Literature Review
Hospice nurses at Minnesota-based Allina Health vote to authorize 7-day unfair labor practice strike
08/25/26 at 02:00 AMHospice nurses at Minnesota-based Allina Health vote to authorize 7-day unfair labor practice strike CBS News Minnesota; by Nicholas Lentz; 8/24/26 Hospice nurses who work for Minnesota-based Allina Health have voted to authorize a seven-day unfair labor practice strike, the union representing them said on Monday. According to Service Employees International Union Healthcare Minnesota and Iowa, all workers who cast a ballot on Friday voted in favor of the strike. The authorization comes amid negotiations to reach a first contract that have been happening for more than a year, SEIU said. Members allege Allina Health is opposed to "creating a fair compensation system that would give nurses extra pay for extra work" and refuses to pay salaried registered nurses a holiday premium when they are required to work on holidays. The union added that the company also doesn't allow hospice nurses to flex their schedules.
Finding Medicare Fee-for-Service (FFS) Payment System Rules: schedules and resources
08/25/26 at 02:00 AMFinding Medicare Fee-for-Service (FFS) Payment System Rules: schedules and resources Congressional Research Service - Informing the legislative debate since 1914; by Congressional Research Service, summary by Michele L. Malloy; updated 8/14/26 The Medicare Fee-for-Service (FFS) program pays physicians, hospitals, and other health care facilities based on statutorily established payment systems, most of which are updated annually through regulations. The publication of Medicare FFS proposed and final rules follow schedules based on requirements found in statute, regulation, or both. ... This report contains information on these payment system rules in a quick reference table. Specifically, the table compiles the payment systems; their main portals on the Centers for Medicare & Medicaid Services (CMS) website; the typical rulemaking schedule; statutory and regulatory requirements; and the most recently issued proposed rules, public comments, final rules, and subsequent corrections.
Tuesday's Tools: Summarize the past week with Sunday's "most read" stories
08/25/26 at 12:00 AMTeleios announces Fifth Annual Care As It Should Be award winners
08/24/26 at 03:15 AMTeleios announces Fifth Annual Care As It Should Be award winners Teleios Collaborative Network (TCN), Hendersonville, NC; by Tina Gentry; 8/19/26 Teleios Collaborative Network (TCN) announced the fifth annual recipients of the Care As It Should Be Awards during the August Board of Directors Meeting. The purpose of the Care As It Should Be Awards is to recognize those individuals who make an extraordinary impact on the patients and families they serve daily. “We recognize that frontline staff consistently provide exceptional care to patients; these awards honor those who elevate that care even further—individuals who go above and beyond to ensure each patient’s experience is as compassionate, meaningful, and supportive as possible during vulnerable and challenging times,” said Chris Comeaux, President and CEO of TCN. The 2026 award recipients are:
Modernizing payment integrity in an era of systemic fraud
08/24/26 at 03:00 AMModernizing payment integrity in an era of systemic fraud MedCityNews; by Christian Bass; 8/21/26 Across the United States, Medicaid and Medicare fraud cases are surfacing with increasing frequency — and scale. From improper billing and undocumented services to upcoding and duplicate claims, these cases span federal programs and state-administered Medicaid plans. Once perceived as isolated misconduct, these cases are now being exposed as a systemic challenge, revealing vulnerabilities in reimbursement oversight that affect payers, regulators, and ultimately taxpayers. ... Gaps in reimbursement oversight and recovery will only widen, unless plans modernize how they detect, investigate, and recoup improper payments. Organizations that respond quickly will be positioned to manage the financial and regulatory headwinds.
CMS hospice payment suspensions slamming vendors
08/24/26 at 03:00 AMCMS hospice payment suspensions slamming vendors Hospice News; by Jim Parker; 8/21/26 ... CMS earlier this year began suspending Medicare payments to hundreds of hospices allegedly due to suspected fraud. ... Evidence indicates that some legitimate hospices were caught up in the dragnet due to patients being discharged for valid reasons, such as a revocation of the benefit, moving out of a provider’s service area or transfer to another hospice. ... These regulatory actions have had a ripple effect on vendors, according to a DME company CEO that spoke to Hospice News on background. “These hospice agencies are being suspended. They’re not getting paid,” the DME CEO told Hospice News. “If they’re not getting paid, their employees are not getting paid. DME providers like us are not getting paid. Pharmacies are not getting paid. Any other contractor they have is not getting paid.” This has placed some vendor businesses in peril, and some of them have been considering layoffs of their own, another DME provider ... told Hospice News, “We’ve been trying to keep everybody on board, keep them employed, keep them paid for as long as we possibly can.”
BJC HealthCare announces new name for Palliative and Supportive Care Institute to expand impact
08/24/26 at 03:00 AMBJC HealthCare announces new name for Palliative and Supportive Care Institute to expand impact BJC HealthCare; Press Release; 8/18/26 The demand for specialized serious illness and end-of-life care continues to grow as our population ages and more people live longer with complex chronic conditions. To meet this growing need, BJC HealthCare recently made a significant investment through The Foundation for Barnes-Jewish Hospital to broaden its impact in palliative and hospice care by naming the Liekweg Family Palliative and Supportive Care Institute at BJC HealthCare in honor of Richard J. Liekweg, who retired as BJC’s CEO in 2025. “We are pleased to honor Rich Liekweg’s leadership by investing to accelerate the Institute's growth, research, and clinical impact for patients and families facing serious illness,” says Nick Barto, BJC Health president and CEO.
Hospice of Wichita Falls hosts first Growing Through Grief Symposium
08/24/26 at 03:00 AMHospice of Wichita Falls hosts first Growing Through Grief Symposium KFDX Wichita Falls, TX; by Ashley Waters; 8/22/26 Hospice of Wichita Falls brought licensed professional counselors together for its first Growing Through Grief Symposium. ... "Grief as a child can really significantly impact their development growing up. So we want to try and mitigate that as much as possible and start working with them now," said Hospice of Wichita Falls Children's Program Specialist Sydney Reese. According to the National Alliance for Children's Grief, about 6 million children across the nation experience the death of a parent or sibling by the age of 18. Hospice of Wichita Falls was awarded the 2026 Grief Reach Grant to support childhood grief awareness efforts throughout Texoma [for helping professionals].
Start by doing what is necessary, then what is possible, and suddenly you are doing the ...
08/24/26 at 03:00 AMStart by doing what is necessary, then what is possible, and suddenly you are doing the impossible. ~ Francis of Assisi
The phone call that taught me how to grieve
08/24/26 at 03:00 AMThe phone call that taught me how to grieveMedscape; by Bishal Gyawali, MD, PhD; 8/3/26 Mike (name changed) was one of my favorite patients. We aren’t supposed to have favorites, but we are human. And sometimes you just have that unexplainable bond with someone. ... When I returned from my travels, I learned that Mike had passed away. It was heartbreaking for me. ... When I picked up the phone to call his wife, I had butterflies in my stomach. These calls never get easier. I asked: “Hello, is this Jess? I am Dr. Gyawali from the cancer center.” “Thank you for calling,” she responded, her voice cracking a little. I told her that I knew Mike had passed away. She recounted that day with me. ... She said, “You know, Mike could easily pay to get treated at one of the top cancer centers in the world. But he chose to get treated in Kingston because he liked you and your team here.” As I was getting ready to put the phone down, Jess said, “I’m sorry for your loss, too, Doctor. I know how much he meant to you. I’m happy you were his oncologist. Please take care of yourself, too.” I hung up the phone and cried. ... Immediately after that phone call, I sent a text to some of my trainees: “If your patient dies, always call their family. Always. No exception.” Then I sat down to write this blog.
Social hospice model boosts access reduces costs
08/24/26 at 03:00 AMSocial hospice model boosts access reduces costs Hospice News; by Holly Vossel; 8/21/26A community-based social model of care has helped to improve hospice access and alleviate family caregiver burden. The collaborative model has also reduced end-of-life care costs among some patient populations. Oklahoma-headquartered Omega Home Network is a nonprofit organization that advocates for the development and expansion of community homes for dying individuals. The community-based model centers around providing nonmedical hospice support in a home setting. Social determinants of health have increasingly determined where patients spend their last days of life, with some individuals facing more complex endings than others, said Kelley Scott, founder and executive director of Omega Home Network.
NY Medicaid Revalidation and Enrollment Moratorium: immediate planning considerations for providers
08/24/26 at 03:00 AMNY Medicaid Revalidation and Enrollment Moratorium: immediate planning considerations for providers JDSupra; by Marc A. Antonucci; 8/20/26 New York Medicaid providers should prepare now for significant changes in provider enrollment oversight. The New York State Department of Health (DOH), following direction from the Centers for Medicare & Medicaid Services (CMS), will require every Medicaid-enrolled provider in New York to complete revalidation over the next 24 months. The process will require coordination among compliance, operations, billing, finance, governance, and transaction teams. DOH will implement the State’s CMS-approved revalidation strategy through a phased schedule and the Provider Services Portal (PSP). Providers should expect electronic submission requirements, phased notices, detailed ownership and affiliation disclosures, and screening requirements.
Pittsburgh Caregivers get federal lifeline as dementia cases swell across Allegheny County
08/24/26 at 03:00 AMPittsburgh Caregivers get federal lifeline as dementia cases swell across Allegheny County hoodline; by Ryan Miller; 8/21/26 Caregivers looking after loved ones with dementia in Pittsburgh now have a new federal tool to lean on, and it is already showing up at a day center in Squirrel Hill. The Anathan Club, run by the Jewish Association on Aging, has begun connecting families to the Guiding an Improved Dementia Experience Model, a Medicare program that can cover up to $2,500 a year in respite care for qualifying beneficiaries. The Guiding an Improved Dementia Experience Model, known as GUIDE, was developed by the Centers for Medicare and Medicaid Services and launched nationwide on July 1, 2024, as an eight-year voluntary pilot running through June 30, 2032, according to CMS. Nearly 390 provider organizations across the country are participating.
Doctors say they feel pressured to prioritize corporate interests over patients: report
08/24/26 at 03:00 AMDoctors say they feel pressured to prioritize corporate interests over patients: report HealthcareDive; by Jill Hughes; 8/21/26 Corporate entities, including hospitals and health plans, now employ more than 80% of physicians nationwide, according to the Physicians Advocacy Institute.
Hospice Wage Index, the Final Rule, and the signals CMS is sending | part two
08/24/26 at 12:00 AMHospice Wage Index, the Final Rule, and the signals CMS is sending | part one Teleios Collaborative Network (TCN); pocast hosted by Chris Comeaux with Annette Kiser and Judi Lund Person The 2027 Hospice Final Rule is more than a reimbursement update—it’s a window into where Centers for Medicare & Medicaid Services (CMS) believes hospice care needs to go next. In Part One, host Chris Comeaux sits down with hospice regulatory experts Annette Kiser and Judi Lund Person to look beyond the numbers and “read the tea leaves” in CMS’s latest rule. They unpack what hospice leaders need to understand about the Hospice Election Statement Addendum, the growing scrutiny of unrelated services and non-hospice Medicare spending, telehealth reporting, and the Service and Spending Variation Index (SSVI). As Judi explains, CMS’s commentary and responses to industry feedback can reveal as much about the agency’s direction as the regulations themselves.
‘Light Up a Life’: Rice County approves courthouse trees for Faribault Area Hospice initiative
08/23/26 at 03:55 AM‘Light Up a Life’: Rice County approves courthouse trees for Faribault Area Hospice initiative LeSeur County News, Faribault. MN; by Lauren Viska; 8/19/26 For 40 years, Faribault Area Hospice has turned the glow of hundreds of white lights into a celebration of lives well lived. Each light on its traditional “Light Up a Life” tree represents a person remembered, honored and celebrated by those who loved them. Since 1985, Faribault Area Hospice has placed thousands of white lights on a memory tree, with individuals sponsoring a light in memory of someone special. Proceeds from the lights go directly toward helping hospice patients in the Faribault area who are experiencing financial hardship. ... Now, after more than four decades of the tradition, Hospice is looking to bring that familiar glow to a new set of evergreens.
Hospice of Michigan receives more than $20k in donations following Josh & Jase visit
08/23/26 at 03:50 AMHospice of Michigan receives more than $20k in donations following Josh & Jase visit ABC-13, Grand Rapids, MI; by Mary Dupuis; 8/14/26 The viral social media duo Josh & Jase have helped raise more than $20,000 for Hospice of Michigan's statewide pediatric hospice program this summer. The fundraising campaign was launched in support of the Jo Elyn Nyman Pediatric Hospice Endowment Fund. ... Josh Cauldwell-Clarke and Jase Riley became famous on social media for their travel videos reacting to American food, culture and exciting experiences. ... During their time in Grand Rapids, Josh and Jase spent time with pediatric hospice patients and their families at Hospice of Michigan. After their social media post about the visit, more than 350 donations flooded in to Hospice of Michigan from across the country.
My husband was kicked out of hospice for dying too slowly. Here's what I learned about navigating hospice care.
08/23/26 at 03:45 AMMy husband was kicked out of hospice for dying too slowly. Here's what I learned about navigating hospice care. CBS News; by Kim Clark; 8/13/26 It was mid-January 2026, and my then-73-year-old husband, Mike Salmon, had just started bouncing back from a three-month ordeal of three operations related to aortic aneurysms, sepsis, and a terrifying descent into delirium tied to a stay in the intensive care unit. ... Abruptly, we were shunted onto hospice care — the dead-end spur of the American medical system. ... Mike joined that select group. His experience in and out of the hospice system revealed surprising lessons about how families can manage care. And getting removed from hospice revealed a little-known process that can represent a welcome respite for families like ours — but can be devastating for patients with serious chronic illnesses. Here's what we learned in our four months on and off hospice. ... Editor's Note: The initial descriptions and tone of this caregiver's experience raise significant red flags: ... "Choose one." A hospital nurse handed me a list of local hospice agencies. ... I just pointed to the name at the top of the alphabetical list, assuming they were pretty much the same. ... The problems with the organization I had chosen started immediately. ... Kristina Newport, chief medical officer of the American Academy of Hospice and Palliative Medicine, said I should also have checked the quality ratings on Medicare's Care Compare site and the National Hospice Locator. Those sites would have alerted me to our first agency's low ratings. [Disclosure: Hospice Analytics--the site for the National Hospice Locator and owned by 1520ai--is a sponsor for Hospice & Palliative Care Today.]
Treasure Coast Hospice launches new website to make hospice referrals easier for families and healthcare providers
08/23/26 at 03:40 AMTreasure Coast Hospice launches new website to make hospice referrals easier for families and healthcare providers Cision PRWeb, Stuart, FL; by Treasure Coast Hospice; 8/11/26 Treasure Coast Hospice has launched a newly redesigned website featuring an enhanced online referral experience that makes it easier for healthcare providers, patients, and families to connect with hospice care. The new website was developed to remove common barriers people may face when searching for hospice information and to make the referral process more accessible, efficient, and easy to understand. ... One of the most significant updates is a new online referral form with two distinct pathways: one for healthcare professionals and another for patients and loved ones.
The healthcare partnership nobody is talking about: hospice + FQHCs | part two
08/23/26 at 03:30 AMThe healthcare partnership nobody is talking about: hospice + FQHCs | part twoTeleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Kyle Ahlenstorf; 8/14/26 What if one of the most promising partnerships in serious illness care has been hiding in plain sight? In Part Two of The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs, Chris Comeaux continues his conversation with Kyle Ahlenstorf about the largely untapped opportunity for hospice and palliative care organizations to collaborate with Federally Qualified Health Centers (FQHCs). The discussion explores how hospice and palliative care can extend an FQHC's reach into the home while FQHCs bring an established infrastructure of primary care, behavioral health, care coordination, community health workers, and preventive services. Together, these capabilities could create a stronger continuum of care for patients with serious and chronic illness.
NPHI announces “Care You Can Trust” as 2026 National Hospice and Palliative Care Month theme
08/23/26 at 03:25 AMNPHI announces “Care You Can Trust” as 2026 National Hospice and Palliative Care Month theme National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 8/12/26 The National Partnership for Healthcare and Hospice Innovation (NPHI) today announced “Care You Can Trust” as the national theme for Hospice and Palliative Care Month 2026, observed throughout November. This year’s campaign will focus on helping patients, families and communities better understand what high-quality hospice and palliative care looks like — and recognizing the dedicated professionals and organizations providing that care every day. At a time when stories of fraud and abuse within the hospice sector have received significant national attention, NPHI believes it is of paramount importance for the public to hear the stories of providers who are delivering care the right way: delivering compassionate, high-quality care, supporting families during some of life’s most difficult moments and serving as trusted and respected partners in their communities. ... To support the campaign, NPHI has launched a comprehensive 2026 Hospice and Palliative Care Month Campaign Hub, with ready-to-use resources for hospice, palliative care and other advanced illness care providers across the country.
Reports from Duke University describe recent advances in managed care (the South had the lowest rates of hospice and palliative medicine-certified providers in the US, 2024): managed care
08/23/26 at 03:20 AMReports from Duke University describe recent advances in managed care (the South had the lowest rates of hospice and palliative medicine-certified providers in the US, 2024): managed careInsurance Newsnet; by Staff; 8/13/26 A new study on Managed Care is now available. According to news reporting originating in Durham, North Carolina, by NewsRx journalists, research stated, “To improve access to care for serious illness, policy makers need evidence on how workforce capacity aligns with the need for palliative care. This study evaluated the palliative care workforce and policy environments at the state level, using a new data source: the 2024 Center to Advance Palliative Care’s comprehensive Serious Illness Scorecard.” Funders for this research include US Department of Veterans Affairs, Duke University, US Department of Veterans Affairs, Durham Center of Innovation to Accelerate Discover and Practice Transformation (ADAPT) at the Durham Veterans Affairs Health Care System. Read the study here.
Honoring my daughter's final wishes
08/23/26 at 03:15 AMHonoring my daughter's final wishes Substack; by Larry Lehmer; 8/7/26 I own one pink shirt. I wear it once a year, on Feb. 28, my daughter’s birthday. It’s mostly her idea. “Please wear more pink!” she wrote for her husband, Paul, to read at her celebration of life. “To the men — you can pull it off.” It’s been three years since Paul had to deliver Meghan’s final words, at the Des Moines Botanical Garden, the same place where they began their married life 13 years earlier. “I once read ‘Love doesn’t die, people do’,” Meghan wrote. “So when love is all that’s left of me, give me away.” Meghan died on Aug. 8, 2023. It still hurts, of course, but we continue to celebrate her life, her devotion to family and try to honor her dying wish “that we all help each other a little more.” Here’s what I wrote about her in August 2023: ...
[Portugal] The ethical and psychosocial dimensions of palliative care in prison: A scoping review
08/23/26 at 03:10 AM[Portugal] The ethical and psychosocial dimensions of palliative care in prison: A scoping reviewJournal of Bioethical Inquiry; by Ana Gehl-Costa, P. Reis-Pina; 7/26With prison populations expanding and aging, palliative care (PC) is an urgent concern. People in prison (PIP) face chronic illness, mental health conditions, and social vulnerabilities, creating ethical and psychosocial challenges to dignified end-of-life (EOL) care... Ethical domains included structural neglect of PIP with life-limiting illness, barriers to compassionate release, compromised autonomy, denial of death in prison culture, and inadequacies in care quality and access. Psychosocial domains encompassed stigma, mistrust, isolation, existential suffering, and fractured social bonds. PIP-led hospice models offered companionship but raised tensions around labour, confidentiality, and the normalization of death in custody... Prison-based PC requires systemic reforms, staff training, family and advocacy involvement, and legal safeguards to ensure equitable, compassionate, and dignified EOL care.Publisher's note: This article was included in the August 2026 issue of End-of-Life Care Behind Bars - Current Thinking, by Barry R. Ashpole.
