Literature Review
WTWH Media rebrands as Arrowfly, unifying 40+ brands under a new identity built for the future of B2B
07/17/26 at 03:50 AMWTWH Media rebrands as Arrowfly, unifying 40+ brands under a new identity built for the future of B2BHospice News press release; 7/13/26WTWH Media ("WTWH"), an award-winning B2B media and marketing company, today announced it has rebranded as Arrowfly. The new name and identity reflect the company's transformation from a specialized trade publisher into an omnichannel B2B media, events, and marketing company where hard-to-reach professional decision-makers gather for trusted journalism, industry intelligence, and high-impact experiences that move their markets forward.Publisher's note: Kelly Tkac of Hospice News, Palliative Care News, Home Health Care News, etc., shared this exciting update with us at the Alliance's Finance and Technology Conference this week in Boston.
Correction: Hospice & Palliative Care of the Piedmont announces Dr. Nancy Hart Wicker as chief executive officer and chief medical officer
07/17/26 at 03:30 AMHospice & Palliative Care of the Piedmont announces Dr. Nancy Hart Wicker as chief executive officer and chief medical officer Index Journal; by Staff Writer; 7/2/26Hospice & Palliative Care of the Piedmont [Charlottesville, VA] has appointed Nancy Hart Wicker, MD, FAAHPM, as chief executive officer and chief medical officer, effective immediately. Hospice & Palliative Care of the Piedmont is the only locally governed, nonprofit hospice in the region with a CMS five-star rating, indicating the highest quality of care. The organization brings 45 years of service, clinical expertise, and community-based decision-making from its clinical staff, leadership, and volunteer board of directors.
Nurse practitioner: my patient qualified for hospice. I couldn’t get her there
07/17/26 at 03:00 AMNurse practitioner: my patient qualified for hospice. I couldn’t get her there The Examiner News; by Diane Pagan; 7/15/26 ... I’ve been Marie’s primary care nurse practitioner for seventeen months. She was referred to me at the time by her PCP because she could no longer physically manage going into the office. She suffered from dementia and her gait was worsening ... Marie’s daughter chose a hospice agency close to her home. The agency reviewed my referral and notes and accepted Marie into their program. The next step was to send them a Certificate of Terminal Illness (CTI) stating that Marie had a terminal illness with an anticipated life expectancy of 6 months or less. Then the obstacle arose. I couldn’t sign the form. ... The inability of nurse practitioners to sign a CTI does not stem from their lack of education or clinical expertise in determining when a patient is nearing end of life. The restriction is rooted in federal Medicare law, written more than 40 years ago, when the role of nurse practitioners was very different than it is today.
“It wasn’t just a lyric — it was him”
07/17/26 at 03:00 AM“It Wasn’t Just a Lyric — It Was Him” Their Life Song; personal story by Amber Gould, original music about her father by Johnny Warren; 7/15/26Grief doesn’t follow a timeline. Amber Gould knows this well. “There are little everyday moments that remind me of him,” she says. “Whether it’s a familiar place, a scent, or a memory that suddenly comes back, he’s still a part of my daily life. I couldn’t think of a better way to honor those memories and feel connected to him than through music.” That's where Johnny Warren and Their Life Song come in. After Amber responded to Johnny's "remembering" questions about her dad, Johnny--owner of Their Life Song--wrote a deeply personal song about him. Upon turning her memories into song, what Amber found wasn’t closure — it was connection. Editor's Note: Click here for Johnny's tender song about Amber's dad, "The River You Showed Me"
An empty beach is the perfect place to both fill and empty ...
07/17/26 at 03:00 AMAn empty beach is the perfect place to both fill and empty the mind! ~ Mehmet Murat Ildan
Crushing and flexing: CMS proposes to expand its discretion to deny and revoke Medicare enrollment
07/17/26 at 03:00 AMCrushing and flexing: CMS proposes to expand its discretion to deny and revoke Medicare enrollment The National Law Review; by Karen S. Lovitch, Jane Haviland, Mintz; 7/14/26 ... Currently, CMS’s revocation authority allows it to revoke enrollment prospectively following notice to the Provider. Following revocation, the Provider is no longer allowed to bill Medicare. CMS’s proposal would not only make the revocation date retroactive to the date of alleged noncompliance (or other triggering event) but would also allow CMS to claw back payments to the retroactive revocation date. CMS estimates approximately $82 million in annual savings from this proposal, clearly indicating that CMS views it as a high-impact program integrity measure. CMS’s proposal is also notable because, if finalized, it would give CMS greater flexibility to address suspected fraud without considering criteria that might otherwise constrain its actions. For example: ...
5 top execs to depart Enhabit in wake of Kinderhook Acquisition
07/17/26 at 03:00 AM5 top execs to depart Enhabit in wake of Kinderhook Acquisition Hospice News; by Holly Vossel; 7/16/26 Five of Enhabit Inc.’s six top executive leaders are departing two months after the company’s acquisition by Kinderhook Industries. Newly appointed CEO Dale Clift will remain. Enhabit confirmed to Hospice News’ sister publication Home Health Care News that five leaders are set to depart in the coming weeks. The leaders include CFO Ryan Solomon, Executive Vice President of Home Health Julie Jolley, Executive Vice President of Hospice Jeanna Kalvaitis, Chief Human Resources Officer Tanya Marion and General Counsel and Secretary Dylan Black.
VITAS medical director: improve hospice referrals for cancer patients
07/17/26 at 03:00 AMVITAS medical director: improve hospice referrals for cancer patients Hospice News; by Jim Parker; 7/16/26 Hospice utilization among some cancer patients is leveling off and slowing growth, but healthcare providers and medical educators can adopt certain strategies to move the needle. This is according to Dr. Ileana Leyva, regional medical director for VITAS Healthcare. ... Neuro-degenerative, lung and cardiac diseases are gaining more prominence among hospice diagnoses. In 2024, senile degeneration of the brain was the most common terminal diagnosis among Medicare decedents at 9%, followed by Alzheimer’s at 6%, according to the National Alliance for Care at Home. Chronic obstructive pulmonary disease rounded out the top three at 4.2%. Lung cancer was the 11th most common diagnosis that year, at 2.1%, the highest rate for any form of cancer. Hospice News spoke with Leyva about the barriers that prevent cancer patients from accessing hospice sooner and what stakeholders can do to drive improvement.
[France] French MPs approve assisted dying law with strict rules after years of argument
07/17/26 at 03:00 AMFrench MPs approve assisted dying law with strict rules after years of argument BBC; by Paul Kirby; 7/15/26 France's National Assembly has voted to create a right to assisted dying under strict conditions, after years of debate and changes to the proposals. MPs voted by 291 to 241 to back the bill, which had been rejected three times by the upper house of parliament, the Senate. Prime Minister Sébastien Lecornu is set to refer parts of the bill to France's Constitutional Council for examination before it can become law. It would allow assisted dying for French adults with a "serious and incurable" life-threatening illness "in an advanced or terminal stage". The illness would need to leave them in constant physical or psychological suffering that is unbearable or resistant to treatment. [Read more terms] ... Wednesday's vote means France could join several other European countries that have decriminalised assisted dying in some form. A similarly lengthy debate has been taking place in the UK. A bill to legalise assisted dying in England and Wales stalled earlier this year and is set to return to Parliament in September.
The Duke Endowment grant award supports first coordinated palliative care program in Robeson County
07/17/26 at 03:00 AMThe Duke Endowment grant award supports first coordinated palliative care program in Robeson County The Robesonian, Lumberton, NC; by Amanda Crabtree; 7/15/26 UNC Health Southeastern was awarded $575,000 from The Duke Endowment to establish Robeson County’s first coordinated hospital-to-community palliative care program in partnership with Lower Cape Fear LifeCare. The investment represents a significant step forward in expanding access to compassionate, patient-centered care for an estimated 400 patients with serious illness while strengthening the healthcare continuum across Robeson County. By creating a seamless connection between hospital care and community-based services, the initiative will ensure that patients receive the right care, at the right time, in the setting that best meets their needs.
Meet the pair traveling Route 66 to encourage blood donation amid shortage
07/17/26 at 03:00 AMMeet the pair traveling Route 66 to encourage blood donation amid shortage The Oklahoman; by Carla Hinton; 7/14/26 As part of their 'Miles For Kindness' movement, two women are traveling Route 66 to encourage people to donate blood. Two women whose lives have been affected by blood donation are traveling miles from home in a colorful decommissioned ambulance to raise awareness about the nation's blood supply shortage. Marie Forrestal and Lori Talbot left their homes in Cranford, New Jersey, about a week ago to travel Route 66 to share their "Miles of Kindness" message. The pair stopped in Oklahoma City on Monday to host a blood drive at the Drybar salon at Classen Curve, in partnership with Our Blood Institute. The two sat in lawn chairs near their ambulance while visiting with customers and others who dropped by.
Reporting Face-to-Face encounter conducted by a hospice physician or hospice nurse practitioner for recertification via telecommunications technology on hospice claims, effective January 1, 2027
07/17/26 at 03:00 AMReporting Face-to-Face encounter conducted by a hospice physician or hospice nurse practitioner for recertification via telecommunications technology on hospice claims, effective January 1, 2027 U.S. Department of Health & Human Services |CMS; CMS Manual System, Change Request 14495; 7/10/26 Effective January 1,2027, face-to-face encounters using telecommunications must be reported using a modifier or G code on the hospice claim. Guidance was released on July 10, 2026 and can be found in CR 14495 and MM14495.
Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule
07/16/26 at 03:00 AMCalendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule CMS Newsroom; Fact Sheet; 7/14/26 paired with U.S. Department of Health and Human Services, CMS CY 2027 Payment Policies under the Physician Fee Schedule, 7/16/26; summary by guest editor Judi Lund Person On July 14, 2026, the Federal Register posted the CY 2027 Medicare Physician Fee Schedule proposed rule – CMS-1848-P. The CMS Fact Sheet on the proposed rule can be found here. While the proposed rule is 1,592 pages, there are two items of note to hospice and palliative care readers: 1) Supporting Beneficiaries Planning for Future Medical Decisions.CMS is proposing to create two new HCPCS codes to describe advance care planning (ACP) services furnished by clinical staff under the direct supervision of the billing physician or other practitioner. These new codes will more accurately distinguish and value the work done by billing practitioners from time spent by their clinical staff providing ACP services. We are further proposing that the existing ACP CPT codes 99497 and 99498 would only be used to report time personally spent by the billing practitioner. 2) RFI on Community-based Palliative Care, asking questions on eligibility for serious illness care and palliative care, the future of care management services and advanced primary care management.
What hospices can learn from Netflix
07/16/26 at 03:00 AMWhat hospices can learn from Netflix Hospice News; by Jim Parker; 7/15/26 Netflix has infiltrated many of our homes, and hospices can learn a lesson or two from that company’s history of innovation. Many commentators have held up the streaming and entertainment company as a pillar of innovation, repeatedly reinventing itself as market conditions change. The company is adept at riding the “S-curve,” which models growth and progress for a business over a period of time. To form the “S,” a company must pass through three phases: slow initial growth (the base), rapid acceleration (the middle) and eventual leveling off (the maturity phase). Hospice businesses, for profit and nonprofit, must also ride this curve to succeed. This could require stepping outside their comfort zone, according to Agrace President and CEO Lynne Sexten.
Center for Hospice Care and VNA Hospice NWI announce strategic affiliation to strengthen hospice care in Northwest Indiana
07/16/26 at 03:00 AMCenter for Hospice Care and VNA Hospice NWI announce strategic affiliation to strengthen hospice care in Northwest Indiana GreatNews.Life; by VNA Hospice NWI & Center for Hospice Care; 7/14/26 Center for Hospice Care (CHC) and Visiting Nurse Association Hospice of Northwest Indiana (VNA Hospice NWI) today announced a legally binding strategic affiliation that will strengthen access to high-quality, compassionate hospice care across much of northern Indiana. This affiliation reflects a shared mission between CHC and VNA Hospice NWI to provide compassionate, skilled care focused on comfort and quality of living for those facing a serious, advanced illness. The integration process will allow patients to transition seamlessly within a unified nonprofit care network, ensuring continuity of care without disruption.
In World Cup football, the worst blindness is only seeing ...
07/16/26 at 03:00 AMIn World Cup football, the worst blindness is only seeing the ball. [a beautiful reminder of vision and teamwork] ~ Nelson Falcón, World Cup Legend
Japan pushes to expand children’s hospices through new consultation service
07/16/26 at 03:00 AMJapan pushes to expand children’s hospices through new consultation service Europe Says, Osaka, Japan; Press Release; 7/15/26 For children with life-limiting illnesses or severe disabilities, even simple experiences such as playing freely or having friends stay overnight can be difficult. Children’s hospices aim to make such experiences possible while also providing support for their families, and efforts are underway to expand the number of these facilities in Japan. Tsurumi Children’s Hospice in Osaka, which opened in 2016, launched a consultation service in April to help people establish similar facilities across the country.
Leadership starts with presence — the art of showing up with David Sachsenmaier | part one
07/16/26 at 03:00 AMLeadership starts with presence — the art of showing up with David Sachsenmaier | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with David Sachsenmaier; 7/15/26 What separates truly exceptional leaders from those who simply manage? In Part One of this thought-provoking conversation, Chris Comeaux sits down with executive coach David Sachsenmaier, whose 30 years of leadership experience and more than 4,000 hours of executive coaching have helped leaders uncover one of leadership's most overlooked truths: the quality of your leadership is shaped by the quality of your inner life. Together, they explore why presence, self-awareness, and emotional grounding are essential to building healthy teams, resilient organizations, and cultures where people thrive.
Hospice compliance in the data driven era | a leadership advisory on enforcement risk and governance readiness
07/16/26 at 03:00 AMHospice compliance in the data driven era | a leadership advisory on enforcement risk and governance readiness JD Supra; by Ankura; 7/9/26 Hospice enforcement has entered a structurally different phase. Oversight is no longer episodic or complaint‑driven; it is continuous, data‑driven, and predictive. Federal agencies increasingly identify risk through utilization analytics — length of stay, live discharges, diagnosis mix, and level‑of‑care patterns — before auditors ever review records. By the time a hospice receives an audit or payment action, the organization has often already been characterized as an outlier. ... From a leadership perspective, the most consequential insight is how eligibility is evaluated. Regulators assess hospice eligibility longitudinally, across the entire patient stay — not at isolated certification points. ...
Evaluation of a pharmacist-driven discharge medication reconciliation service
07/16/26 at 03:00 AMEvaluation of a pharmacist-driven discharge medication reconciliation service Pharmacy Times; by Missy Montino, PharmD, Madison Holmes, PharmD, BCPS, Shannon Pierce, PharmD, CPh, BCPS, Randi Silcox, PharmD, Anna-Marie Freeland, PharmD, Bola Habeb, MD; 7/13/26 Introduction: Medication reconciliation is a systematic process utilized to ensure the accuracy and consistency of a patient’s medication information across transitions in care. It involves comparing the patient’s current medication regimen with the prescribed medications to identify and resolve discrepancies, such as omissions, duplications, dosing errors, or potential drug interactions. ... Discussion and Conclusion: ... This study adds to the body of evidence supporting pharmacy’s positive impact on patient health outcomes, specifically in reducing 30-day readmission rates and identifying clinical interventions. This reinforces the benefit of a pharmacist-driven discharge medication reconciliation service. ...
Why most healthcare brand strategies fail the first time leadership gets tested
07/16/26 at 03:00 AMWhy most healthcare brand strategies fail the first time leadership gets tested MedCityNews; by Erin Gregory; 7/10/26 If you are sitting on a brand strategy right now, the test is not whether your team likes it. The test is whether it can be defended by someone who did not build it, to a board that did not commission it, by a leader who did not hire you. A few years ago, I watched a regional nonprofit in community health and wellness come close to imploding. ...
Everyday ethics: Leave a legacy beyond material things
07/16/26 at 03:00 AMEveryday ethics: Leave a legacy beyond material things Daily Times; by John C. Morgan; 7/15/26 Buildings and other structures don't last forever, but there are things we can do that will endure. Everyone wants to leave a legacy, something that outlasts themselves, whether a cause, offspring or project that embodies their future hopes. One of the more famous sentences left behind was graffiti from World War II, a doodle of a bald-headed man peering over a wall accompanied by the phrase “Kilroy Was Here.” It showed that American troops had been there. ... I’ve always found it hopeful, not morbid, to take walks through cemeteries to read the life stories of others. The few words inscribed on headstones represent the essentials, sometimes with an accompanying message the departed wants to leave others to remember. ...
Savings in Medicare hospice payments for care provided in nursing homes
07/16/26 at 03:00 AMSavings in Medicare hospice payments for care provided in nursing homes U.S. HHS-OIG; Project Number OEI-02-26-00180; 7/15/26 The fixed daily rates that Medicare pays hospices for routine home care provided in a nursing home include personal care services. However, nursing homes are already required to provide personal care services to their residents. Paying the hospice the full routine home care rate that covers personal care services when these services are already required from the nursing home can undermine the efficiency of Medicare payments and add to the incentives that bad actors have to exploit the program. This review will determine Medicare payments for routine home care provided to hospice beneficiaries in nursing homes, estimate potential cost savings from reducing the payment to address the inefficiency in the payment structure, and examine practices of hospices with a high percentage of their beneficiaries in nursing homes.
Cardiologists treating increasingly complex patients as America ages
07/16/26 at 03:00 AMCardiologists treating increasingly complex patients as America ages Medscape; by Sarah Amandolare; 7/14/26 ... Heart failure (HF) affects 15%-20% of adults over 80, according to the American Heart Association/American College of Cardiology/Heart Failure Society of America Guideline for the Management of Heart Failure. HF with preserved ejection fraction (HFpEF), which becomes more likely after age 80, is related to other common conditions of aging, including hypertension, chronic kidney disease, diabetes, and obesity. “Almost by definition, most people that have HFpEF have multiple comorbidities,” Hummel said. “You have to account for a lot of them when you’re thinking about how to help the patient best.” This population also has higher chances of developing dementia and frailty, which affect 35% of adults age 90 and older and 31% of octogenarians, respectively. Older adults hospitalized for HF also have a high likelihood of polypharmacy; 68% take 10 or more medicines.
Do the one thing you think you cannot do. Fail at it. Try again. Do better the second time. The only people who never tumble are those who ...
07/15/26 at 03:00 AMDo the one thing you think you cannot do. Fail at it. Try again. Do better the second time. The only people who never tumble are those who never mount the high wire. ~ Oprah Winfrey
