Literature Review

California hospice fraud: What to know as blame game erupts Newsweek; by Jasmine Laws; 3/11/26, updated 3/12/26 The social media platform X has been awash with criticism targeted at California Governor Gavin Newsom as a CBS News report detailed the extent of the state's hospice fraud problem. Newsom's office has been hitting back at the comments, reminding users that the state "cracked down on hospice fraud years ago," and has been pointing the finger at President Donald Trump, as his administration paused a hospice oversight program at the start of 2025. ... Responding to Newsom's office's comments, White House spokeswoman Abigail Jackson told Newsweek: "No one cares about Newscum’s boring X posts ..." While California has been in the spotlight for its hospice fraud, it is not the only state experiencing the problem—it is a nationwide issue. ... A report by the U.S. Department of Health and Human Services Office of the Inspector General in 2023 found that suspected hospice fraud amounts totaled an estimated $198.1 million nationwide. However, some states in particular have seen a surge in new operators, namely California, Arizona, Nevada and Texas, meaning these states are considered hotspots for potential hospice fraud.Editor's Note: This article aptly names the deeply partisan “blame game” now playing out across many media outlets. Hospice fraud is not a partisan issue—it is a human one. When hospice is exploited, it erodes trust in a field built on compassion and dignity at life’s most vulnerable moments. Political finger-pointing may generate headlines, but it does little to solve the problem. Stopping hospice fraud requires accountability, strong oversight, and a shared commitment to protect patients—and the integrity of hospice care itself.

[Japan] Half of hospice and palliative care unit inpatients' family members are surprised by death Journal of Palliative Medicine; by Satoko Ito, Tatsuya Morita, Masanori Mori, Isseki Maeda, Yutaka Hatano, Takashi Yamaguchi, Hiroyuki Otani, Tetsuya Yamagiwa, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, Kento Masukawa, Mitsunori Miyashita; 3/10/26 Background: Sudden unexpected death can occur even among patients with advanced cancer receiving hospice and palliative care. How bereaved families perceive this remains unclear. ... Design/setting/subjects: We analyzed longitudinally linked data from a prospective cohort of advanced cancer patients in 23 palliative care units in Japan and a nationwide survey of bereaved families. Conclusions: Compared with physicians' perspectives, bereaved family members perceive death to be sudden or unexpected more frequently and differently, and their perceptions are associated with postbereavement mental health.

Why post-merger integration matters The Bloom Organization; 3/9/26 Most healthcare practice owners spend their time thinking about the front end of a transaction: valuation, deal structure, buyer selection, and closing. But for practice owners who will remain involved in their business after closing, whether through an employment agreement, earnout, or rollover equity, what happens after the deal closes can be just as important as the terms on the letter of intent. Post-merger integration determines whether the transition is smooth or disruptive, whether earnout targets are achievable, and whether the day-to-day experience of running your practice improves or deteriorates under new ownership.Editor's Note: Pair this with "What Actually Happens to Your Healthcare Workers After Acquisition?," which we posted on 12/22/25 and 12/28/25 (our Sunday's "Most Read" edition). It states that "47% of employees leave within the first year following an acquisition, climbing to 75% by year three."

Fear of failure destroys creativity. ~ Robert Iger, CEO of Disney

Bedford Hospice House seeks new partners Bedford Bulletin, Bedford, VA; by John Barnhart; 3/11/26The Bedford Hospice House will close on April 15, but this may not be the end. The hospice house was built as a community endeavor with Tom and Connie Messier spearheading the effort. The community raised the money to build a free-standing residential-style hospice house. The four-bedroom facility provided a home-like place where terminal ill people, who could not stay in their homes, could spend there last days. ... According to Amy Merrill Willis, President of the Board of Directors for Friends of the Bedford Hospice House, Cemtra notified them on Feb. 26, that hospice house would close.  ... "We remain very committed to the hospice house," she said. She said they are exploring options and have been in communication with the Bedford County Board of Supervisors. She said the supervisors are interested in maintaining it as a hospice house and she said her board hopes to find a new partner.

Christina McNally appointed President & CEO of Carolina Caring Carolina Caring, Newton, NC; Press Release; 2/9/26 Effective immediately, Christina McNally, MPH has been appointed President & Chief Executive Officer (CEO) of Carolina Caring. Prior to this appointment, McNally served Carolina Caring in key leadership roles, including Executive Director of the Carolina Caring Foundation, Chief Strategy Officer, and Interim Chief Executive Officer. ... As CEO, McNally will oversee all of Carolina Caring’s clinical programs and support services, which are provided to more than 11,000 patients each year. 

AI in hospice: What every leader needs to know | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Ernesto Lopez; 3/11/26 Artificial intelligence is rapidly entering healthcare, but what does it really mean for Hospice leaders?  In this episode of TCN Talks/Anatomy of Leadership, host Chris Comeaux sits down with Ernesto Lopez—founder and CEO of 1520 AI and a longtime Hospice executive—to unpack the opportunities, risks, and realities of AI in Hospice. Drawing on his background as a registered nurse, healthcare executive, and Harvard Business School–trained data analyst, Ernesto explains how artificial intelligence is evolving and why Hospice organizations must approach it with both curiosity and caution. 

* CEO, Hildegard House, nonprofit, Louisville, KY

[United Kingdom] Specialist palliative care has the potential to reduce costs by up to £8,000 per person and improve quality of life, according to new research published in Palliative Medicine Innovation News Network; by Megan Traviss; 3/10/26 Led by researchers at King’s College London, the research considered two modes of palliative care for those living at home and for those in acute hospital settings. As well as significantly reducing the overall cost of care per person, specialist palliative care delivered at home and in the hospital was associated with improved quality of life for patients in their final months. Peter May, Senior Lecturer in Health Economics at King’s College London and lead author of the study, stated: “This is the first study to estimate the economic impact for England.

Developing a tool to advance person-centred care in hospice: The little things are the big thingsPalliative Care and Social Practice; by Mary Ellen Macdonald, Sophia Salmaniw, Lisa McNeil-Campbell, Anne Frances D’Intino, Lynette Sawchuk, Cyndi Corbett, Logan Lawrence; 2/23/26 Person-centred care has become the cornerstone of quality palliative and end-of-life care. Yet, there is a dearth of both practical guidance and tools to operationalize how to ensure palliative end-of-life care is optimally person-centred. Noting this lacuna, a new hospice in Eastern Canada developed and piloted their own tool, called the SELFY (Share, Explore, Learn and Focus on You!), the intention being to standardize their institution’s commitment to high-quality person-centred hospice care.

Palliative care and its importance on Block Island The Block Island Times, Block Island, RI; by Laurie Anderson, APRN-C, CDOE; 3/6/26 ... On Block Island, [Rhode Island,] palliative care is a cornerstone of a plan to allow residents to age in place. ... On Block Island, the importance of palliative care is magnified by geography. With no inpatient hospital and limited access to specialty services, island residents often rely on local care combined with strong coordination to meet complex health needs. ... One of the most meaningful local commitments to palliative and end-of-life care on Block Island is the Livesey Endowment for Palliative and End of Life Care, established through Block Island Health Services. ... In our small, close-knit island community, palliative care also serves a broader social purpose. It helps preserve independence, reduces unnecessary hospital transfers, and honors patients’ wishes to remain connected to their homes, families, and community. 

Thyme Care launches Integrated Social Support model, bringing proactive oncology social work to 8 million Americans upon diagnosis PR Newswire, Nashville, TN; by Thyme Care; 3/5/26 Thyme Care today announced the public launch of its Integrated Social Support (ISS) model, a redesigned approach to oncology navigation that positions licensed master's-level social workers as the first to intervene when members experience barriers to navigating their cancer. The announcement coincides with National Social Work Month in March, recognizing the essential role social workers play in improving health outcomes. An estimated 44% of individuals affected by cancer experience psychosocial burdens, which are associated with poorer health, clinical, and economic outcomes for patients and caregivers. Thyme Care's ISS model flips the approach by making licensed social workers one of the first points of contact for social, emotional, and practical needs, assessing members from day one and throughout their journey ...