Literature Review

Providence's push to hand off hospice, home care in Oregon to Tennessee firm gets closer look The Lund Report - Independent health news for Oregon and SW Washington; by Jake Thomas; 4/22/25 Providence Health, Oregon’s biggest provider of home health and hospice services, wants to put a private equity-backed company in charge of those operations. But the plan could negatively affect the care of thousands of Oregonians, according to a new state report. The program that reviews large health care mergers and other deals has launched a six-month review of Providence’s proposed transaction with Tennessee-based Compassus and issued an initial report that analyzed the potential effects. Compassus is partly owned by private equity firm TowerBrook Capital Partners, L.P. ... Under the new 180-day review, the state will conduct a more in-depth evaluation of the deal and its potential effects on costs, care quality, access and workplace conditions. That’s in keeping with the 2021 law creating the program, which is considered the nation’s toughest.

I’m a hospice physician. There’s one thing I dread telling my patients. Slate; by Charlotte Grinberg; 4/22/25 Tom was dying, and managing his condition at home was increasingly difficult. ... His wife Sue was in survival mode. A few sleepless nights turned into weeks without rest, during which she was constantly trying to manage Tom’s symptoms and take care of his basic needs. I’m a hospice physician, and it’s at junctures like this that I can offer a life vest that completely changes the end-of-life experience. ... I told Sue that I thought Tom should transfer to our inpatient hospice facility. “You have done everything possible for Tom at home, it’s too much to ask of you or anybody,” I said. “He needs a higher level of care.” ... Getting a devoted spouse to agree to move their dying partner out of the home isn’t always easy. But a few days after Tom arrived at the inpatient hospice facility, Sue cried tears of appreciation describing the daily baths the caretakers there gave him. 

As the ‘Silver Tsunami’ hits the Flathead Valley, dementia diagnoses are rising while caregivers reach a breaking point Flathead Beacon, Kalispell, MT; by Maggie Dresser; 3/23/25 ... As baby boomers age and Americans live longer than previous generations, the elderly population will continue to grow and overwhelm many local resources, which includes nursing homes and memory care facilities. ... According to 2020 Census data, the national demographic of people ages 65 and over grew nearly five times faster than the total population over the 100-year period stretching from 1920 to 2020, and the population segment has recently reached 55.8 million. But Montana’s senior citizen population is disproportionately higher than many other states, ranking No. 6 overall, with 19.7% of its population considered geriatric, according to 2020 Census data.  Of this population, 9.8% of individuals in Montana suffer from Alzheimer’s.Editor's note: Click here for the national 2024 Alzheimer's Disease Facts and Figures - Special Report: Mapping a Better Future for Dementia Care Navigation.

U.S. News Best Leaders U.S. News & World Report News; 4/19/25 Who deserves to be recognized as a U.S. News Best Leader? Tell us what you think. Later this year, U.S. News & World Report will select its 2025 Best Leaders in public service, business, healthcare and education. We want to hear from you. Please nominate up to three leaders who have strongly benefited their communities, organizations or the country at large.

CMS to withdraw federal Medicaid match for workforce, social needs, and infrastructure: What states, health care providers and community organizations need to know Mondaq; by Sheppard Mullin Richter & Hampton; 4/22/25 In a move signaling a major shift in federal priorities, the Centers for Medicare & Medicaid Services ("CMS") recently announced it will limit federal funding for state Medicaid initiatives that support services beyond direct medical care. New policy guidance indicates that CMS intends to narrow the scope of the federal-state Medicaid partnership, refocusing matching funds on core healthcare services delivered to Medicaid beneficiaries. ... On April 10, CMS notified states that it will no longer approve new, or renew existing, state proposals for Section 1115(a) Demonstration Project expenditure authority to provide federal matching funds for state expenditures for designated state health programs ("DSHP") and designated state investment programs ("DSIP").

While claiming transparency, CMS quietly drops health equity elements of EOM American Journal of Managed Care (AJMC); by Mary Caffrey; 4/22/25 Key Takeaways:

What’s driving health system investment in Gen Z leadership Becker's Hospital Review; by Kristin Kuchno; 4/15/25 With an aging workforce and looming executive retirements, building leadership pipelines early is more important than ever, Jason Gilbert, PhD, RN, chief nurse executive at Indianapolis-based Indiana University Health, told Becker’s. It is especially important given Generation Z’s strong interest in early career development. “Gen Z is actively seeking development, and if you do not provide them that opportunity, they are going to look for someone who is,” he said. While their ambitions may not be entirely different from those of earlier generations, their expectations of employers are, he added. ... “Feedback is very important to Gen Z employees,” she said. “They’re interested in personalized coaching and mentoring, and they want to be a part of the solution and have an expectation around communication and frequent, actionable feedback.”

Demystifying the End: Hospice care impact on the Black community Defender; by Laura Onyeneho; 4/22/25 Monica James has seen firsthand the confusion and emotional strain families face when end-of-life care isn’t discussed early enough. She works for the non-profit organization Houston Hospice as the Community Engagement Coordinator, serving 13 counties across Southeast Texas. ... According to data collected by the National Hospice and Palliative Care Organization, Black Americans on Medicare seek hospice and palliative treatment 13% less than their white counterparts. For African American, Afro-Caribbean and African immigrant families, generational trauma and a lack of trust in the healthcare system often lead to delayed decisions about hospice care. “There’s been a historical gap in access and trust,” said James. “Our goal is to show up consistently, to listen and to let these communities know they have options and that they’re not alone.”

Arden Home Health & Hospice expands services in Central MS and the Jackson Metro areaNewswire.com, Hattiesburg, MS; Press Release; 4/21/25 Arden Home Health & Hospice is proud to announce another major milestone in its continued expansion of services. On March 10, Arden officially announced the expansion of its home health services to Hinds, Rankin, Simpson, Lawrence, and Jefferson Davis counties, extending its commitment to compassionate, high-quality care to more patients and families across Central Mississippi. Also, this expansion means that Arden now provides both home health and hospice services throughout the entire Jackson Metro area, ... "We are thrilled to extend our services to these counties in the Jackson Metro areas, allowing us to bring the same standard of excellence that has defined Arden's care throughout Mississippi," said Abb Payne, Founder & CEO of Arden Home Health and Hospice. ... Over the past year, Arden has experienced record-breaking growth, more than doubling its workforce from just over 100 employees to now being over 280 A-Team members strong. 

American Oncology Network achieves success in first performance period of CMMI’s enhancing oncology model Stock Titan, Globe Newswire, Fort Myers, FL; 4/22/25 American Oncology Network (AON), one of the nation’s fastest-growing community oncology networks, today announced strong results from the first performance period in the Centers for Medicare & Medicaid Innovation’s (CMMI) Enhancing Oncology Model (EOM). AON practices participating in the program—in collaboration with value-based cancer care enabler Thyme Care—achieved nearly $6M in cost savings for the Centers for Medicare & Medicaid Services (CMS). AON also earned a performance-based payment while improving patient experience and outcomes.

Do automated reminders decrease no-show visits in an outpatient palliative medicine clinic? Sage Journals - American Journal of Hospice and Palliative Medicine; by Ruth L. Lagman, MD, MPH, MBA, Renato V. Samala, MD, MHPE, Ahed Makhoul, MD, Kyle Neale, DO, Chirag Patel, MD, Elizabeth Weinstein, MD, Wei Wei, MS, and Xiaoying Chen, MS; 3/23/25 Individuals who do not show up for medical appointments can lead to unfavorable outcomes for both patients and health systems. Automated methods are available to confirm appointments in addition to patient service coordinator (PSC) telephone calls. This study aims to determine the no-show rates for automated methods of confirmation, in-person and virtual visits, and patients living in underserved areas.Conclusion: PSC telephone calls, individuals living within COZ and virtual visits had higher no-show rates.

Why leadership training is the next big thing in RN to BSN programs Nevada State University; by RN to BSN; 4/22/25 The role of registered nurses (RNs) has expanded far beyond traditional bedside care. Today’s nurses are expected to navigate complex systems, coordinate interdisciplinary teams, and contribute to decision-making at all levels of care. In response, degree programs like the Bachelor of Science in Nursing (BSN) are placing a stronger emphasis on leadership training — equipping nurses with the tools they need to guide teams, manage change, and improve patient outcomes. This shift reflects a growing recognition that leadership is not reserved exclusively for executives or administrators. Nurses at every level are uniquely positioned to influence clinical practice, shape policy, and advocate for their patients.

Legacy even in defeat? Nursing home experts anxious about next moves on staffing efforts McKnights Long-Term Care News; by Kimberly Marselas; 4/21/25 Two weeks after a judge struck down federal staffing standards for all US nursing homes, questions about the rule’s future continue to swirl within the industry. Will the government appeal the District Court’s ruling in Texas and continue to fight for regulations that would force nursing homes to create more than 100,000 new jobs in coming years? How will a judge hearing a similar challenge in Iowa interpret similar arguments, and what happens if the rulings conflict with one another? ... Regardless of whether the rule goes away, industry insiders have one clear expectation: Its legacy will continue to chafe nursing home leaders, who will still face intense pressure to recruit quality staff and improve patient care.