Literature Review

Hospice care advocate aims to increase awareness, reduce stigma surrounding industryMcKnights Home Care, by Foster Stubbs; 1/8/24“I think we all know that the population over age 65 in the United States is growing at a rapid pace,” Thomson, DO and chief medical officer of Four Seasons, a nonprofit hospice and palliative care provider serving 13 western North Carolina counties, told McKnight’s Home Care Daily Pulse. ... However, Thomson understands that the scrutiny hospice care can receive may drive families away from considering it as an option. She has used her position on the public policy committee at the American Academy of Hospice and Palliative Medicine to help create effective vetting and regulatory procedures for the hospice industry. She believes more thorough regulation will ensure fewer bad actors. 

Hospice and home health care in Estes Park: A 2024 updateEstes Park Trail Gazette, by Dawn Wilson; 1/5/24Estes Park Health Board of Directors and management made the difficult decision to eliminate in-home hospice and home health care services as part of a plan to bring the hospital into a financially secure position. Sunday, Dec. 31, 2023, marked the last day that Estes Park Health provided these services.

About 10 percent of Medicare home health providers do not use EHRs, study findsMcKnights Home Care, by Adam Healy; 1/3/24Home health agencies that do not have electronic health record (EHR) systems in place are at a disadvantage, but many still lack this technology, according to a recent study published in the journal Home Health Care Management and Practice. Among a sample of  more than 1,500 Medicare home health providers, about 10% did not use EHRs. 

Upcoming e-prescribing regs could give relief to hospice, palliative care providers, advocates sayMcKnights Home Care, by Adam Healy; 1/5/24Proposed rules, if finalized, could make it easier for providers to prescribe controlled substances via telemedicine. The Drug Enforcement Administration is expected to develop a “special registry” for certain controlled substances that could be prescribed without an in-person visit, according to Katy Barnett, director of home care and hospice operations and policy at LeadingAge. Certain substances were already granted similar prescription flexibilities during the COVID-19 public health emergency (PHE); a new registry would subject these substances to oversight by the DEA.

Talking about dyingJAMA Network, by Yael Schenker, MD, MAS; 12/23As a palliative medicine physician, I had been asked to see her for pain. Reading through her medical record, I saw that she had been admitted to the hospital 5 days ago. Many specialists had been involved in her care, their notes laser focused on the particular body part or system within their area of expertise...

Cap rates increase by 74 basis points across all segments of senior living and careMcKnights Senior Living, by Kathleen Steele Gaivin, 1/3/24The average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. The commercial real estate services and investment company sought feedback from senior housing investors, developers, lenders and brokers throughout the United States. The survey was conducted in October, and results were released in December.

Pets can improve health outcomes for older adults living at home, overseas study findsMcKnights Home Care, by Adam Healy; 1/3/24Pet ownership may be linked to slower cognitive decline among adults aging in place, according to a recent study conducted in England. “Older adults living alone are at high risk for developing dementia,” the researchers wrote in the study published by JAMA Network Open. “Pet ownership might completely offset the association of living alone with faster rates of decline in verbal memory and verbal fluency among older adults.”Editor's Note: What happens when the senior adult becomes to ill to take care of their pet? Explore one  program, Banfield's "Peace of Mind: Keeping Pets and People Together During Hospice Care."

Home health agencies grapple with 'acuity creep' as patient needs become more complexHome Health Care News, by Patrick Filbin; 1/5/24As the demand for home-based care continues to rise, so does the need for more intensive care plans as patients continue to be sicker and more complex. Home health agencies are feeling this “acuity creep,” and they’re adjusting. But at times, it’s hard to keep up. “When I’m talking about acuity creep, I’m thinking about how much need do the patients in our care models require?” Michael Johnson, president of home health and hospice at Bayada Home Health Care, said. “It’s not just medical needs, either — there’s a social need as well."

The income gap jeopardizing retirement for millionsThe New York Times, by Paula Span; 1/6/24Paula Span explores the unprecedented challenges posed by a rapidly aging population.

Older Americans say they feel trapped in Medicare Advantage plansKFF Health News, by Sarah Jane Tribble; 1/5/24Enrollment in Medicare Advantage plans has grown substantially in the past few decades, enticing more than half of all eligible people, primarily those 65 or older, with low premium costs and perks like dental and vision insurance. And as the private plans’ share of the Medicare patient pie has ballooned to 30.8 million people, so too have concerns about the insurers’ aggressive sales tactics and misleading coverage claims.

To affiliate or acquire: Trends in nonprofit hospice consolidationHospice News, by Jim Parker; 1/5/24Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofit s are pursuing acquisitions and affiliations, as well as forming regional collaboratives. To achieve these kinds of growth, hospices must consider whether they should affiliate or buy another company outright. Each approach comes with benefits and risks.

After the chaotic closure of a St. Louis nursing home, will others also shut down?St. Louis Post-Dispatch; 12/24/23St. Louis, MO—The north St. Louis nursing home that closed abruptly last weekend, setting off a chaotic relocation of residents and layoffs of workers without warning, had been in decline for several years. ... Other area nursing homes face similar financial pressures and lingering damage from the COVID-19 pandemic. ... “I think we’re going to see a lot of nursing homes close, that’s my prediction—I mean a lot of nursing homes,” [Harvey] Tettlebaum [a lawyer who for decades has represented the Missouri Healthcare Association, a group for long-term health care organizations] said. “I think it’s going to escalate next year.” Among the most vulnerable are providers that primarily serve residents who rely on Medicaid.