Literature Review

The Alliance and the Research Institute for Home Care Release Inaugural Medicaid Home Care Chartbook National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 4/27/26 The National Alliance for Care at Home (the Alliance) and the Research Institute for Home Care (the Institute) today released the 2026 Medicaid Home Care Chartbook, the first report of its kind providing a broad overview of the Medicaid Home and Community-Based Services (HCBS) user population, workforce, organizational trends, and economic contributions of Medicaid home care providers across the U.S. 

Hope, uncertainty, and hard truths: the complexity of goals-of-care discussions in oncology OncLive - Oncology Live; by Maurie Markman, MD; 4/10/26 ... While appreciating considerable variation in how individuals deal with their [cancer] diagnosis, as well as understanding the potential for difficult conversations regarding the specifics of available therapeutic options and anticipated statistically defined survival, it remains essential that such discussions be held. ... What is the most appropriate conclusion regarding a goals-of-care discussion? Should this patient have been offered further testing and therapy, or, based on the facts of this case, was hospice referral perhaps a more reasonable suggestion?

Hosparus Health thrift store opens in Louisville to support hospice WHAS-11 ABC News; Louisville, KY; by whas11.com; 4/26/26 Hosparus Health is opening a thrift store in Louisville. Donations and sales will help fund hospice and end-of-life care across Kentucky and Indiana.

10 best, worst states for nurses in 2026 Becker's Hospital Review; by Kelly Gooch; 4/28/26 ... To determine the best and worst states for nurses, the personal finance company evaluated all 50 states across two two dimensions: opportunity and competition, and work environment. Those dimensions were evaluated using 20 metrics, ranging from monthly average starting salary for nurses to average commute time. ... Here are the 10 best and worst states for nurses in 2026, per the ranking: Best: 1. Maine; 2. New Hampshire; 3. Washington; 4. Oregon; 5; Arizona; 6. West Virginia; 7. Minnesota; 8. Montana; 9. Connecticut; 10. Florida Worst: 50. Oklahoma; 49. North Dakota; 48. Alabama; 47. Mississippi; 46. South Dakota; 45. Louisiana; 44. Tennessee; 43. Arkansas; 42. Hawaii; 41. Virginia

Your kids don’t care: 9 reasons to have someone other than your children as your medical power of attorney SavingAdvice.com; by Drew Blankenship; 4/25/26 ... When it comes to naming a medical decision-maker, most parents automatically choose their children without thinking twice. But being your child doesn’t necessarily make someone the best person to make life-and-death decisions on your behalf. A medical power of attorney gives that person enormous responsibility, often during highly emotional moments when clear thinking is critical. Here are nine reasons why choosing someone other than your children may actually be the smarter (and safer) decision.

VITAS banks on length of stay, referral mix management Hospice News; by Jim Parker; 4/27/26 VITAS Healthcare has been working to balance admission numbers from different settings and manage length of stay to prevent further payment cap liabilities after a rough go in the last months of 2025. Starting late last year VITAS began emphasizing hospital-based referrals in its admissions processes, which typically result in shorter length-of-stay patients. As of the fourth quarter of 2025, which marked the start of Fiscal Year 2026, the company has virtually eliminated that cap liability in Florida. This trend has continued into 2026, according to VITAS CEO Joel Wherley.

Researchers at University of Pittsburgh target managed care (The state of hospice: Impacts on equity, quality, and nursing-an AAN consensus paper): managed care Insurance Newsnet; by a news reporter-staff news editor at Insurance Daily News; 4/24/26 ... This consensus paper examines the current state of hospice care in the US and the impact of changing hospice business models on health equity, healthcare quality, and nursing practice. Review of current literature and government policy statements related to hospice care and payment. Recommendations include updating policies to account for private equity involvement, evaluating current quality measures, addressing the existing Medicare Hospice Benefit, ensuring transparency and oversight for hospice agencies, and ensuring patient and caregiver education about hospice services.

Arizona wound graft cases LundPerson & Associates Hospice Consulting - Enforcement Briefing; by Judi Lund Person; 4/23/26Hospice Patient Targeting - Detailed Case Card

8 years later, Ohio takes another look at ‘medical aid in dying.’ Will this time be different? Cleveland.com, Columbus, OH; by Mary Frances McGown; 4/26/26 Eight years after similar legislation stalled at the Statehouse, Ohio lawmakers are again weighing whether terminally ill residents should be able to determine the timing of their death. Rep. Eric Synenberg this week introduced legislation to legalize “medical aid in dying” in Ohio, allowing mentally competent adults with a terminal diagnosis and six months or less to live to hasten their deaths by taking a lethal dose of medication prescribed by a physician. ... Recent public polling has shown that most Americans are open to medical aid in dying, and advocates say that public education on the subject has improved since the last legislative battle. Yet opposition to such legislation is also strong, particularly among the religious.

Hospice volunteer finds his 'happy place' tending the roses LNP | LancasterOnline; by Karyl Carmignani; 4/24/26 The warmth and colors of springtime prompt many eager gardeners to get their hands back in the soil. Rich Braine, a volunteer with Hospice and Community Care where he tends to the rose gardens on Good Drive, is one of those people. “It is respite for me,” he says. “I love to work in the flower beds.” ... Serving the community is not new to Braine, 76. He volunteered as a firefighter for 27 years, but that’s “a young man’s job” he says. ... Volunteering at Hospice and Community Care is near and dear to his heart, as the organization has taken care of many of his family members, including both of his parents. 

Iowa City Hospice hosts Walk for Dignity KCRG-9 ABC News, Iowa City, IA; by Lacey Reeves; 4/26/26 People in Iowa City walked through Willow Creek Park on Saturday in memory of loved ones who died after receiving hospice care. Iowa City Hospice hosts a Walk for Dignity every year to raise money to provide free end-of-life care to people who need it. ... “We give over $250,000 a year in unreimbursed hospice care to people in our community who don’t have insurance, because we believe that if you’re dying, you shouldn’t have to worry about how you’re going to pay for your health care,” said Sara Krieger, CEO of Iowa City Hospice. ... As the families walked, they passed by memory lane with yard signs with photos of people who have died.

A father's dying wish comes true at special graduation ceremony YouTube | ABC WNEP-16, by Michelle Charlesworth; 4/23/26 It's one of his last wishes, to see son Cooper Crawford graduate from Northwest area high school. It's one wish that came true Wednesday night. "I think it was really cool that we have a community that size that can come together to support my father and my family. ... I wish I could be half the man my dad is." ... The school district put together this ceremony for Cooper a little over a month before his graduation date. ...  Cooper's older sister gave a speech. His younger siblings were given honorary diplomas so that their dad could be there. Jess's mother, "I'm realizing the finality of what's happening." Editor's Note: Against the backdrop of hospice fraud headlines, this story reflects what hospice care can hold at its best—a father’s wish honored, a community leaning in, a moment this family will carry forward. May it inspire us all to create space for what matters, when it matters most.