Literature Review

Jury convicts home health agency executive of fixing wages and fraudulently concealing criminal investigation U.S. Department of Justice - Office of Public Affairs; Press Release; 4/14/25 A federal jury convicted a Nevada man today for participating in a three-year conspiracy to fix the wages for home healthcare nurses in Las Vegas and for fraudulently failing to disclose the criminal antitrust investigation during the sale of his home healthcare staffing company.  According to court documents and evidence presented at trial, Eduardo “Eddie” Lopez of Las Vegas, Nevada conspired to artificially cap the wages of home healthcare nurses in the Las Vegas area between March 2016 and May 2019. The three-year conspiracy affected the wages of hundreds of Las Vegas registered nurses and licensed practical nurses who provide care to patients in their homes. During the pendency of the government’s investigation, Lopez then sold his home healthcare staffing company for over $10 million while fraudulently concealing the government’s criminal investigation from the buyer.  

Value-based palliative care moving toward risk-based models Hospice News; by Jim Parker; 4/21/25 Risk-based contracts may be the future of palliative care reimbursement as Medicare Advantage continues to ascend. The simple term “value-based care” belies its complexity. The term can refer to any number of payment models that are designed to reduce total cost of care and improve outcomes. While most palliative care remains locked in the fee-for-service realm, most value-based organizations like MA plans are moving towards it, according to Dr. Gavin Baumgardner, vice president and national medical director for complex and palliative care at Contessa Health, a subsidiary of Amedisys (Nasdaq: AMED). 

Federal court strikes down minimum staffing rule: The details you might not know behind the decisionMcKnights Long-Term Care News; by Neville M. Bilimoria; 4/21/25On April 7, 2025, the US District Court for the Northern District of Texas struck down the federal minimum staffing Final Rule issued by the Department of Health and Human Services and the Centers for Medicare & Medicaid Services. This was incredibly good news for nursing homes across the country for a variety of reasons ... The opinion from District Court Judge Matthew Kacsmaryk outlined the many laws and regulations America’s nursing homes are subject to in the healthcare arena, but it also recounted some deep history behind minimum staffing efforts that were previously unsuccessful, both by HHS and Congress.  ...

MedPAC identifies low rates of hospice use among kidney disease patients McKnights Home Care; by Adam Healy; 4/17/25 Patients with end-stage renal disease (ESRD) use hospice at far lower rates than patients with other conditions, according to the Medicare Payment Advisory Commission. In 2023, 31% of Medicare decedents with ESRD used hospice services, compared with 52% of all Medicare decedents. Hospice lifetime length of stay is also lower among decedents with ESRD, at a median of six days compared with 18 for all Medicare decedents, MedPAC commissioners said during their April meeting. ...

Pope Francis has died, Vatican says Reuters, Vatican City; by Joshua McElwee; 4/21/25, 6:11 am EDT, updated 6:51 am EDT Pope Francis, the first Latin American leader of the Roman Catholic Church, has died, the Vatican said on Monday, ending an often turbulent reign marked by division and tension as he sought to overhaul the hidebound institution. He was 88, and had suffered a serious bout of double pneumonia this year, but his death came as a shock after he had been driven around St. Peter's Square in an open-air popemobile to greet cheering crowds on Easter Sunday.Editor's Note: This breaking news emerged after today's newsletter had been sent. Please check your email for today's full issue of Hospice & Palliative Care Today.

Statement by the American Nurses Association on the importance of nursing specific science and research and the leaked FY 2026 HHS Budget Proposal American Nurses Association; Press Release, newsroom@ana.org; 4/17/25 Nursing-specific science and research is uniquely positioned to inform the health care delivery system on evidence-based approaches to patient-centered, quality care that meets the needs of patients as effectively and efficiently as possible. ... “The American Nurses Association (ANA) is deeply concerned about the recent reports surrounding the leaked draft FY 2026 proposed budget for the Department of Health and Human Services (HHS), specifically the elimination of National Institute of Nursing Research (NINR) and deep cuts to Title VIII Nursing Workforce Development Programs," expressed American Nurses Association President Dr. Jennifer Mensik-Kennedy, PhD, MBA, RN, NEA-BC, FAAN. “ANA firmly believes that NINR plays a vital role in ensuring that research guided by nurses’ education, experiences, and clinical training continue to enable our overall health care system to improve and be driven by evidence.” ... Further, ANA is grateful for the broad bipartisan support these programs have historically received from Congress and will work closely with lawmakers to safeguard funding for these programs during the FY2026 appropriations process.  ...

Using technology to improve matching drug details in hospice care Patient Safety & Quality Healthcare (PSQH); by Matt Phillion; 4/17/25 For Wise Hospice Options, prescribers had been spending an average of 15 seconds matching each flagged drug and 20 seconds per drug entering missing sig, or label, details. Recently, they incorporated clinical-grade AI from DrFirst into automating this process, enabling those same providers to spend two to three seconds per drug, with fewer medications flagged for manual review by pill icons. ... The AI implementation allowed Wise to standardize data from different systems into a workflow that allows clinicians to see complete information before ordering prescriptions, helping avoid delays and reduce errors. Clinicians continue to review medication information for accuracy and adjust based on discussions with the patient but require fewer clicks and keystrokes so they can make faster, more informed decisions. ... Why the impact on hospice is key: The first thing to consider, Faubion explains, is that when it comes to hospice patients, they are going to be on a lot of medications. ...

Attorneys general challenge Trump’s deportations, citing impact on home health workforce McKnights Home Care; by Adam Healy; 4/16/25 Nineteen state attorneys general filed an amicus brief Monday challenging President Donald Trump’s deportation policies. Among their arguments, they contended that deportations would have an outsized, negative impact on the home health industry’s ability to deliver care. “From a public health perspective, [states] depend on noncitizen healthcare workers who, like other immigrants, are forced to live in a climate of fear — nationwide over 1 million immigrants work in healt hcare, including 40% of home health aides and 18% of nursing home staff,” the brief said. The brief aims to block the administration’s so-called “ideological deportation policy,” established by executive orders 14161 and 14188. These orders intimidate workers, impair healthcare delivery and harm states’ economies, the attorneys general argued. 

6 nonverbal cues that reveal your leadership communication style Forbes; by Cheryl Robinson; 4/17/25 ... [Some] of the most influential leadership communication doesn’t come from words—it comes from what you do when you’re not speaking. And it’s not always the cues you’d expect. These subtle, often overlooked signals shape how others perceive your authority; your body language tells a completely different story from your words. Dr. Albert Mehrabian’s well-known 7-38-55 rule breaks down communication into three key components: 7% of meaning comes from words, 38% is conveyed through tone of voice and 55% through body language. Mastering nonverbal communication has become a critical leadership skill in the digitally remote workspace.  ... To lead with greater impact, you need to recognize the signals you’re sending, especially the ones you don’t realize you’re giving off.

Portugal: Government signs contracts for 3,000 palliative care beds MacauBusiness.com; by LUSA; 4/18/25 The government on Thursday [4/17/25] signed 90 financing contracts worth €88 million with the private and social sectors to create 3,300 places in the National Network for Integrated Continuing Care (RNCCI). ... The government on Thursday signed 90 financing contracts worth €88 million with the private and social sectors to create 3,300 places in the National Network for Integrated Continuing Care (RNCCI). ... The minister added that “the government’s determination is not to slow down the pace of implementation of the RRP”, emphasising that another 800 contracts will be signed in the coming weeks, in different areas.

‘Medical aid in dying’ bill passes Nevada Assembly despite Lombardo veto threat Las Vegas Review-Journal; by McKenna Ross; 4/17/25 An effort to legalize medical aid in dying for terminally ill people has passed a crucial vote Thursday despite Gov. Joe Lombardo’s threat to veto the measure. Assembly Bill 346 would create a legal framework for competent and willing terminally ill patients to self-administer life-ending medicines. It passed in the Assembly on Thursday, 23-19.