Literature Review

Cooper University Health acquires New Jersey system Becker's Hospital Reivew; by Alan Condon; 7/1/24 Cooper University Health Care on July 1 completed the acquisition of  Cape May, NJ-based Cape Regional Health System. As part of the closing, Cape Regional Medical Center has been renamed Cooper University Hospital Cape Regional. The combined health system comprises two hospitals with more than 900 beds, 130 ambulatory sites and almost 11,000 employees, including over 1,000 physicians. It is projected to have revenue exceeding $2.2 billion a year. The transaction unlocks significant growth opportunities, particularly in the outpatient market, as healthcare continues its shift away from inpatient settings, Camden, N.J.-based Cooper CFO Brian Reilly told Becker's. 

10 key Medicare Advantage updates in 2024 Becker's Payer Issues; by Rylee Wilson; 6/27/24 The first half of 2024 brought shifting trends for Medicare Advantage. Payers continued to warn of rising medical costs in the MA population, and some are predicting they will lose members next year. Insurers picked up a win in June when CMS said it would recalculate star ratings for 2024. Here are 10 key Medicare Advantage updates to know: 

CMS: Advance health equity through accessibility CMS.gov; posted for July 2024 Throughout July, the Center for Medicare & Medicaid Services Office of Minority Health (CMS OMH) celebrates Disability Pride Month and the anniversary of the Americans with Disability Act (ADA). Twenty-seven percent of adults in the United States have some type of disability, with mobility (serious difficulty walking or climbing stairs) and cognitive (serious difficulty concentrating, remembering, or making decisions) disabilities being the most prominent types. Individuals living with disabilities often face worse overall health outcomes, including likelihood of obesity (41.6%), diabetes (15.9%), and heart disease (9.6%). ... Find these resources on our health observance page this month or our Improving Access to Care for People with Disabilities page all year long.

‘Normalizing’ Trauma-Informed Hospice Care Delivery

How Hospice of the Chesapeake is innovating bereavement care, family support Hospice News; by Jim Parker; 7/4/24 Maryland-based Hospice of the Chesapeake has been pursuing innovation in its bereavement and caregiver support programs. The nonprofit hospice and palliative care provider offers grief care to its entire community regardless of whether a family member was one of their patients. Out-of-pocket payments for those services are on a sliding scale. To expand its reach, Hospice of the Chesapeake works with organizations like schools, senior living communities and other community partners, according to Faith Fitzgerald, director of community support programs for the hospice.

Medicare Program: End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, etc. Federal Register; Proposed Rule by the Centers for Medicare & Medicaid Services; 7/5/24

Our Hospice Decatur Golf Tourney generates $28K Local News Digital, Greensburg, IN; by LND Staff; 7/2/24 The 30th Annual Our Hospice Decatur Golf Tournament in late June raised about $32,500, with an estimated net revenue of $28,000, thanks to the Greensburg community. Over 60 golfers participated in the annual fundraiser, benefiting Our Hospice of South Central Indiana patients and families in Decatur County. The first-place team this year was DC Integrated Medicine. Our Hospice Event and Volunteer Services Manager Julie Davis said, “Over the past 30 years, including this year, we have raised over $778,000. This would not be possible without the support of sponsors, golfers, and everyone who contributes so generously. 

'I'm as happy as I've been in my life,' says aid worker Simon Boas as he faces deathBBC News; 7/4/24 In September 2023, Simon Boas was diagnosed with throat cancer. Aged just 46, he was told the disease was terminal, and that it would ultimately take his life. Over the following year, he knitted together his reflections on life into a book - A Beginner's Guide to Dying. The book is set to hit the shelves in October. It will be a posthumous publication. In what he expects to be one of his final interviews, Simon spoke to Emma Barnett on the Today Programme, offering his reflections on life and death as he moved into hospice care. "My pain is under control and I'm terribly happy - it sounds weird to say, but I'm as happy as I've ever been in my life.I used to think I'd rather be hit by the proverbial bus, but having a couple of months knowing this is coming has really helped me both do the boring 'death-min', but also get my thoughts and prepare myself, and feel so accepting of what's to come.It's been such a great bonus, actually. The book is called A Beginner's Guide to Dying, but really what I'm trying to convey is how enjoying life to the full kind of prepares you for this. ... I spent my life as an aid worker - quite a lot with the UN - and I've lived in places where death is something that not just exists in the background, but is imminently possible."Editor's Note: Click on the title's link to continue reading this inspirational story. Simon's book--to be published posthumously--is available for pre-orders on Amazon.com in Audible formats with Simon as the narrator.

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!

[Updated] CMS proposes over 4% cut to Home Health Medicare payments in 2025 Home Health Care News; by Andrew Donlan; 6/26/24 The U.S. Centers for Medicare & Medicaid Services (CMS) published its FY 2025 home health proposed payment rule Wednesday. With it, the agency signaled that more significant cuts could be on the way for providers. To rebalance the Patient-Driven Groupings Model (PDGM) and make it budget neutral, at least according to its internal methodology, CMS is proposing a permanent prospective adjustment to the CY 2025 home health payment rate of -4.067%. For CY 2023 and CY 2024, CMS previously applied a 3.925% reduction and a 2.890% reduction, respectively.

Anxiety in late life and serious illness: A podcast with Alex Gamble and Brianna WilliamsonGeriPal [podcast]; by Eric Widera, Alex Smith, Alex Gamble, Brianna Williamson; 6/27/24“Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. We’ve all had anxiety, and probably all recognize that anxiety can be a force of action or growth but can also spiral to quickly take over our lives and our sleep. How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? On today’s podcast, we’ve invited Alex Gamble and Brianna Williamson to talk to us about anxiety. Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency.

Grief care efforts should include settings outside of hospice, provider group say McKnights Senior Living; by Kimberly Bonvissuto; 7/3/24 If standards are developed for high-quality bereavement and grief care, they must apply to settings outside of traditional hospice care, such as affordable senior housing, where there is a “critical lack” of mental health services. That’s according to LeadingAge, which submitted comments last week to the Agency for Healthcare Research and Quality on a draft report from a research project that will inform an independent panel that will develop standards for high-quality bereavement and grief care. Katy Barnett, LeadingAge director of home care and hospice operations and policy, highlighted the need for cross-continuum grief and bereavement assessments, interventions and resources, including in settings outside of traditional hospice care, such as affordable senior housing.

Monroe Clinic & Hospital Foundation celebrates record-breaking mini golf event The Monroe Times, Monroe, WI; 6/30/24 The Monroe Clinic & Hospital Foundation’s “Little Golf” and Grill event, held on June 11, was an afternoon of mini golf that led into a night full of generous giving for a great cause. ... The event raised a record-breaking more than $79,600 from countless heartfelt donations provided by community members and businesses. This brought the total raised over the event’s 32 years to over $1,005,000. “Three decades of commitment from our healthcare team and the community to support and grow local hospice care is an incredible achievement,” shared Jane Sybers, Executive Director of Monroe Clinic & Hospital Foundation, a member of SSM Health. “I have the privilege to share gratitude stories with donors whose loved ones walked through hospice with us. To surpass one-million-dollars is such an incredible milestone and shows how much our community values this meaningful service.” The evening program walked attendees through the hospice patient journey. During the program, different staff members shared their role in patient care and the impact their patients have on them.