Literature Review

Dignity shouldn’t depend on having an address: Holly Klein The Plain Dealer, Cleveland, OH; by guest columnist Holly Klein; 7/5/26 As a hospice nurse for more than 25 years, I’ve cared for people surrounded by family -- and I’ve cared for people who had no one. Today, as executive director and co-founder of Grace House Akron, I care for people who are experiencing homelessness, abandonment or extreme social isolation at the end of life. We provide a home and hospice care at no cost because we believe one simple truth: No one should die alone. I've cared for people living in motels, sleeping in shelters, staying in abandoned buildings or moving from one temporary place to another while facing a terminal illness. ... Hospice is not a place -- it's a model of care. But our healthcare system assumes everyone has somewhere safe to receive it. Many people don't.

Guardianship and hospice care fail dying patients MedPage Today's KevinMD.com; by Kirsten Engel, MD & Madha Tripathi; 6/3/26 “Mr. L” is alone, lying flat on his back in a slightly inclined bed, eyes squeezed shut, hands raised in the air as immobile fists. He has not spoken in weeks. ... The medical team calls it catatonia, a severe psychiatric syndrome that has rendered him mute, immobile, and medically fragile. The psychiatric care team has recommended comfort measures, and our hospice team is ready to accept him. ... Mr. L cannot access hospice because an overworked stranger appointed by the court has not yet returned the hospital’s calls. This is a guardian, a professional fiduciary who has never met Mr. L, who must sign the papers first. So we wait for the court to hold a hearing to approve the order. And Mr. L, still, silent, and suffering, waits with us.

Errors in billing in the United States may result in severe civil or even criminal penalties Spilman Thomas & Battle; by Christopher R. Arthur, William S. Thompson; 7/1/26 The United States Department of Justice (DOJ) has ratcheted up its efforts to pursue actions against corporations, healthcare entities, and individuals, including physicians, for false Medicare or Medicaid billing and COVID-19-related loans. ... As part of this announcement, the Centers for Medicare and Medicaid Services (CMS) suspended 1,079 providers and revoked billing privileges for 1,403 providers. ... In addition to allowing the United States to pursue perpetrators of fraud on its own, the FCA allows private citizens to file suits on behalf of the government (called “qui tam” suits) against those who have defrauded the government. In the healthcare realm, these suits are often filed by disgruntled employees and patients, but can also be brought by competitors. ...

Hospice in the spotlight – audits, PEPPER, and patient autonomy RACmonitor; by Ronald Hirsch, MD, FACP, ACPA-C, CHCQM, CHRI; 7/1/26 .. why talk hospice now? Because it seems to be hospice’s time to be in the spotlight. ... Last week you likely heard about a big U.S. Department of Justice (DOJ) $6.5 billion fraud takedown. Included in that was another hospice fraud scheme that included a funeral home employee who sold information on recently deceased people to a fraudster who then submitted claims for hospice services that were never provided. ...Then, the Centers for Medicare & Medicaid Services (CMS) has released the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for hospice organizations. And to top it off, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released an audit of hospice claims finding that Medicare paid over $255 million for patients who were not eligible for hospice care. ...

Straight from the source: AHLA Annual Meeting highlights fraud and abuse enforcement efforts in 2026 and beyond Epstein, Becker and Green; by George B. Brees, Caitlin Carlton, and Haily Genaw; 7/2/26 On the final day of the American Health Law Association’s Annual Meeting in New York, officials from the U.S. Department of Justice (DOJ), the Centers for Medicare & Medicaid Services (CMS), and the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) gave their own take on their agencies’ ramped-up enforcement efforts regarding health care fraud in mid-2026.

Civility requires the willingness to engage - a dispute with a neighbor revealed how much motivation matter The Conversation; by Deborah Mower; 7/2/26 ... I’m an ethicist and moral psychologist who researches moral conviction and civility, which I treat as a respectful approach toward conflict resolution. I’ve spent my career studying misunderstandings and disagreements. I teach students ways to better navigate differing interpretations, complex conversations, moral dilemmas and bitter disputes. Civility research matters for ethics education across every discipline, especially fields such as law or medicine where contentious political and moral disagreements are likely to arise. Consider, for instance, the tense conversations between healthcare professionals who disagree about whether the best course of treatment for a patient is to turn to hospice services.

Expose Hospice Los Angeles County fraud now—whistleblowers guide News Daily; by Simone Barbon; 7/3/26 Hospice Los Angeles County fraud cases have drawn national attention in 2026, and whistleblowers supplied the first usable evidence that turned audits into arrests. Their reports documented phantom patients, stolen identities, and providers billing Medi-Cal and Medicare for care never delivered. Recent enforcement actions show how those tips translated into criminal charges and committee hearings.

Indiana's Saint Anne eldercare campus opens hospice suites to provide holistic end-of-life care Catholic Health World; by Julie Minda; 6/30/16 Saint Anne Communities, an eldercare campus in northeast Indiana, has opened a five-suite wing that offers people at the end of life holistic care and services. In the Saint Joseph Hospice Suites, staff provide medical, spiritual and emotional care to residents as well as support to their loved ones. Facility leaders said Saint Anne designed the suites to have a homelike feel. They said a key priority is to surround the residents and their loved ones with prayer, comfort and dignity.

Burke County hospice provider responds to national concerns over hospice industry The Paper, Morganton, NC; by Allen VanNoppen; 5/16/26 As questions continue nationwide about hospice oversight and Medicare abuse, leaders at Burke County’s AMOREM say nonprofit hospice providers offer a different model centered on community care rather than profits. AMOREM emphasized the distinction between nonprofit and for-profit hospice organizations, arguing that ownership structure directly affects patient care and family experience at the end of life, the nonprofit’s leaders said. The statement comes amid increased national attention on reports of misuse of the Medicare Hospice Benefit in some parts of the country. 

HMN 2026: How AI in nursing raises questions about safety, ethics, and human care Health Medicine Network; by University of Pennsylvania, George Demiris et al; 6/26/26 As artificial intelligence systems spread through hospitals and clinics, a growing debate is emerging over whether the technology will ultimately strengthen nursing care—or gradually replace parts of it. That tension is at the center of a new University of Pennsylvania School of Nursing report, “Artificial Intelligence and Nursing Science: Opportunities, Challenges, Implications, and Guidelines,” published in Nursing Outlook. The paper warns that while AI could reduce paperwork and improve patient monitoring, it also raises concerns about bias, accountability, patient privacy and whether hospitals may view some nursing functions as replaceable.

New Day CEO Kathy Poland pumps brakes on acquisitions, prioritizes operations Home Health Care News; by MK Manoylov; 6/29/26 With 16 acquisitions since 2020, New Day is shifting focus from aggressive M&A activity toward tighter operational discipline. That’s the strategy of Kathy Poland, who stepped in as interim CEO following the death of New Day’s G. Scott Herman in February. She became permanent CEO on June 18, after serving as the firm’s chief operating officer for over four years. ... Poland spoke with Home Health Care News to discuss her transition into permanent CEO, what difficulties she sees in the forthcoming year, New Day’s growth strategies and what she’s learned as a health care industry veteran for the past 25 years.

Judge bars San Antonio hospice from using Magnolia name for nowSan Antonio Express-News; by Patrick Danner; 7/1/26 A federal judge has temporarily barred a San Antonio hospice provider from using its current name, concluding the company likely is infringing on a Texas hospice’s federally registered trademark.U.S. District Judge Xavier Rodriguez issued the preliminary injunction against Magnolia Hospice Company Inc. of San Antonio after finding its nearly identical name had caused confusion among patients and health care providers while the businesses marketed the same hospice services in overlapping markets. Tuesday’s order stems from a lawsuit filed by RHI Magnolia of North Texas LLC, which has operated in the state under the Magnolia Hospice name for more than a decade and obtained a federal trademark registration in 2024. [Access to the article may be limited by a paywall.]

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