Literature Review

Correctional health and oncologist perspectives on strategies to improve cancer care in US prisons-A qualitative studyJAMA Network Open; by Christopher R. Manz, Brett Nava-Coulter, Emma Voligny, Daniel A. Gundersen, Alexi A. Wright; 10/25Individuals diagnosed with cancer while incarcerated in US prisons have worse mortality than nonincarcerated individuals. In this qualitative study of clinicians delivering cancer care for incarcerated individuals, participants identified pragmatic strategies to improve cancer screening and treatment that address most identified barriers to care in US prisons. Application of these strategies may be associated with mitigation of disparities in cancer survival for incarcerated individuals. Participants identified strategies to improve care addressing nearly all previously identified barrier themes, including strategies for (1) conducting screening in prisons; (2) bringing cancer treatment into prisons and centralizing care; (3) using telehealth, navigators, and early oncologist involvement to improve care coordination; (4) improving communication and social support; (5) improving symptom management, access to palliative medicine, and end-of-life care; and (6) delivering patient-centered care. Strategies require implementation by prisons, prison clinicians, oncologists, oncology practices, and policymakers.

Incarceration and quality of cancer careJAMA Network Open; by Oluwadamilola T. Oladeru, Ilana B. Richman, Jenerius A. Aminawung, Jason Weinstein, Lisa B. Puglisi, Rajni Mehta, Hsiu-Ju Lin, Emily A. Wang, Cary P. Gross; 10/25The incarcerated population in the US is aging, and an estimated 15% of incarcerated adults, or approximately 175,000 individuals, are now 55 years or older. With this demographic shift, diseases of aging have become more prevalent, and cancer now ranks as the most common cause of death among people who are incarcerated in the US. Despite the growing prevalence, cancer outcomes among those incarcerated lag behind those with no history of incarceration. Individuals diagnosed with cancer while incarcerated or immediately following release have an approximate 2-fold increase in cancer-related mortality compared with the general population, even after adjusting for stage at diagnosis. Along with other published literature, this work suggests that gaps in quality of care may contribute to observed disparities in outcomes.Assistant Editor's note: Most of us cannot imagine what it would be like to be in prison. With cancer. And perhaps even dying there. Steven Garner knows. He spent many decades as an inmate at a state penitentiary. While there, he became a hospice volunteer supporting dying inmates, training other volunteers, and he served to pioneer Hospice in Corrections programs throughout the US. Steven is out of prison now, living his best life in Colorado and consulting around the nation about ways to improve end of life care for incarcerated persons. Oprah Winfrey was involved in sharing Steven's story in a Netflix documentary called Serving Life. NPR published an article about Steven in February 2024. Additionally, Hospice Analytics has posted a link to a 20-minute video about Steven's life and work in prison: Angola Prison Hospice: Opening the Door. And finally, if you'd like more information, Steven Garner has a website. 

[Brazil] Impact of medical cannabis on the quality of life of cancer patients: A critical reviewJournal of Integrative and Complementary Medicine; by Larissa Gonçalves Correa, Adriana Marcassa Tucci; 9/25This study aimed to review the literature on the impact of medical cannabis (MC) on the quality of life (QoL) of cancer patients. The studies suggest that MC can improve mental health, sleep, appetite, and pain in cancer patients and decrease nausea, vomiting, and the use of other medications, such as opioids. Increased survival time and cognitive function improvements were also observed, with mild or moderate adverse effects. Both tetrahydrocannabinol and cannabidiol (full spectrum) were commonly used, with varied intervention durations.

FSU launches first Clinical Catalyst to unite providers and researchers to solve problemsFlorida State University News; by Kathleen Haughney; 10/21/25FSU held the first ever Clinical Catalyst as part of the 2025 Discovery Days, an event to bring together local clinical providers with researchers to find evidence-based solutions to pressing challenges in health and health care... Topics included mastectomy garments, pregnancy misinformation in social media, pacemaker complications, post-surgery stroke complications, trauma referral from rural areas, ER visits, same-day triage, team-based care, Parkinson’s disease and driving, and end-of-life care.

The best, worst states for Medicare: ReportBecker's Payer Issues; by Elizabeth Casolo; 10/16/25Vermont, Utah and Minnesota topped the Commonwealth Fund’s Medicare performance scorecard in 2025, whereas Kentucky, Mississippi and Louisiana struggled the most. The healthcare research foundation evaluated states on criteria spanning four domains: access to care, quality of care, costs and affordability, and population health. These performance indicators draw from CMS, federal surveys and other public data sources. The Commonwealth Fund ranked states according to how well Medicare was working based on those indicators. The organization mostly reviewed data from 2023 through 2025.

Exploring the mix of hospice program expansions, closuresHospice News; by Holly Vossel; 10/22/25Some hospices have recently launched new facilities and grown their geographic service reach as others shutter and transition ownership of their programs amid financial struggles. [Including:]

Hospice & Palliative Care Network of Maryland calls for action on short hospice stays: New issue paper highlights urgent need for earlier access to careHospice & Palliative Care Network of Maryland press release; by Peggy Shimoda; 10/23/25The Hospice & Palliative Care Network of Maryland (HPCNM) has released a new issue paper, “Short Hospice Stays in Maryland: Ensuring Patient-Centered Care at End-of-Life,” revealing that Maryland ranks 46th nationally for hospice length of stay. With a median of just 18 days in 2024, patients and families miss the full benefit of hospice services that promote comfort, dignity, and peace at the end of life... “Short hospice stays are not just a clinical problem—they’re a systems challenge,” said Dr. Jennifer Kennedy, HPCNM Board Member and Chair of the Short Length of Stay Workgroup. “Earlier conversations, coordinated care, and improved discharge practices can help patients receive the care they deserve sooner.”

Healthcare’s new AI receptionist has arrivedHealthcare Brew; by Caroline Catherman;10/15/25California’s Sutter Health is one of the latest to adopt this new technology for patient communications... Sutter Health, a 27-hospital not-for-profit health system in California, is one of the latest health organizations to hop on the agent train, announcing Sept. 17 it will use Hyro’s tech to offer HIPAA-compliant AI agent-powered patient communications...

Hospice exec evaluates possible ‘path forward’ for MA hospice carve-inMcKnight's Newsmakers Podcast; by Liza Berger, Joe Shega; 10/15/25The so-called “carve-in” failed when the Centers for Medicare & Medicaid Services halted the hospice portion of the Value-Based Insurance Design program last year. And just last month, providers were speaking out against the carve-in to lawmakers at the annual fly-in for the National Alliance for Care at Home. But the two value-based care programs — hospice and MA — are not necessarily incompatible, according to Joe Shega, MD, chief medical officer for hospice provider VITAS Healthcare. As long as all the stakeholders agree about the parameters — that benefits remain intact, that there is no delay in access — there can be a “path forward” for hospice to be part of the MA benefit, he told McKnight’s Home Care in a Newsmakers podcast.

Survey update during government shutdown - REVISED Guidance, 10/21/2025CHAP blog; 10/21/25CMS posted and update to the memo, Contingency Plans – State Survey & Certification Activities in the Event of Federal Government Shutdown (QSO- 26-01-ALL-Revised) on 10/21/2025 that provides updates to state survey activity during the ongoing federal government shutdown. The revised guidance appears in red text. CMS has instructed CHAP that our survey activity is unaffected, and we will conduct our survey accreditation business as usual.

Hospital - and private equity – affiliated specialty physicians negotiate higher prices than independent physiciansHealth Affairs; by Alexander P. Philips, Nandita Radhakrishnan, Christopher M. Whaley, Yashaswini Singh; 10/25Hospital and private equity (PE) consolidation in health care is altering the physician practice landscape, with more than three-quarters of physicians employed by these corporate entities as of 2023. We examined practice affiliation patterns for specialist physicians and those patterns’ association with commercial prices for cardiology and gastroenterology services... Hospital-affiliated specialists negotiated prices that were 16.3 percent higher for cardiology procedures and 20.7 percent higher for gastroenterology procedures compared with specialists in independent practices. PE-affiliated specialists negotiated prices that were 6.0 percent higher for cardiology and 10.0 percent higher for gastroenterology procedures.

When a person can’t find a deep sense of meaning, they distract themselves with pleasure. ~Viktor Frankl