Literature Review

U.S. House Committee on Ways & Means - Full committee hearing on protecting patients and taxpayers: cracking down on Medicare fraud United State House Committee on Ways & Means, Chairman Jason Smith; content below is from the US House Committee Ways & Means website, with descriptions (below) by Judi Lund Person; 4/21/26 The House Committee on Ways and Means, chaired by Jason Smith (MO-08), held a hearing today [4/21] examining the prevalence of fraud, waste, and abuse in Medicare and efforts to combat fraud to protect patients and taxpayers. Readers have the opportunity to watch the full committee hearing on YouTube. Links are provided below.

Second-generation antipsychotics for depression in serious illness: A first-line augmentation strategyJournal of Pain & Symptom Management; by Gregg Robbins-Welty, Mia Pattillo, Danielle Chammas, Karolina Sadowska, Cara L McDermott, Nneka Ufere, Jason A Webb, Daniel Shalev; 3/26Depression in serious illness is common, disabling, and often requires rapid improvement. In the psychiatric literature, SGA [second-generation antipsychotics] augmentation improves response and remission rates ... , with onset of improvement within 1-2 weeks. Monotherapy is less well tolerated and not guideline-recommended. No RCTs have evaluated SGAs specifically for depression in serious illness, but numerous cancer trials support their safety for nausea, appetite, and other symptoms. Despite the absence of serious illness-specific psychiatric trials, SGAs have the strongest evidence base among augmentation options and may offer meaningful benefits when prognosis or symptom severity necessitates rapid improvement. Low-dose augmentation should be considered early, rather than only after multiple failed antidepressants, particularly when SGAs can also target co-occurring physical symptoms relevant to palliative care.

[Greece] Tele-palliative care in rural areas, implementation and patient experiences: A systematic reviewAmerican Journal of Hospice & Palliative Medicine; by Athanasios Pitis, Maria Nikoloudi, Kyriaki Mystakidou; 3/26Specialist palliative care remains highly uneven in rural and remote settings for patients with life-limiting illness and their families. This review aimed to examine the implementation characteristics, clinical and service-level outcomes, and patient experiences of tele-palliative care interventions for individuals living in rural or remote settings with limited access to specialist palliative care. Conclusions: Tele-palliative care can extend specialist palliative care to rural and remote communities by reducing travel burden and supporting continuity, particularly when delivered through hybrid models embedded in local care pathways. 

Saturday newsletters focus on headlines and research - enjoy!

An open letter on stopping fraud before it starts Community Health Accreditation Partners (CHAP); by Teresa Harbour and Nathan J. DeGodt; 4/22/26 Recent testimony before the House Ways and Means Committee underscored a truth that many in healthcare have long understood. Preventing fraud requires stopping bad actors before they enter the system. We agree. At CHAP, that principle has guided our decisions for decades. Accreditation integrity is maintained at the front end of the process through disciplined, patient‑centered safeguards. ... CHAP did not accredit any hospice or home health organizations operating from the notorious Friar Street address highlighted in recent media coverage and congressional hearing. ... Before any organization advances in our accreditation process, CHAP conducts address validation and ownership verification. These steps are designed to surface red flags early, ...

Chapters Health System launches new pediatric program PR Newswire, Temple Terrace, FL; Press Release; 4/23/26 Chapters Health System announced the launch of Chapters Kids, a system‑wide pediatric hospice and palliative care program. Chapters Kids will expand resources for pediatric patients and families throughout the Chapters Health System service area and unite existing pediatric programs from several affiliates. "The launch of Chapters Kids is another critical step forward as we work toward fulfilling our mission of taking care of patients, or taking care of those who do," said Andrew Molosky, President and CEO, Chapters Health System.

A musical about hospice? Yes, and it actually works Baltimore Fishbowl, Baltimore, MD; by Aliza Worthington; 4/21/26 ... The hospice experience may not initially evoke thoughts of “musical theater,” but if music expresses that which cannot be put into words, the subject matter put to music makes a lot of sense. Benjamin Kintisch is a trained cantor and former chaplain from Columbia, Maryland. He created “Life Review: The Hospice Musical” from real hospice patient stories over more than a decade, turning those conversations into songs. ... It is a 2025 Maryland State Arts Council Creativity Grant recipient. “Life Review: The Hospice Musical” is set in “Hopeful Hospice” – the final home for a group of hospice patients. The audience is witness to private conversations between the patients and their chaplain, a rabbi, transformed into song. Each patient’s story invites reflection on one’s own life, relationships, and memories.

Alzheimer's Disease Facts and Figures - Annual Report Alzheimer's Association; Press Release; 4/22/26 Alzheimer's Disease Facts and Figures (PDF), an annual report released by the Alzheimer's Association, reveals the burden of Alzheimer's and dementia on individuals, caregivers, government and the nation's health care system. Download the following:

Mary Chan legacy fuels record fundraising at hospice race The Standard Newspaper, Kingman, AZ; by Allen Scott; 4/22/26 The 21st annual Mary Chan “Race for Hospice” drew roughly 200 runners and walkers to downtown Kingman on Sunday, where participants once again faced the steep and unforgiving Andy Devine Avenue/Route 66 hill leading up to the El Trovatore Motel. The challenging climb has become a defining feature of both the 5K and 10K courses. The race honors Mary Chan, whose Chinese-American family has lived in the Kingman area for six generations, beginning with work on the railroad. Chan has been involved with the fundraiser since its inception in 2005.

Palliative care market: expanding healthcare focus on quality of life BriefingWire.com; Press Release; 4/23/26 Palliative Care Market is witnessing steady global growth due to the rising prevalence of chronic and life-limiting diseases such as cancer, cardiovascular disorders, respiratory illnesses, and neurodegenerative conditions. ... Technological advancements, such as telemedicine and remote patient monitoring, are further reshaping the palliative care landscape. These innovations allow healthcare providers to deliver continuous care to patients in remote or underserved areas, improving accessibility and reducing hospital dependency. Integration of digital health platforms is also enhancing coordination between multidisciplinary care teams, ensuring better patient outcomes.