Literature Review

FTC releases second interim staff report on prescription drug middlemen: Report finds PBMs charge significant markups for cancer, HIV, and other critical specialty generic drugsFTC press release; by FTC staff; 1/14/25Staff’s latest report found that the ‘Big 3 PBMs’—Caremark Rx, LLC (CVS), Express Scripts, Inc. (ESI), and OptumRx, Inc. (OptumRx)—marked up numerous specialty generic drugs dispensed at their affiliated pharmacies by thousands of percent, and many others by hundreds of percent. Such significant markups allowed the Big 3 PBMs and their affiliated specialty pharmacies to generate more than $7.3 billion in revenue from dispensing drugs in excess of the drugs’ estimated acquisition costs from 2017-2022. The Big 3 PBMs netted such significant revenues all while patient, employer, and other health care plan sponsor payments for drugs steadily increased annually, according to the staff report. Key Findings include:

Virtual nursing could upend traditional staff ratiosBecker's Clinical Leadership; by Paige Twenter; 1/13/25In conversations about virtual, team-based nursing services, the term "nurse-to-patient ratios" is an anachronism, according to nursing leaders at Providence and Trinity Health. Within the traditional primary nursing model, a virtual mountain of research demonstrates low nurse-to-patient ratios bolster safety and quality of care. However, as new virtual programs emerge and pick up steam, new research indicates that virtual nursing models improve communication, safety and quality — all without assigning a ratio.

Policy priorities for the first 100 daysC-TAC press release; 1/20/25The first 100 days of the Trump Administration and 119th Congress offer a pivotal opportunity to enact bold policies that improve the quality of care for individuals with serious illness while reducing overall healthcare costs. By addressing key policy priorities, we can create a healthcare system that delivers better outcomes for patients and families. C-TAC calls on policymakers to act now to advance solutions in the following areas:

The HOPE Assessment Tool Series: Understanding the Required Timed VisitsCHAP blog; by Jennifer Kennedy; 1/25It’s January 2025, and we are counting down to the implementation of the HOPE Assessment Tool on October 1, 2025. That date may seem far away, but there is much preparation you need to do in the coming months for a seamless launch on the “go-date”. Your staff will need consistent education about the assessment tool content and their responsibility for the administration and completion of the timed visits. [Click the link above to read the entire story.]

Engaging the hospice community in end-of-life care in prisons (Part 2)ehospice; by Barry R. Ashpole; 1/21/25Part 1 offered a broad overview of the potential role community hospices can play to improve end-of-life care (EoLC) for a particularly vulnerable and underserved population. As has been widely acknowledged, prisons and correctional facilities are caught between the proverbial “rock and a hard place,” between issues of security and public safety and the civil rights of the prison inmates to healthcare comparable to what is available to the populace-at-large. Part 2 takes a closer look at specific initiatives by some community hospices to support prison inmates towards the end of life. Prior to conducting research for its 2020 report, ‘Dying Behind Bars: How can we better support people in prison at the end-of-life,’ Hospice UK had only anecdotal evidence of the important work that some hospices were engaged in to support prison inmates at the end of life. The scope of this support had not been established at a national level. After conducting a survey of hospice services across England, researchers found that 25 hospices – representing approximately 15% of hospices in the country – are indeed providing this care and support, working with 34 different prisons.Publisher's note: Also see: Engaging the hospice community in end-of-life care in prisons (Part 1) that was also discussed in Hospice News' Global challenges persist in bringing hospice care to incarcerated populations.

Care Dimensions receives $10,000 grant from ACM Lifting Lives to support music therapy program MassNonprofit News; 1/22/25Care Dimensions, the largest hospice and palliative care provider in Massachusetts, is proud to announce receiving a $10,000 grant from ACM Lifting Lives®, the philanthropic partner of the Academy of Country Music. ... “Dealing with memory loss can be such an unmooring experience,” noted Care Dimensions Creative Arts Therapy Coordinator Li Kynvi, who is a board-certified music therapist. “One of the magical things about music therapy, especially for those with dementia, is that music lives in them in a whole different way than even the last five minutes does, which enables them to not only engage with a song, but engage with the person sharing it, and delivers a feeling of connection and competence often difficult for dementia patients to experience.”Editor's note: Providing patient care from a board certified music therapist is far superior to simply having a musician perform. Music therapy focuses on the person: physically, mentally, emotionally, socially, spiritually. Music therapy engages memories and meanings for the present moment, and ahead. For more information, examine the Certification Board for Music Therapy. Click here for their directory.

Barry Goldberg, blues-rock keyboardist whose work with Bob Dylan included controversial Newport '65 Concert, dies at 83 [with hospice care] Variety; by Chris Willman; 1/23/25 Barry Goldberg, a blues-rock keyboard player whose work with the Paul Butterfield Blues Band led to playing with Bob Dylan in the 1960s, including the notorious 1965 Newport Folk Festival concert dramatized in "A Complete Unknown," died Wednesday [1/23] at 83. Bob Merlis, a representative, said that Goldberg died in hospice care after a 10-year struggle with non-Hodgkin lymphoma, with his wife of 53 years, Gail Goldberg, and son, Aram, at his bedside.

Utah home care association sounds alarm on HCBS access crisis McKnight's Home Care; by Adam Healy; 1/17/25The Homecare and Hospice Association of Utah (HHAU) is calling for greater Medicaid support of home- and community-based services as beneficiaries in the state face worsening access barriers. “Our biggest concern, and the most pressing one, is with the HCBS waiver rates,” Matt Hansen, executive director of HHAU, said Wednesday in an interview with McKnight’s Home Care Daily Pulse. “If [providers] are still participating in the HCBS waivers, they’re doing it as a charity in most cases. We’ve had 64% of providers exit these programs between December 2022 and December 2023, so that’s 64% fewer providers.”

Locally and veteran-owned Headwaters Hospice and Palliative Care expands healthcare offerings for Montana communities Business Post Examiner, Helena, MT; by Michael Brown; 1/22/25 In just one year since receiving the prestigious CHAP Accreditation, Headwaters Hospice and Palliative Care has become a cornerstone of compassionate care in the Helena Valley, Montana. ... Building on this success, Headwaters Hospice and Palliative Care is proud to announce its expansion into the Butte/Silver Bow County area, bringing its renowned services to even more Montanans. In addition to hospice care, the company will begin offering palliative care services in 2025. These services will not only provide an alternative provider for Helena but will also be the only in-home palliative care option available in Butte. 

Residents share video of Spring Grove Area guidance counselor, now in hospice after Jan. 1 collapse York Dispatch, York, PA; by Meredith Willse; 1/14/25 As news spread of a Spring Grove Area High School guidance counselor’s collapse after a run on Jan. 1, friends and former students shared a video she made — dancing in her office. Carrie Schmoyer collapsed Jan. 1 after a run. After being hospitalized for nearly two weeks, her family moved Schmoyer to a hospice center. The video, from the 2014-2015 school year, shows high schoolers and staff dancing in the hallways, offices, the auditorium and outside the school to “Happy” by Pharrell Williams. Among other school staff members, Schmoyer is seen dancing in her office. ... While sharing the video, the residents shared their memories of Schmoyer, how they loved her, how she helped them and the GoFundMe account, which has raised close to $50,000 since it started Jan. 6. Editor's note: This touching tribute reminds us that each person receiving hospice is connected to a much larger community of people who are impacted by this person's living and dying. 

Spread some love to seniors this Valentines Day WKBN Youngstown, OH; by Dave Sess; 1/21/25 As you’re making Valentine’s Day plans, consider spreading some love to local seniors. You can make special cards or buy a thoughtful card and share the love. Home Instead is organizing the collection again this year. It has three schools already committed to making cards as it hopes to double last year’s total of 1,000. Each of the Valentine’s Day cards will carry a heartfelt message to seniors in nursing homes and assisted living communities that they’re loved, appreciated and remembered. ... The seniors will also receive flowers from Harmony Hospice. “These seniors appreciate anything from a simple smile to a card or a flower and just a simple hello,” said Sara Stevens with Harmony Hospice.Editor's note: Calling community outreach professionals--what a simple, meaningful way to engage your community for meaningful, intergenerational engagement and support. Now's the time! What can you do?

Keep leadership training specific to company needs, McLean advises HR Dive; by Kathryn Moody; 1/21/25 Studies show that a lack of communication skills and change readiness is keeping leaders from reaching their potential. ... To build a solid and effective leadership training program, employers should start by establishing what gaps currently exist in leadership development and the competencies the company wants to build.Then, an employer can craft the program with proper mapping of activities and measurements of success and define how it will be maintained in the future. ... Notably, one leadership skill that may be lacking is communication, according to research published in November by the Association for Talent Development — and communication skills are considered critical for that employee group, according to talent development professionals surveyed.