Literature Review

[Updated] DOJ files proposed final judgment on Amedisys, UnitedHealth Merger Home Health Care News; by Morgan Gonzales; 8/7/25 On Thursday, Amedisys (Nasdaq: AMED) announced that the U.S. Department of Justice (DOJ) and Attorneys General of Maryland, Illinois, New Jersey and New York filed a proposed final judgment regarding the UnitedHealth Group’s (NYSE: UNH) planned acquisition of Amedisys. UnitedHealth and Amedisys agreed to the proposed final judgment, which, if approved, would resolve the DOJ’s and states’ opposition to the merger. The proposed judgment would require UnitedHealth and Amedisys to divest at least 164 home health and hospice facilities, including one affiliated palliative care facility, across 19 states, worth approximately $528 million in annual revenue. It would also impose a $1.1 million civil penalty on Amedisys for falsely certifying that it had provided “true, correct and complete” responses under the Hart-Scott-Rodino (HSR) Antitrust Improvements Act of 1976, according to a DOJ announcement. 

Hospice volunteers recognize local floral donors Uvalde Leader News, Uvalde, TX; 7/27/25 Uvalde Memorial Hospital hospice volunteers recently recognized the Flower Patch and Uvalde H-E-B for their weekly donations of fresh flowers for hospice patients. Hospice volunteers deliver the gifts, valued at approximately $1,950 annually from each business, to patients, brightening their homes and hospital rooms while providing emotional comfort during difficult times.

CIOs’ top 16 emerging technologies Becker's Health IT; by Giles Bruce; 8/4/25 Emerging technologies such as AI continue to command CIOs’ attention. Here is the emerging tech prioritized by IT chiefs, according to a global survey of more than 200 CIOs by market researcher Futurum published July 28:

How one man’s dying wish was denied by the health care system Synopsi, from MedPage Today; by Caitlin E. Morh, MD; 8/5/25 “This is Dr. Mohr.” I answered a number I didn’t recognize. “It’s Irving,” said the frantic voice. “He collapsed. The paramedics are working on him now.” “They’re doing compressions? Stop! Put the paramedic on the phone!” My father-in-law, Irving, the stoic Danish-American Navy veteran, had been on hospice for 3 months. His POST (physician order for life sustaining treatment) form was on file with the hospice agency and his custodial care facility: DNR/DNI, comfort measures only. ... “I’m Irv’s daughter-in-law. I’m a physician. He’s a DNR, he’s on hospice. Stop doing compressions.” 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 ... I listened to the ACLS algorithm unfold in the background. ...

The path to the future may be the un-obvious: Top news stories, July 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 8/6/25 The future of hospice care hangs in the balance as providers navigate a perfect storm of challenges and opportunities. From financial pressures closing hospice houses to unprecedented Medicare fraud schemes, from technological disruption to changing consumer expectations – the hospice field stands at a critical inflection point that demands both reflection and action. Join hosts Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in Hospice and Palliative Care, discussing key trends, challenges, and innovations shaping the field. This episode covers a wide range of topics, including the impact of healthcare layoffs, disruptive innovations, and the importance of disaster preparedness. 

Why AI isn't your advantage — your people are Entrepreneur; by Bidhan Baruah; 8/6/25 ... AI can indeed be beneficial, but only if you have the right people who can guide it thoughtfully and strategically. Key Takeaways:

Demystifying dying in end-of-life-care: A phenomenological perspective Death Studies; by Elisabet Sernbo, Magnus Weber, Charlotta Öhrling, Stina Nyblom; 8/26/25 This article focuses on experiences of the process of dying. The empirical material consists of interviews with patients in palliative care and their significant others. The analysis draws attention to the lived experiences of the participants - embedded in time, identities, social relations, and everyday lives - and to how the possibility of sense-making is conditioned by the lifeworld. ... [This] needs to be understood as reorienting work: supporting people when their lines become disrupted or need to be altered. This requires a display of radical empathy ...

Insurance companies’ Medicare pullback is here: Insurers are planning to scale back benefits, trim plans and exit from markets. Investors are cheering The Wall Street Journal; by David Wainer; 8/5/25 Many seniors enjoy the perks that come with Medicare Advantage. But those extras—like dental coverage and free gym memberships—are being scaled back. Insurers are cutting benefits and exiting from unprofitable markets, and Wall Street is cheering them on. Once rewarded by investors for rapid expansion in the lucrative privatized Medicare program, companies are now being applauded for showing restraint amid rising medical costs and lower government payments.

Gilchrist and Inova partner to bring expert hospice care to Northern Virginia Inova Newsroom, Fairfax, VA; 8/6/25 Northern Virginia’s premier nonprofit healthcare system, and Gilchrist, Maryland’s leading nonprofit provider of geriatric, palliative, and hospice care, today announced a strategic joint venture to expand compassionate, integrated hospice care into Northern Virginia. Patient care through the Inova-Gilchrist collaboration is expected to begin in early 2026.

We are what we repeatedly do. Excellence, then, is not an act, but a habit. ~ Aristotle

Telehealth use in palliative care has declined since pandemic, study finds McKnights Home Care; by Adam Healy; 8/5/25 Medicare beneficiaries are generally using less telehealth during palliative care than during the COVID-19 pandemic, but some patient cohorts continue to have high rates of virtual care use, according to a new study published in JAMA Network Open. ... “Since the COVID-19 pandemic, telehealth use for palliative care has declined slightly but continued to play a sizable role in outpatient palliative care, accounting for 18.2% of specialist encounters in 2023,” the researchers said. Telehealth may be best suited for patients with certain conditions, they noted. For instance, the study indicated that patients with poor-prognosis cancers — meaning cancers that commonly cause death, rare cancers with high mortality rates or solid tumors with concurrent nonlymphatic metastasis — may benefit the most from telehealth. Virtual care use was also high among psychiatry patients, the study found.

Terri Schiavo’s legacy: When to ethically stop life support Medscape; by Arthur L. Caplan; 8/30/25 Hi. I’m Art Caplan. I'm at the Division of Medical Ethics at NYU Grossman School of Medicine in New York City. Twenty years ago this month, from the time I'm talking with you, in March 2005, a young woman named Terri Schiavo was allowed to die. It was one of the most controversial, and probably the most important, end-of-life-care cases ever to unfold in the United States. ... Do we have to make a more precise diagnosis of permanent vegetative state before we get into arguments about what to do next? I do believe also that it's important, if you are dealing with someone who's terminally ill or has a serious illness, to get the discussion going early about who's in charge. We still have fights between husbands, families, sisters, and cousins coming in about who has veto power or decision-making power. The earlier we can establish who it is that the patient wants to speak for them if they can't, the better.