Literature Review

Proposed California budget calls for prior authorization for hospice in Medicaid Hospice News; by Jim Parker; 5/22/25 The proposed California budget would require prior authorizations for hospice care within the state’s Medicaid program. Currently, Medicaid managed care plans who provide coverage through the state’s Medicaid system, Medi-Cal, may not perform prior authorizations for hospice. California’s Department of Health Care Services (DHCS) indicated in a 2025-2026 budget revision that this could save $25 million over the next two years and more than $50 million in the long term. If enacted, this would make California the first state in the nation to implement such a rule, according to the California Hospice & Palliative Care Association (CHAPCA). The association contends that the anticipated $25 million in cost savings is “speculative and fails to account for the downstream costs and systemic burdens this proposal would create,” according to a position paper shared with Hospice News. ... CHAPCA recommended to the state government three alternative approaches: ...

Social Media Watch 5/23/25

Health systems need radical transformation. Are C-suites ready? Becker's Hospital Review; by Laura Dyrda; 5/21/25Health systems faced with ever-thinning margins and uncertain financial future may be tempted to double-down on cost cutting as an immediate option relief. But for most, that’s not the best option. ... “Amid unprecedented volatility, resource constraints, and technological disruption, how can healthcare executives rapidly adapt and transform their organizations to sustainably deliver high-value care, optimize operational efficiency, and preserve workforce resilience and empathy?” posed Craig Albanese, MD, CEO of Duke University Health System in Durham, N.C. The question is urgent and complex. Hospital leaders are searching for connecting points with old friends, rivals, community organizations and other stakeholders to problem-solve together. They’re also pursuing larger strategic changes instead of small fixes to truly build sustainable organizations for the future. ...

New Mexico legalizes medical use of psilocybin JD Supra; by Patrick Clark and Jennifer Pacicco; 5/20/25 On April 7, 2025, New Mexico became the third state to legalize psilocybin (colloquially known as “magic mushrooms” or “shrooms”) for medical purposes. New Mexico is the first state to legalize psilocybin via legislation and not a ballot initiative, like its predecessors Colorado and Oregon. Under the new law—the “Medical Psilocybin Act”—the following qualifying conditions are listed as eligible for psilocybin treatment: “(1) major treatment-resistant depression; (2) post-traumatic stress disorder; (3) substance use disorders; (4) end-of-life care.” The law also allows the New Mexico Department of Health to promulgate regulations that would add qualifying conditions to that list. ... Employers are not required to accommodate employees under the influence of psilocybin at work.

What caregivers should know about end-of-life rallies  AARP; by Jamie Ducharme; 5/19/25People with advanced illnesses sometimes experience unpredictable bursts of energy or clarity. Here’s how caregivers should handle these episodes. Roughly a decade after her mother was diagnosed with Alzheimer’s disease, Liz Donnarumma got her back — but only for an instant. It happened one evening in 2021, more than a year after Donnarumma first realized her mother, Theresa, didn’t recognize her. Theresa took Donnarumma’s face in her hands, called her by her nickname and thanked her. “When she put her hands on my face and I looked into her eyes, she was totally there. It was my mother,” Donnarumma says. “It was like a second, just one second, and it was gone.” Donnarumma’s mother had an episode of “paradoxical lucidity” — that is, an unexpected burst of mental clarity, despite her advanced condition. While these moments are as unexplained as they are unexpected, experts say they are more common than many people realize. ...

White coats, heavy hearts: What to expect as a med student after your first patient death Medscape; by David Brzostowicki; 5/21/25 The first death of a patient represents a profound emotional turning point that reverberates throughout one’s career as a physician. In that critical moment, the shield of clinical detachment gives way to inevitable self-reflection. Daryl Eber, MD, recalls a jarring case of an intubated patient who extubated himself and quickly died after coding. The incident occurred in 2005 while Eber was doing rounds as a medical student at Shands Jacksonville Medical Center (renamed UF Health Jacksonville) in Jacksonville, Florida. Although the patient was not in his direct care, the swiftness with which death took the man has lingered with Eber for two decades. 

Hospice Buffalo begins $3.5M expansion at Cheektowaga campus  Buffalo Business First, Buffalo, NY; by Tracey Drury; 5/21/25 An end-of-life donation is funding an expansion at Hospice Buffalo's campus in Cheektowaga. Hospice Buffalo has begun a renovation at its Cheektowaga campus to create an education center. The Andrew J. & Mary Ann Dodges Center will include offices, conference rooms and educational space accessible through a dedicated entrance inside an existing 15,000-square-foot patient services building. The $3.5 million construction project includes renovating 6,000 square feet of underutilized space on the campus at 225 Como Park Blvd. Andrew Dodges, then 95, made a pledge of $6 million in 2023 to fund a center. Dodges was a Buffalo resident whose wife received services through the organization in the 1990s. A portion of the gift also funded the Andrew J. and Mary Ann Dodges fund to support hospice care for others in the community.

UnitedHealth urges shareholders to back CEO’s $60M pay package Becker's Payer Issues; by Rylee Wilson; 5/20/25 UnitedHealth Group is asking shareholders to support a $60 million stock option award for its new CEO. In a May 20 letter to shareholders, Christopher Zaetta, UnitedHealth’s chief legal officer, urged shareholders to approve the company’s executive compensation. Institutional Shareholder Services, a proxy advisory firm, has advised shareholders to vote no on UnitedHealth’s “say-on-pay” proposal. The company appointed Stephen Hemsley, who led the company from 2006 to 2017, as CEO in May. Mr. Hemsley will receive a $1 million annual salary, but will not receive any annual cash incentives. Instead, he will receive a $60 million stock option after three years as CEO. ISS recommended shareholders vote no because nearly all of Mr. Hemsley’s compensation will be in stock option awards, and fluctuations in stock price could lead to a “windfall” for the CEO. 

It's not how much we give but how much love we put into giving. ~ Mother Theresa

Proposed bill would require MA to pay for hospice care Hospice News; by Jim Parker; 5/21/25 Rep. David Schweikert (R-Ariz.) has introduced the Medicare Advantage Reform Act, which among other provisions would require health plans to pay for hospice care. If enacted, the bill, numbered H.R. 3467, would make wholesale changes to the Medicare Advantage program. It would mandate capitated payment models, change risk adjustment methodologies and create new exemptions for physician self-referrals, among other provisions. The potential impacts of moving hospice into Medicare Advantage at this time would be “devastating,” according to the National Alliance for Care at Home. 

Sixteen years with leukemia taught me to savor life Cure; by Michelle Lawrence; 5/21/25 I’ve lived with large granular lymphocytic leukemia for 16 years and have learned to spend my energy wisely, embrace palliative care and choose joy over anger. ... It has been an exhausting journey, but I am blessed to have survived 16 years. ... In the beginning, I didn't care; I told everyone because I was treatment-focused, but now I am focused on quality of life. Cancer has robbed me repeatedly. Peers and family members are married and have careers and families. They plan birthday parties and playdates and worry about their kids’ homework. I celebrate the fact that I could take a shower and get dressed by myself. I grieve for those missed opportunities. ... I have recently, in the past couple of years, transitioned into palliative care, a choice I never dreamed of ever making. ... I am a survivor — I am more than my diagnosis. I am not Michelle, the cancer patient; I am Michelle who has cancer. ...

You have made the right choice Boston University School of Public Health; by Jillian McKoy; 5/18/25 Public health faces enormous challenges ahead, and as of May 17, the field officially gained 461 additional practitioners who will dedicate their professional lives to eliminating health inequities, fighting for justice, and advancing health for all. On Saturday afternoon, the School of Public Health community, families, and friends gathered at the Boston University Track & Tennis Center to celebrate the achievements of the newest generation of public health leaders at the 2025 SPH Convocation.  Dean Ad Interim Michael Stein opened the event by acknowledging that the class of 2025 is “entering a very different world than the one that existed when they began this program of studies. “They are graduating at a time of unprecedented challenge and opportunity, but I personally witnessed the strength, resilience, and purpose that defines this class.” 

The skills CEOs are building in 2025Becker's Hospital Review; by Kristin Kuchno; 5/20/25 Hospital and health system CEOs are building new leadership skills — many of which were not viewed as a priority earlier in their careers. While health systems continue to focus on workforce-wide skills development, such as leadership skills for succession planning, today’s executives are zeroing in on new capabilities to meet evolving demands. Becker’s connected with four hospital and health system CEOs to learn which skills they are actively working on in 2025.