impossible to reduce expenditures by the amounts contemplated by this legislation – potentially exceeding $1 trillion over ten years – without impacting services to older adults and people with disabilities. The Alliance will advocate on behalf of Medicaid enrollees, families, and providers nationwide ...
CMS Age-Friendly Measure: Overview for hospitals and health systems
Institute for Healthcare Improvement; retrieved from the internet 7/2/25
Starting with the 2025 reporting period, hospitals will attest to providing age-friendly care through a new measure introduced by the Centers for Medicare & Medicaid Services (CMS). The CMS Age Friendly Hospital Measure advances the Age-Friendly Health Systems movement’s vision to ensure that all older adults receive age-friendly care that is evidence-based and aligns with what matters most to the older adult and their family caregivers. To date, nearly 5,000 sites of care have been recognized as Age-Friendly Health Systems — Participants and celebrated by IHI and The John A. Hartford Foundation. The measure has five domains that cover all four elements of age-friendly care, known as the 4Ms: What Matters, Medication, Mentation, and Mobility.
[Korea] Alzheimer Disease in Breast Cancer survivors
JAMA Network; by Su-Min Jeong, Wonyoung Jung, Hyeonjin Cho, Hea Lim Choi, Keun Hye Jeon, Ki-Woong Nam, Yun-Gyoo Lee, Bongseong Kim, Kyungdo Han, Dong Wook Shin; 6/20
Is breast cancer survivorship associated with the risk of Alzheimer dementia (AD), and how are cancer treatments associated with this risk? Breast cancer survivors may have a slightly lower risk of AD compared with cancer-free individuals, potentially influenced by cancer treatments, underscoring the need for further research on long-term neurocognitive outcomes in this population.
The Fine Print:
Paywalls: Some links may take readers to articles that either require registration or are behind a paywall. Disclaimer: Hospice & Palliative Care Today provides brief summaries of news stories of interest to hospice, palliative, and end-of-life care professionals (typically taken directly from the source article). Hospice & Palliative Care Today is not responsible or liable for the validity or reliability of information in these articles and directs the reader to authors of the source articles for questions or comments. Additionally, Dr. Cordt Kassner, Publisher, and Dr. Joy Berger, Editor in Chief, welcome your feedback regarding content of Hospice & Palliative Care Today. Unsubscribe: Hospice & Palliative Care Today is a free subscription email. If you believe you have received this email in error, or if you no longer wish to receive Hospice & Palliative Care Today, please unsubscribe here or reply to this email with the message “Unsubscribe”. Thank you.