Literature Review

Alzheimer's: Watch for signs it's time to start hospice careThe Advocate, by Dana Territo; 2/5/24When is someone with dementia ready for hospice care? ... Some of the characteristics the affected individual may be exhibiting include the lack of ability to ambulate without assistance, incontinence of bowel and bladder, inability to dress and bathe properly, and speech limited to approximately a half dozen or fewer intelligible and different words. There are also intercurrent illnesses associated with advanced dementia in which hospice services would be a benefit. 

Real aid in dying means caring for the dying, not helping them to die - OpinionNewsweek, by F. Matthew Eppinette; 1/31/24... [Medical aide in dying is legal] in 10 U.S. states and the District of Columbia. As state legislatures convene for 2024, 18 states have had assisted-suicide-enabling legislation introduced, or have it pending from last year, when such legislation was introduced in 15 states. Arguments will be made that the prospect of pain at the end of life means assisted suicide should be legal. It is worth asking, however, whether legalizing assisted suicide is wise public policy. I submit that it is not, and here are four reasons why.Publisher's note: Author is Executive Director of The Center for Bioethics & Human Dignity; includes CAPC study reference aimed to increase palliative care.

CMS seeks input on Medicare Advantage transparency policyModern Healthcare, by Alison Bennett; 1/25/24The Centers for Medicare and Medicaid Services wants public input to guide possible future regulations to mandate greater transparency from Medicare Advantage plans, according to a request for information issued Thursday. The agency has sought to shed more light on Medicare Advantage operations and finances in recent years and required insurers to reveal information in areas such as medical loss ratio calculations, prior authorization processes, supplemental benefits and health equity.

Community steps up to donate $309K to Matthews House HospiceBradfordToday; 2/3/24Matthews House Hospice (MHH) is continually amazed by the generous support of our community. As a result of the community support, we raised over $309,000 throughout December and January for our annual holiday giving campaign. This year, the holiday campaign highlighted the impact that our community hospice programs make in the lives of our clients and their families.

Assisted Living Report Card allows consumers to compare communities based on reviews, inspectionsMcKnight's Senior Living, by Kimberly Bonvissuto; 1/30/24A new Assisted Living Report Card launched Monday in Minnesota, allowing consumers to compare assisted living communities based on resident and family reviews, along with state inspection ratings. In 2019, the state legislature provided funding to develop the report card and contracted with the University of Minnesota School of Public Health to complete a national review of quality measurements in assisted living.

The doctor will see you … when? Regs, reimbursement delay SNF patient accessMcKnight's Long-Term Care News, by Kimberly Marselas; 1/31/24Patients seen by a physician or other advanced practice provider within a day of a skilled nursing admission were less likely to be rehospitalized compared to patients seen two days post-admission or later. But various obstacles tend to push those physician visits well beyond the first few days of care, University of Pennsylvania researchers found.

100 Most influential people in healthcare - 2023Modern Healthcare; 1/23/24The 100 Most Influential People in Healthcare awards & recognition program honors individuals in healthcare who are deemed by their peers and the senior editors of Modern Healthcare to be the most influential individuals in the industry, in terms of leadership and impact.

FTC sues to block proposed CHS-Novant hospital saleModern Healthcare, by Alex Kacik; 1/25/24The Federal Trade Commission on Thursday sued to block Novant Health’s planned $320 million acquisition of two North Carolina hospitals from Community Health Systems, alleging the deal could increase costs and reduce care quality. In February, CHS and Novant signed a definitive acquisition agreement involving Lake Norman Regional Medical Center in Mooresville and Davis Regional Medical Center in Statesville, which is transitioning from an acute-care hospital to an inpatient behavioral health facility.

Medicare Advantage plans face new rate cut under CMS proposalModern Healthcare, by Nona Tepper; 1/31/24The Centers for Medicare and Medicaid Services is calling for another reduction in the Medicare Advantage base payment rate, which could further challenge health insurers struggling with rising costs. Under a proposed rule issued Wednesday, the Medicare Advantage benchmark would be 0.16% less in calendar 2025 than under current policy, excluding risk adjustment, and would mark a second consecutive year of a lower benchmark rate. The agency plans to finalize the rule by April 1.

AHRQ Stats: Largest Declines in Life ExpectancyAHRQ News Now; 2/6/24Between 2019 and 2021, the average life expectancy for non-Hispanic American Indian and Alaska Native people declined by 9.2 percent, the most among any group. Average life expectancy declined by 5.3 percent for Black people, 5.1 percent for Hispanic people, 3 percent for White people, and 2.5 percent for Asian people. (Source: 2023 AHRQ National Healthcare Quality and Disparities Report.)

Rural hospitals caught in aging-facility dilemma Lexington Herald Leader, by Markian Hawryluk; 2/6/24... Rural hospital closures dropped during the pandemic, from a record-high 18 in 2020 to eight in 2021 and 2022 combined, according to the University of North Carolina–Chapel Hill, as emergency relief funds kept them open. But that life support has ended.

Transforming value-based dementia care—Implications for the GUIDE ModelJAMA Intern. Med; by Tarun Ramesh; Kushal Kadakia, MS; Lidia Moura, MD, MPH, PhD; 2/5/24Dementia disproportionately affects older adults and represents an increasingly difficult population health and financial challenge for Medicare. Annual spending for Medicare beneficiaries with dementia is approximately 3 times higher than that for patients without dementia, with excess costs attributable to substantial fragmentation across the care journey. Patients with dementia experience polypharmacy and frequent hospitalizations and require careful coordination across multiple specialty health care professionals with support from unpaid caregivers. However, traditional fee-for-service (FFS) payment models may not adequately support costly medical and social needs for patients with dementia and their unpaid caregivers.Editor's Note: Full access requires subscription or other online library access to JAMA.