Literature Review

Inaugural walk raises awareness for pancreatic cancer Columbus Jewish News, Beachwood, OH; by Becky Raspe; 5/21/25 On April 30, Wexner Heritage Village held its inaugural Zusman Hospice & Pancreatic Cancer Walkathon fundraiser. Held at Bexley’s Schneider Park, the event was held in memory of Rob Cohen, brother of Wexner Heritage Village and Zusman Hospice’s volunteer coordinator Judi Koval. Cohen died three years ago from pancreatic cancer ... under the care of Wexner Heritage Village’s Zusman Hospice “at the end of his days.” Organizing the walk to honor her brother, the event date also would’ve been her brother’s birthday, she said. 

Longtime Delaware Hospice CEO Susan Lloyd to retire Delaware Business Times, Milford, DE; by Jennifer Antonik; 5/21/25 Susan Lloyd says the team at Delaware Hospice took a chance on her 38 years ago when the young nursing administrator became its newest CEO. Now, she’s gearing up for a new challenge – retirement. Delaware Hospice first began offering services in the First State just five years before Lloyd took the role over after several organizational changeovers in that short amount of time. “There was a lot of nervousness about, ‘Is this CEO going to stay?’ I think I added some stability and home health care knowledge which I knew about from a previous position. This was a brand-new concept here and Delaware Hospice was just getting started. It was just a tremendous opportunity to grow hospice services throughout the state,” Lloyd recalled. ... Over the course of those 38 years of stability, the nonprofit she grew to love and cherish grew along with her, now boasting around 400 volunteers, more than 300 employees and programs going far beyond home-based hospice care to include a standalone hospice facility in Milford, as well as cardiac care, palliative care, dementia care, advance care planning and grief support.Editor's note: Susan, we thank you for your immeasurable contributions to the evolution and growth of hospice and palliative care. As you move into this new life-chapter, may we continue to learn from you and the excellence you ensured through Delaware Hospice.

“A different way of looking at how you can age in America” AJMC; by Maggie L. Shaw; 5/21/25

‘We need you to work with us’: Home health providers renegotiate better Medicare Advantage deals Home Health Care News; by Joyce Famakinwa; 5/20/25 As Medicare Advantage (MA) enrollment continues to surge, home health providers have seen slim margins deteriorate further. Some providers have openly expressed their decision to reject financially unsustainable MA contracts. Abandoning unfavorable MA contracts may sometimes be necessary, industry executives told Home Health Care News. However, some providers have improved their MA standing by renegotiating rates or returning after walking away, leveraging data and understanding the needs of payer partners. “We have walked away, in specific states, from payers and Medicare Advantage groups because of rates and the inability to raise those rates, and pre-authorization terms,” G. Scott Herman, CEO of New Day Healthcare, told HHCN. 

Hospice nurse fired after granddaughter shares video of alleged misconduct NBC WJAR-10, Providence, RI; by Leanna Faulk; 5/16/25 A hospice nurse has been fired after a Facebook video posted by the granddaughter of a terminally ill man allegedly caught the nurse verbally abusing him inside HopeHealth Hospice & Palliative Care on Main Street in Providence. Aryanna Pecoraro said she was visiting her 69-year-old grandfather, John Carney, during the early morning hours of May 3 when she overheard a nurse speaking aggressively to him through the closed door of his room. Carney had been admitted to the hospice center on April 30 and was in the late stages of emphysema. “I hear her say to my grandfather, ‘I’m not coming back into this room. I don’t care if you fall out of the bed onto the floor. I’m tired of your BS," Pecoraro said in an interview with NBC 10. “She also mocked him while he groaned in pain. I couldn’t believe someone could be that cruel to a person who couldn’t defend himself.” ... HopeHealth issued the following statement in response to the video and allegations: ...

Alliance, Aetna & MissionCare collective unite to strengthen direct care workforce HomeCare, Alexandria, VA and Washington, DC; Press Release; 5/19/25 The National Alliance for Care at Home (The Alliance), Aetna Medicaid, a CVS Health company, and MissionCare Collective have begun a collaborative effort to increase access to home health care for older adults and those with disabilities, and increase supports for direct care workers in Illinois, Louisiana and North Carolina. Initially launching in Illinois, Louisiana and North Carolina, the pilot program is funded by Aetna and brings together two national providers committed to transforming care delivery at home. The Alliance represents providers across homecare, home health, hospice and palliative services, serving as an advocate for care delivered where people live. MissionCare Collective, a workforce innovation provider, offers a suite of solutions designed to build, retain and support the care workforce at scale.

White coats, heavy hearts: What to expect as a med student after your first patient death Medscape; by David Brzostowicki; 5/21/25 The first death of a patient represents a profound emotional turning point that reverberates throughout one’s career as a physician. In that critical moment, the shield of clinical detachment gives way to inevitable self-reflection. Daryl Eber, MD, recalls a jarring case of an intubated patient who extubated himself and quickly died after coding. The incident occurred in 2005 while Eber was doing rounds as a medical student at Shands Jacksonville Medical Center (renamed UF Health Jacksonville) in Jacksonville, Florida. Although the patient was not in his direct care, the swiftness with which death took the man has lingered with Eber for two decades. 

Navigating the Future: HOPE, Wage Index, and CMS Quality Measures Teleios Collaborative Network (TCN; podcast by Chris Comeaux with Annette Kiser and Judi Lund Person; 5/21/25 What happens when ancient philosophical questions about "the good life" collide with modern healthcare regulations?  In this compelling episode of TCNtalks, host Chris Comeaux welcomes Hospice leaders Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC,  for a deep dive into the regulatory crossroads facing hospice providers. In this episode,  we discuss the FY 2026 Proposed Rule, which focused on implementing the HOPE initiative, and two RFIs (Requests for Information) that were part of it. 

Proposed bill would require MA to pay for hospice care Hospice News; by Jim Parker; 5/21/25 Rep. David Schweikert (R-Ariz.) has introduced the Medicare Advantage Reform Act, which among other provisions would require health plans to pay for hospice care. If enacted, the bill, numbered H.R. 3467, would make wholesale changes to the Medicare Advantage program. It would mandate capitated payment models, change risk adjustment methodologies and create new exemptions for physician self-referrals, among other provisions. The potential impacts of moving hospice into Medicare Advantage at this time would be “devastating,” according to the National Alliance for Care at Home. 

The skills CEOs are building in 2025Becker's Hospital Review; by Kristin Kuchno; 5/20/25 Hospital and health system CEOs are building new leadership skills — many of which were not viewed as a priority earlier in their careers. While health systems continue to focus on workforce-wide skills development, such as leadership skills for succession planning, today’s executives are zeroing in on new capabilities to meet evolving demands. Becker’s connected with four hospital and health system CEOs to learn which skills they are actively working on in 2025. 

Hospice visits and perceived hospice quality among Assisted Living residents Journal of the American Geriatrics Society; by Wenhan Guo, Shubing Cai, Yue Li, Brian E. McGarry, Thomas V. Caprio, Helena Temkin-Greener; 5/19/25 Background: Hospice services are widely used by assisted living residents at the end of life, yet concerns exist about the adequacy and quality of hospice care in this setting. Conclusions: Higher frequency of hospice staff visits was associated with better perceived hospice quality. Policies supporting greater hospice staff engagement, including nonclinical staff, may enhance end-of-life care experiences for assisted living residents.

Podcast: Innovations and insights in the palliative care space Holland & Knight; podcast by Daniel Patten and Spencer Freeman; 5/20/25 In this episode of "Counsel That Cares," Daniel Patten, a partner in Holland & Knight's Healthcare Regulatory & Enforcement Practice, and Spencer Freeman, chief strategy officer at Gentiva, discuss the challenges and opportunities that come with delivering integrated palliative care services, highlighting the lack of a defined Medicare benefit for palliative care compared to more established models such as hospice. Mr. Freeman shares insights on building care models that serve high-risk patient populations through coordinated interdisciplinary teams and data-driven approaches, emphasizing the importance of collaboration with risk-based primary care providers. Mr. Patten adds a legal perspective on the evolving landscape of value-based care contracts, artificial intelligence (AI) integration and regulatory compliance. Together, they explore how innovative programs can improve patient outcomes, reduce acute care utilization and facilitate payer relationships, offering a comprehensive view of the future of palliative care within value-based healthcare delivery.