Literature Review

Healthy Together Cleveland receives foundation grant [from Hospice of Cleveland County] The Home Page for Cleveland County, North Carolina; Press Release; 8/14/25 The Board of Directors for Hospice Cleveland County Foundation recently awarded a $50,000 grant to support the Everyone Eats Emergency Food Fund Drive, spearheaded by Healthy Together Cleveland (HTC) to combat food insecurity in Cleveland County. "As we continue to face unprecedented challenges, community support is vital. Everyone Eats is a testament to what we can achieve when we come together with a shared purpose. We are delighted to provide this grant to launch the campaign and hope it will inspire others to participate," said Katie Borders, President, Hospice Cleveland County Foundation. Last month, HTC announced that 1 in 6 people in the county are experiencing food insecurity. ... The mission of the Foundation is to strive to maintain the success of the hospice tradition in Cleveland County by supporting efforts to help people lead healthy, productive lives and experience peaceful, dignified deaths. We seek to ensure that all people - especially those with the fewest resources - have access to the opportunities they need to succeed in school and in life.Editor's Note: May we all learn and live from Hospice Cleveland County Foundation's mission and action. Thank you.

Have a question about death? A new project may have answers. The New York Times; by John Otis; 8/5/25 A new Times series examines the topic of death and dying in 2025. Ms. Pisapia, an editor on The Times’s Projects and Initiatives team, pitched a series to her team titled “Death in the Modern Age.” It would focus on end-of-life issues and serve as a resource for readers who might be grappling with their own mortality or coping with the loss of someone close to them. ... The cornerstone of the project is an F.A.Q. titled “Let’s Talk About Death,” compiled from several hundred submissions from Times readers who either asked questions related to death and dying or shared personal experiences.

Medicaid payments and racial and ethnic disparities in Alzheimer disease special care unitsThe Journal of the American Medical Association - JAMA Network Open; by Huiwen Xu, PhD, Shuang Li, PhD, John R. Bowblis, PhD, Monique R. Pappadis, PhD, Yong-Fang Kuo, PhD; James S. Goodwin, MD; 8/4/25 In this cohort study of 13, 229 nursing homes, those with higher proportions of Black or Hispanic residents were less likely to have Alzheimer disease special care units. The disparities among nursing homes serving high proportions of Black residents, however, narrowed and even disappeared in states with higher Medicaid payment-to-cost ratios. ... This study suggests that more generous Medicaid payments may be associated with improved availability of specialized dementia care in nursing homes that serve primarily marginalized Black residents.

[United Kingdom] Rethinking palliative care for people affected by homelessness Nursing in Practice; by Karita Razzell; 8/5/25 Well-timed palliative intervention can be a game-changer for people affected by homelessness facing advanced ill health, says Karita Razzell, palliative care manager at the charity St Mungo’s. ... There are various reasons behind the stark health disparities faced by people experiencing homelessness. ... Many individuals are living with serious mental health conditions, substance use issues, undiagnosed neurodiversity, and chronic physical illnesses – all of which can make clinical environments like hospitals particularly challenging for them. ... There are also digital hurdles: appointment systems and prescription services are increasingly online, yet many people without stable housing lack access to mobile phones or the internet. ... As a result, treatable conditions in people affected by homelessness often go undiagnosed until they reach an advanced stage.Editor's Note: People experiencing homelessness in the U.S. face similar challenges. Organizations such as The Hildegard House in Louisville, KY, and others in the national Omega Home Network of “comfort care homes” quietly provide palliative and hospice care for them. Click here to see a national map of these homes.

Building a strong foundation for pediatric palliative care in Connecticut Solomon Center for Health Law and Policy at Yale Law School, Targeted News Service; by Wendy Jiang, Elle  Rothermich, Eugene Rusyn; 8/12/25 The Solomon Center for Health Law and Policy at Yale Law School has released a white paper outlining concrete pathways for Connecticut to guarantee pediatric palliative care (PPC) from diagnosis--not only at end of life--while building a workforce equipped to deliver it statewide. The report highlights two foundational barriers: coverage that generally triggers only when a child receives a six-month terminal prognosis, and a shortage of clinicians trained in primary palliative skills, leading to delayed referrals and fragmented support for families facing serious childhood illness. The authors recommend two primary coverage strategies for the state.Editor's Note: Though written for Connecticut, this 42-page white paper from Yale provides excellent information and recommendations to examine for one's own state. Its sub-title is "Establishing a statewide coverage pathway & expanding primary palliative care education for pediatric clinicians."

Simulation, flipped classroom, and reflective dialogue in socioemotional training in end-of-life care: Perspectives of nursing students Journal of Hospice & Palliative Nursing (HPNA); by María Lanza, Rebeca Abajas, Mar Aparicio Aparicio, Ángeles Melero, Carmen Ortego; 8/1/25The implementation of active methodologies in end-of-life education can play a crucial role in stimulating participatory learning and facilitating the acquisition of socioemotional competencies. ... From the students’ perspective, simulation, reflective dialogue, and flipped classroom enhance the conceptual learning process and facilitate students’ socioemotional preparation to face this complex and challenging professional situation. Editor's Note: Today’s tech-savvy nursing students show that simulation, reflective dialogue, and flipped classrooms build the person-centered qualities hospice and palliative care need. Use these methods—inside and outside the classroom—to improve patient/family care, teamwork, and self-care. For more information: 

Amedisys pays $1.1 million for HSR compliance lapse amid pending UnitedHealth deal Lexology - Triage Health Law Blog; by Squire Patton Boggs; 8/12/25 Amedisys, a major provider of home health and hospice care, has agreed to pay a $1.1 million civil penalty to settle allegations that it violated the Hart-Scott-Rodino (HSR) Act during the antitrust review of its pending $3.3 billion acquisition by UnitedHealth’s Optum division. ... In December 2023, while responding to a DOJ “Second Request” for information, a mandatory step in large merger reviews, Amedisys filed a sworn certification that its production was “true, correct, and complete.” In reality, the company knew that its email archiving system had malfunctioned, causing the loss of a month’s worth of emails from May–June 2023, a critical period in the merger negotiations. ... The DOJ emphasized that this was not a “minor paperwork glitch” but a material omission in a sworn filing.

Gov. Moore launches Longevity Ready Maryland, a landmark state plan to support thriving aging population The Bay Net, Annapolis, MD; by Governor Wes Moore; 7/30/25 Governor Wes Moore today launched Longevity Ready Maryland, the state’s first comprehensive, 10-year multisector plan to coordinate services and policies that support Maryland’s growing population of older adults. ... Longevity Ready Maryland is a collaborative, long-term plan that aims to support the work of service providers by consolidating resources; coordinating efforts across government, businesses, and communities; and transforming systems of care to more sustainably accommodate a greater number of older Marylanders. To advance the objectives of the plan, the Maryland Department of Aging will work to encourage collaboration between state agencies, support local initiatives, and improve access to home- and community-based services.

This test tells you more about your heart attack risk KFF Health News; by Paula Span; 8/1/25 A long list of Lynda Hollander’s paternal relatives had heart disease, and several had undergone major surgeries. ... A cardiologist told Hollander that based on factors like age, sex, cholesterol, and blood pressure, she faced a moderate risk of a major cardiac event, like a heart attack, within the next 10 years. ... Her doctor explained that a coronary artery calcium test, ... could provide a more precise estimate of her risk of atherosclerotic heart disease. “The test is used by more people every year,” said Michael Blaha, co-director of the preventive cardiology program at Johns Hopkins University. Calcium scans quadrupled from 2006 to 2017, his research team reported, and Google searches for related terms have risen even more sharply. Yet “it’s still being underused compared to its value,” he said. One reason is that although the test is comparatively inexpensive ...Editor's Note: Good news. This test predicts and protects heart health, potentially providing extra years of good (or at least better) quality of life. Bad news. It is "being underused compared to its value," partly because "the test is comparatively inexpensive"? Bad news. What does the low-cost factor say ethics, choices, and quality of life? Good news. Because of my family's cardiac history, my physician recently recommended I take this test. I did, and received great results! I move into the future with greater confidence, less fear, and more gratitude for the some 100,00 heartbeats we each experience, each day.

2 factors fueling disparities in home-based deaths Hospice News; by Holly Vossel; 8/11/25 Having a limited understanding about end-of-life care options can hinder patients’ ability to die in the home, recent research has found. This trend is fueling disparities in home-based hospice care. Access to respite care more than doubles the odds of patients having a home death, a recent study found, which was published in the BMC Palliative Care journal. ... Additional significant factors included timely access to community-based nursing services, home health and hospice, as well as the integration of a palliative care approach, the study found.

State Medicaid coverage policies for community-based palliative care: Lessons from NASHP’s State Institute National Academy for State Health Policy; by Ella Taggart, Wendy Fox-Grage; 8/11/25 Six states recently participated in NASHP’s two-year State Policy Institute to Improve Care for People with Serious Illness (the Institute): Colorado, Maine, Maryland, Ohio, Texas, and Washington. ... Specifically, the six participating states received guidance on policy mechanisms to cover palliative care services in the community and completed cost analysis on palliative care services for Medicaid beneficiaries. While all the states balanced the same forces and demands, ... each state modeled a benefit that was responsive to its particular needs and circumstances. ... CBIZ Optumas and TFA Analytics then designed a cost calculator for each state to help with different scenarios. 

Would you go to a local Death Cafe? It's a chance to eat cake and talk end-of-life issues Times Telegram, Utica, NY; by Amy Neff Roth; 8/12/25 Key Points:

Heart to Heart Hospice broadens reach with new Kalamazoo location to serve patients Third News; Press Release; 8/12/25 Heart to Heart Hospice is taking significant steps to enhance its service delivery in southwestern Michigan with the official opening of a new facility in Kalamazoo. This strategic expansion positions Heart to Heart among the premier hospice care providers in the region, offering critical support to patients and their families during challenging times. ... Headed by Executive Director Stacy Sturgeon, RN, the Kalamazoo facility is operated with a focus on patient comfort and dignity.