Literature Review

The 'paradigm shift’ of hospice service diversification Hospice News; by Holly Vossel; 1/17/25 Some hospices have delved deeper into service diversification to improve timely access and expand their patient reach, while others remain focused on end-of-life care delivery. The decision to launch into new service realms can come with a range of operational and reimbursement questions. Among the keys to diversifying services is establishing a business infrastructure that allows for innovative growth based on communities’ needs, according to Leslie Campbell, COO of Touchstone Communities. The San Antonio, Texas-headquartered company provides hospice, home health, veterans services, assisted living and skilled nursing services. ... Hospice leaders need to ensure that both back-office administrative and interdisciplinary teams are educated on how business growth impacts them, particularly when it comes to quality and compliance across the care continuum, Campbell stated.

CMS announces updated Medicaid eligibility standards for 2025 McKnights Senior Living; by Lois A. Bowers; 1/17/25 The Centers for Medicare & Medicaid Services on Friday released an informational bulletin with updated federal poverty level standards applied to eligibility criteria for Medicaid. The 2025 guidelines reflect a 2.9% price increase between calendar years 2023 and 2024, the agency said. For 2025, the poverty guideline in all states except Alaska and Hawaii is $15,650 for a one-person family/household and $21,150 for a two-person family/household. The 2025 standards for individuals dually eligible for Medicare and Medicaid: [Click on the title's link to continue reading.]

Medicare spending, insurance claim denials top concerns: KFF poll Modern Healthcare; by Hayley Desilva; 1/17/25 A majority of individuals, regardless of their political leanings, say the federal government needs to spend more on healthcare programs, according to a KFF Health Tracking Poll released Friday. The survey of 1,310 people earlier this month highlights several areas in healthcare where the public would like to see things done differently. The results were published three days before a new administration is set to take over in Washington, D.C. 

$250K grant to develop more diverse long-term care leaders McKnights Long-Term Care News; by James M. Berklan; 1/15/25 Declaring that “more people of color at every organizational level” are needed in long-term care, a leading provider association on Tuesday unveiled a quarter-million-dollar grant that will jump-start a program to boost more diverse nonclinical leaders. The new fellowship reflects a partnership between LeadingAge and UNCF (the United Negro College Fund). The $250,000 grant flows from the Next50 Foundation, which battles aging-bias and promotes better treatment of seniors. 

New data reveals the hidden costs of workplace violence in healthcare Perceptyx; by Ellen Lovell, PhD and Stephanie Schloemer, PhD; 1/17/25 Workplace violence has become an impossible-to-ignore crisis in healthcare, threatening the safety of medical professionals, patients, and institutions. The severity and frequency of these incidents have reached alarming levels, demanding immediate attention and action. ... The human cost is staggering.  ... While our research confirms the widespread nature of safety concerns in healthcare, a deeper analysis reveals significant variations across different healthcare environments and roles. This granular view helps us understand where intervention is most urgently needed. Editor's note: Although "hospice settings reported the lowest agreement at 54%," this statistic should be considered too high for comfort. Actions need to be taken to reduce it. From your professional leadership role, examine the importance of protecting hospice professionals' safety--typically in home settings--and through moments such vulnerable, emotional, conflicted times within families. What can your agency improve?

For 27 years, I had minimal contact with my abusive mother. Then she moved in with me. HuffPost; by Carole Brodsky; 1/20/25 ... Living with my mom was the last thing I ever thought I’d be doing as an adult. Perhaps I accepted her back into my life because there were no other options available. Perhaps it was because I was the daughter of someone who in today’s vernacular would be called a “tiger mom,” and I’d been taught caring for an aging parent was what “good daughters” did.  ... As a child, my mother was abusive.  ... [Now, as] Mom’s verbal skills declined, we had to use our eyes, guts and hearts to discern the needs of a person whose tether to this world was fraying before our eyes. ... My partner has a saying: I always forgive, but I never forget. I have unequivocally forgiven my mother for everything. I have tried, with varying degrees of success, to let the vestiges of her abuse die with her and not invade the lives of my children, grandchildren and now, great-grandchildren. The work on forgiving myself will continue for the rest of my life.

Michigan hospice's training empowers African Americans to dialogue Catholic Health world; by Lisa Eisenhauer; 1/16/25 Rev. Diane Smith knows the hospice education program she leads for predominantly Black churches resonates with those who enroll. ... Rev. Smith directs The African American Church Empowerment Project at Livonia, Michigan-based Angela Hospice and gives certificates those who complete the training. She is also the hospice's director of ministry engagement and chief diversity officer. The Empowerment Project isn't about promoting Angela Hospice's services, Rev. Smith explains, but rather about educating the community on hospice care and listening to concerns about end-of-life issues. Rev. Smith sees another primary reason for the disconnect between Black Americans and hospice providers. She says many people of color have a distrust of the medical community that is rooted in historically being both denied care and exploited ...

UnitedHealth mounts full defense of its business in wake of Thompson’s killingSTAT; by Bob Herman, Tara Bannow; 1/16/25In UnitedHealth Group’s first public appearance since the killing of top exec Brian Thompson, leaders acknowledged the public’s discontent with the health care system and defended the company's business. “Fundamentally, health care costs more in the U.S. because the price of a single procedure, visit, or prescription is higher here than it is in other countries,” UnitedHealth CEO Andrew Witty said on the earnings call, where the company touted more than $400 billion of revenue and $14.4 billion of net profit. “The core fact is that price, more than utilization, drives system costs higher.”

At United Hospice good leadership makes all the difference Mid Hudson News, Goshen, NY; by Mid-Hudson News Staff; 1/19/25 In the world of healthcare, there are few environments as emotionally charged and delicate as hospice care.  Here, patients face the final chapter of their lives, and their families must grapple with the profound weight of grief and impending loss. It’s a space that requires not only clinical expertise but also an extraordinary level of compassion, empathy, and resilience. At the heart of it all is leadership—a factor that can profoundly shape the quality of care, support, and comfort patients and families receive during this challenging time. [Cara Pace, United Hospice CEO] noted that leadership in hospice care is not about wielding authority or simply managing logistics. It’s about embodying a vision of compassionate, patient-centered care that resonates throughout the organization. A good hospice leader knows how to create a culture of empathy, where every member of the team understands the profound impact their work has on the lives of patients and families.

Navigate a smooth transition from hospital to home care Health Medicine Network; 1/17/25 When discharged from hospital, a high proportion of people face emotions such as anxiety and fear, which can make the transition from hospital care to safe and appropriate home care difficult. But it doesn’t have to feel that way if you develop an effective strategy before you leave the hospital. ... 

ACS Annual Report: Cancer mortality continues to drop despite rising incidence in women; rates of new diagnoses under 65 higher in women than menAmerican Cancer Society press release; 1/16/25The American Cancer Society (ACS) today released Cancer Statistics, 2025, the organization’s annual report on cancer facts and trends. The new findings show the cancer mortality rate declined by 34% from 1991 to 2022 in the United States, averting approximately 4.5 million deaths. However, this steady progress is jeopardized by increasing incidence for many cancer types, especially among women and younger adults, shifting the burden of disease. For example, incidence rates in women 50-64 years of age have surpassed those in men, and rates in women under 50 are now 82% higher than their male counterparts, up from 51% in 2002. This pattern includes lung cancer, which is now higher in women than in men among people younger than 65 years. These important findings are published today in CA: A Cancer Journal for Clinicians, alongside its consumer-friendly companion, Cancer Facts & Figures 2025, available on cancer.org.

I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin, but by the content of their character. ~ Martin Luther King, Jr.

Why trust-based leadership is key to thriving in the Intelligent Age World Economic Forum; by Belen Garijo; 1/17/25 The recent arrival of artificial intelligence (AI) and our growing ability to harness the power of data and digital technology has propelled our world from the Industrial Age into a new Intelligent Age. This new epoch will be unlike any other in history. By bringing together our physical, biological and digital realities, the Intelligent Age will fundamentally alter how people live and work, and how products are developed and made. It will affect the skillsets employees in many professions require, while redefining how private and public organizations collaborate. ...