Literature Review

More nonprofit hospices consolidating amid economic, regulatory pressures Hospice News; by Jim Parker; 9/12/24 As M&A in the for-profit space continues its two-year slump, nonprofits are consolidating in rising numbers. Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofits are pursuing acquisitions and affiliations, as well as forming regional collaboratives. In addition, some nonprofits have also been acquired by for-profit companies. Driving this trend are reimbursement and regulatory pressures, as well as a need to compete with larger, well-capitalized for-profit entities, according to Mark Kulik, senior managing director for the M&A advisory firm The Braff Group. [Click on the title's link to continue reading this significant article.] 

Is medical assistance in dying part of palliative care?JAMA Network; by Harvey Max Chochinov, Joseph J. Fins; 9/11/24Whatever one’s view on medical assistance in dying (MAID), an underlying question is whether it should be considered part of palliative care. The Canadian Hospice Palliative Care Association takes the stance that MAID “definitionally fall(s) outside of the scope of palliative care.” 1 This is a historical perspective dating to Hippocratic injunctions against a fatal draft. But with the advent of euthanasia and assisted suicide as legal life-ending options in various jurisdictions, the insistence on separation between palliative care and MAID has been questioned.

Medicare Advantage bonus payments decline for first time since 2015Becker's Payer Issues; by Rylee Wilson; 9/11/24Bonus payments to Medicare Advantage plans will decline by around 8% in 2024 compared to 2023, according to a report from KFF. The analysis, published Sept. 11, found bonus payments to MA plans will decline by around $1 billion to $11.8 billion in 2024. Although this was the first decline since 2015, the $11.8 billion in payments will still exceed amounts for every year from 2015 to 2022. The number of bonus payments will decline because of temporary policies in place during the COVID-19 pandemic increased star ratings for some plans, according to KFF. When the policies ended, some plans took a hit in bonus payments. CMS pays Medicare Advantage plans bonus payments for achieving a star rating of four or higher.

Innovative program reduces nurse turnover and fosters development Oncology Nursing News; by Heather Wood, RN, OCN and Marie Garcia, RN, OCN; 9/12/24 Cancer incidence is on the rise in the US, especially among the growing older population. ... Unfortunately, the current shortage of oncology nurses is expected to worsen, as fewer people enter the profession while aging nurses retire. By 2025, a shortage of 200,000 to 450,000 oncology nurses is predicted in the US. ... In response, The US Oncology Network (The Network) has developed one of the most comprehensive programs in the nation to support the professional development and retention of new oncology nurses. ... Designed to enhance their knowledge of fundamental oncology, OCEAN is a collaborative effort bringing together a multidisciplinary team of experts and speakers from across The Network. The program provides fundamental oncology knowledge around 12 core areas delivered over 22.5 hours of live virtual learning. Content ranges from ... various treatment modalities ... to palliative care and advanced care planning. OCEAN’s impact extends beyond skill development, fostering a sense of belonging and purpose among participating nurses. ... Early results from the program are promising, such as increased retention rates [12% better than the national average] and cost savings. 

Telehealth groups urge feds to extend virtual prescribing flexibilities  Healthcare IT News; by Mike Miliard; 9/11/24 With just four months to go until the scheduled expiration of Drug Enforcement Administration flexibilities on virtual prescribing of controlled substances, a long list of hundreds of healthcare stakeholders is calling on Congress and the White House to extend them before "countless patients [are] abandoned, left without lifesaving clinically appropriate care." Led by the American Telemedicine Association and its ATA Action arm, more than 330 disparate organizations have signed on to an effort urging federal officials to extend pandemic-era allowances for virtual prescribing that "have been a lifeline for countless individuals across the country, ensuring uninterrupted access to essential mental health care, substance use treatment, end-of-life care, and many other crucial treatments during a time when in-person visits were impossible or unsafe."

Hospice Insights Podcast: What’s the latest on UPICs? Highlights from recent audit activity, part I JD Supra; podcast by Husch Blackwell, LLP; 9/11/24 [UPIC stands for Unified Program Integrity Contractor audits.] UPIC activity is picking up, and the UPICs are reviving some old tactics. In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki discuss these trends which include extrapolation, Medicaid nursing home room and board payments, patient interviews, and more. Meg and Bryan also describe some handouts they’ve developed to help hospices stay prepared for the inevitable audit. 

Agnesian HealthCare Foundation 2024 Charity Open has successful year envision - Greater Fond du Lac, WI; by Agnesian HealthCare Foundation; 9/11/24 The Agnesian HealthCare Foundation recently hosted its 36th annual Charity Open, presented by the Michels Corporation, celebrating another successful year supporting local hospice and cancer patient care. Since 1989, the Charity Open has raised more than $7.6 million. Thanks to the generosity of those attending and sponsoring the event, the Agnesian HealthCare Foundation raised approximately $455,000. Proceeds from this year’s event are supporting SSM Health at Home Hospice and SSM Health Cancer Care services within the greater Fond du Lac area – helping ensure that all patients have access to these vital services regardless of their ability to pay. “Our hospice team supports our patient’s last days by offering comfort and dignity,” according to Kim Laws, Agnesian HealthCare Foundation director of development and interim leader. “Our goal is to provide this service regardless of the family’s ability to pay." 

Half of home care workers have seen, experienced workplace violence, report findsMcKnight's Home Care; by Adam Healy; 9/10/24The majority of home care workers have had a brush with workplace violence or harassment, so addressing these dangers can yield significant positive impacts for providers and their staff. That’s according to a new report on home care workplace safety by Transcend Strategy Group. More than 50% of home-based care workers have witnessed or experienced at least one incident of workplace violence or harassment, the report found. About 1 in 5 reported having seen at least seven instances of violence or harassment while on the job. Certified nursing assistants, registered nurses and physician assistants were the most likely groups to be subject to workplace dangers.

Kaiser Permanente enters deal with CommonSpirit to expand Colorado presence GlobalData; 9/11/24 Kaiser Permanente and CommonSpirit Health have expanded their alliance with a new long-term agreement, aimed at providing Kaiser Permanente's members with enhanced access to healthcare services in Colorado, US. This agreement will integrate Kaiser Permanente physicians into CommonSpirit's hospitals, offering members, including Metro Denver residents, more convenient healthcare services and options close to home. CommonSpirit Health, a nonprofit health system, has a significant presence in Colorado, operating nearly 20 hospitals and over 240 care sites with a workforce of more than 16,000 and 5,300 healthcare professionals, including physicians and practice clinicians. Meanwhile, Kaiser Permanente, also a nonprofit, is known for its integrated care and coverage model, which includes care from its own providers, as well as a broad external network. 

Central Coast lavender farm helping cancer and hospice patients in Monterey County KSBW-8 News, Monterey County, CA; by Zoe Hunt; 9/9/24  Lavender Creek Co. has turned its family farm into a source of comfort for cancer and hospice patients in Monterey County. Ryan and Myriah Hopkins are the husband-and-wife duo behind the lavender farm on Carmel Valley Road. They’re using their home-grown lavender to donate products like hand towels and eye pillows designed to soothe and relax, a much-needed comfort for hospital patients. ... "We are donating our lavender that [the Monterey Quilters Guild sews]into eye pillows and then donate it to our hospital or nonprofits," Hopkins said. "Then those go to patients undergoing cancer treatment and hospice care."

Telehealth palliative care helps people living with advanced cancer Cancer Health; by Liz Highleyman; 9/9/24 Virtual palliative care can be as effective as in-person care, according to a recent study. Oncology palliative care is intended to relieve symptoms and improve quality of life. It is not the same as hospice care, and it can help people at any stage of cancer. National guidelines recommend integrating palliative care from the time of diagnosis for people with advanced cancer, but it is underutilized in part due to a shortage of trained providers. This study included 1,250 adults at 22 U.S. cancer centers who were diagnosed with advanced non-small-cell lung cancer. They had palliative care sessions every four weeks conducted either via video or in person. After six months, quality-of-life scores were equivalent in the two groups. They also did not differ significantly in terms of depression or anxiety, coping skills, understanding treatment goals or perception of their prognosis.

Two decades after 9/11, Tarrant County interfaith group brings women together Fort Worth Report, Fort Worth, TX; by Marissa Greene; 9/10/24 Janice Harris Lord remembers Sept. 11, 2001, crystal clear. ... In late 2001, it struck Harris Lord that there was something she could do: pull women of different faiths together. By January 2002, Harris Lord formed Daughters of Abraham, a discussion group made up of local Muslim, Jewish and Christian women. The group serves as a venue for women to learn about and build friendships with women of different religions. In its 22-year history, the group has grown from 18 women to various regional groups in Fort Worth, Arlington, northeast Tarrant County and Dallas. ... In the group’s two-decade history, the most poignant thing Harris Lord learned was the tradition that Jewish and Muslim families undergo when preparing a deceased loved one for burial. Muslim and Jewish families participate in a tradition called ghusl in Arabic or tahara in Hebrew, which involves washing and purifying a body before burial. It is considered one of the greatest good deeds someone can do for another in the faiths. When Harris Lord’s husband tragically died ..., she knew she wanted to honor him in that way. “(The hospice nurse) gave me some soap and water, and we shaved him, and I washed his hair and got it combed right, like he wanted it,” Harris Lord said. “It was beautiful. I think it helped me more with my grieving than anything, because I knew I had done the very last thing I could do for him.”