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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 - explore these and all TCN Talks podcasts.
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Repost: Modern Healthcare Awards, "Best Places to Work in Healthcare 2026"
Modern Healthcare; Press Release behind a paywall; 5/11/26
Editor's Note: We are pleased to add several "Best Places to Work 2026"--as honored by Modern Healthcare--to our "Awards and Recognitions May 2026" from 6/2/26. The more complete list of hospice organizations is below. If we have inadvertently omitted an organization, please email jberger@hospicepalliativecaretoday.com.
Hospice Regulatory Alert June 3, 2026 - Hospice PEPPER Report released
LundPerson & Associates Hospice Consulting; by Judi Lund Person; 6/3/26
What is PEPPER? The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a Microsoft Excel file summarizing provider-specific Medicare data statistics for target areas often associated with Medicare improper payments due to billing, DRG coding, and/or admission necessity issues. ...
Three years of data: PEPPER can be used to review three years of data statistics for each of the CMS target areas, comparing performance to that of other hospices in the nation, specific Medicare Administrative Contractor (MAC) jurisdiction and state. ...
Key Resources:
How to Download Your PEPPER: Staff End User (SEU) Access: Click here for step-by-step instructions
Editor's Note: We thank Guest Editor Judi Lund Person for her expertise. Click here for her detailed, step-by-step Hospice PEPPER information.
Get ready to access the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER)
CMS Center for Program Integrity; 5/28/26
CPI is getting really close to releasing the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER). The Hospice PEPPER will be available through the PEPPER Portal in early June 2026. To ensure hospice providers can successfully access their reports, we ask that you distribute the following instructions to your members.
How to Download Your PEPPER: Staff End User (SEU) Access
The Hospice PEPPER will be available through the PEPPER Portal to Authorized Officials (AOs), Access Managers (AMs), and Staff End Users (SEUs) who have been granted the PEPPER business function in the CMS Identity & Access Management (I&A) System.
To become a Staff End User (SEU) and access your organization’s PEPPER:
Rigorous assessment of leadership development programs in health care
NEJM Catalyst; by Amanda Woods Herron, Katelyn J. Cavanaugh, Courtney L. Holladay; 4/26
Effective leadership is increasingly recognized as a critical determinant of organizational performance within health care systems, but funding for such programs is frequently in jeopardy as revenues fail to keep up with other expenses. Therefore, the managers of such programs should adopt rigorous methods for evaluating the impact of their work. Despite the proliferation of leadership development programs, few institutions systematically evaluate these initiatives. This article presents a comprehensive framework for the evaluation of leadership development, grounded in implementation science and organizational research, as applied within a large academic health care institution. The framework emphasizes the necessity of clear eligibility criteria, integrated data sources, and alignment with institutional strategic priorities to assess program effectiveness and support continuous improvement.
Making a health system merger succeed: Michigan Medicine’s journey toward a high-quality, coordinated statewide system of care
NEJM Catalyst; by Scott A. Flanders, Margaret Dimond, David C. Miller; 4/26
After its April 2023 acquisition of Sparrow Health, Michigan Medicine and its five-hospital system, University of Michigan Health, launched a major effort to advance business, clinical, and cultural integration across the new 11-hospital enterprise. The goal was to achieve a coordinated, integrated statewide system of care that delivered improved quality and better experience, while providing academic hospital-caliber care closer to home for patients across the state. Those efforts have led to improved financial performance, [increased employee satisfaction and reduced RN annual turnover]. Clinical integration, driven by the development of local clinical programs, initiatives to coordinate statewide care, and innovative technology solutions, has resulted in a higher quality of care delivered closer to home. For cultural integration, the keys to success have been leadership alignment, a clear vision and goals, a supportive infrastructure, strong systemwide communication, and achieving and celebrating early wins.
How AI’s growing role in nursing raises questions about safety, ethics, and human care: Penn nursing report cautions that AI systems may add rather than reduce costs and workflow burdens
Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 5/27/26
As artificial intelligence systems spread through hospitals and clinics, a growing debate is emerging over whether the technology will ultimately strengthen nursing care — or gradually replace parts of it. That tension is at the center of a new University of Pennsylvania School of Nursing report, “Artificial Intelligence and Nursing Science: Opportunities, Challenges, Implications, and Guidelines,” published in the May-June 2026 edition of Nursing Outlook.
Compassion fatigue and spiritual care competence amongst palliative care nurses: a moderated mediation model of care quality and job satisfaction
Journal of Clinical Nursing / Early View; by Enise Sürücü, Funda Veren, Hülya Kulakçı Altıntaş, Büşra Baş, and Zeynep Acar Demir; 5/30/26
Impact:
Awards and Recognitions: May 2026
NPHI submits comments on FY 2027 Hospice Proposed Rule, urges CMS to strengthen transparency, support access, and advance meaningful reform
National Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 6/2/26
The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit hospice and advanced illness care, has submitted formal comments to the Centers for Medicare & Medicaid Services (CMS) regarding the Fiscal Year (FY) 2027 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements proposed rule. In the letter, NPHI welcomed CMS’s continued engagement with hospice stakeholders and offered detailed recommendations designed to strengthen patient access, improve transparency, reduce unnecessary administrative burden, and support high-quality, community-based hospice and palliative care.
National Alliance for Care at Home voices concerns to CMS in response to the FY 2027 Hospice Proposed Rule
National Alliance for Care at Home, Alexandria, VA; Press Release; 6/2/26
The National Alliance for Care at Home (the Alliance) submitted comments in response to the Centers for Medicare & Medicaid Services’ (CMS) Fiscal Year (FY) 2027 Hospice Wage Index proposed rule, which proposes payment and regulatory updates under the Medicare hospice benefit. The letter states that the proposed 2.4% hospice payment update for FY 2027 will not adequately account for the cost pressures hospice providers face in today’s healthcare delivery market. ... The Alliance also raised serious concerns about the appropriateness and data accuracy related to the hospice Service and Spending Variation Index (SSVI), and recommends that CMS pause any use of the SSVI indefinitely and undertake a transparent, collaborative approach with the provider community to better target its efforts to address hospice fraud, waste, and abuse.
FBI Public Service Announcement: Emerging hospice fraud targeting Medicare recipients
Federal Bureau of Investigation (FBI); Public Service Announcement, Alert Number I-060326-PSA; 6/3/26
The Federal Bureau of Investigation (FBI) is issuing this Public Service Announcement to warn the public of an emerging hospice fraud scheme that targets vulnerable Medicare recipients who are not in need of hospice services. Scammers are enrolling Medicare patients in hospice care for services they do not need or for services that are not provided. ...
Tips to Protect Yourself:
Report It: Ifyou believe you have been a victim of a similar fraudulent activity, please file a report with the FBI's Internet Crime Complaint Center at www.ic3.gov. Be sure to include as much information as possible, such as identifying information about the company or health care provider including name, phone number, address, email address, and website.
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.

