Literature Review

51 healthcare leaders’ takes on doing more with less Becker's Hospital Review; by Allie Woldenberg, Kelly Gooch, Mariah Taylor, Giles Bruce, Kristin Kuchno, and  Andrew Cass; 7/17/25 It’s a directive that hospitals and health systems of every size know well — whether sprawling academic medical centers, multistate nonprofit systems or rural, independent 25-bed hospitals. While the phrase isn’t new, the urgency behind it is intensifying. The nation’s healthcare workforce remains fragile, forcing leaders to distinguish between staffing gaps that are temporary hurdles or structural limitations. Revenue projections for health systems have shifted dramatically ... Against this backdrop, Becker’s set out to understand how health system leaders across the U.S. are interpreting and enacting the mandate to “do more with less” today. From June 9 to July 15, we spoke with executives across the country, in every type of market, hospital, and health system, to hear how they are navigating this evolving landscape. ...Editor's Note: Scan through these with a sharp eye toward improving the quality of patient care while "doing more with less." I applaud many of these leaders for not just focusing on cutting costs, but for using these crucial changes as a vehicle to improve patient care.

A look at nursing facility characteristics between 2015 and 2024 - KFF KFF; by Priya Chidambaram and Alice Burns; 12/6/24 In a KFF Issue Brief on nursing facility characteristics over time, KFF has described nursing homes and the people living in them. Data is pulled from Care Compare (Nursing Homes) and CASPER (Certification and Survey Provider Enhanced Reports). Data includes the number of certified nursing facilities, hours of care by nurse staff type over years, survey deficiencies in nursing homes, and the share of residents by primary payer. The study confirms that Medicaid is the primary payer for 63% of nursing facility residents in 2024, followed by 24% for private and other payers, and 13% by Medicare. As reported by KFF,  “KFF polling shows that four in ten adults overall incorrectly believe that Medicare is the primary source of insurance coverage for low-income people who need nursing facility care.” Guest Editor's Note, Judi Lund Person: As we think about the impact of Medicaid cuts on nursing home residents, it is important to note that Medicaid is the primary payer for 63% of nursing home residents as of 2024. In some states, that percentage may be higher. See the KFF article.

How PACE is jockeying for position amid Medicaid cuts Modern Healthcare; by Diane Eastabrook; 7/16/25 A federal-state program aimed at keeping older adults out of nursing homes could come out awinner under the new federal tax law. Nevada was the latest state to approve a Program of All-Inclusive Care for the Elderly last month before President Donald Trump signed the tax law. South Dakota is considering PACE as well. The program can save states money by caring for adults at home, rather than in nursing homes. However, PACE is a relatively small and not widely known initiative, which could make it a low priority for states weighing the best way to spend fewer Medicaid dollars.

Carter, Bera introduce bill to strengthen palliative and hospice care workforce United States Representative Buddy Carter, Washington, DC; Press Release; 7/17/25Reps. Earl L. “Buddy” Carter (R-GA) and Ami Bera, M.D. (D-CA) today introduced the Palliative Care and Hospice Education and Training Act (PCHETA), bipartisan legislation to invest in training, education, and research for the palliative care and hospice workforce, allowing more practitioners to enter these in-demand fields. ... "As a pharmacist, I understand the toll burnout takes on the health care industry, and I am committed to bolstering the workforce so nurses, doctors, and all health care workers can continue to pursue their passion for helping others,” said Rep. Carter. "As a doctor, I know how important it is to provide patients with comfort, clarity, and support when they’re facing serious illness,” said Rep. Bera. “The Palliative Care and Hospice Education and Training Act is a smart, bipartisan step to ensure more health care professionals are trained to deliver this kind of care."Editor's Note: Bravo to this pharmacist and physician bipartisan team for introducing this bill. Go to the article and scroll down to this press release's long list of "Supporting Organizations."

Healthcare’s self-driving moment: Why automation could restore joy of medicine for everyone Becker's Health IT; by Feby Abraham; 7/16/25 As rapid advancements in Artificial Intelligence (AI) helps develop lower-cost, increasingly efficient workplace solutions, workers across all industries face concerns about the “human impact” on long-held positions. Software engineers, call center employees, technical support professionals, and administrative staff wonder what AI means for their careers—not just in coming years, but in the months ahead. Healthcare is not immune to these concerns. Leaders obsess over whether AI will replace doctors, nurses, and hospital staff. But they’re asking the wrong question. ... The real question is: How can healthcare follow the automotive industry’s proven automation playbook to restore the joy of practicing medicine while creating transformational value across the entire healthcare ecosystem?

Essentia nurses and healthcare workers turned away from bargaining by employer on second day of ULP strike, acute care nurses announce tentative agreement vote results Minnesota Nurses Association, Duluth, MN; Press Release; 7/9/25 On the second day of the ongoing unfair labor practice strike in Duluth and Superior, nurses and healthcare professionals across all six Essentia Health bargaining units arrived at negotiations prepared to make progress — only to be met with rejection and dismissal. ... No meaningful negotiations took place and no progress was made towards resolving the unfair labor practices. Despite Essentia Health’s reliance on costly travel nurses and its abrupt closure of essential facilities like the Solvay Hospice House, frontline healthcare workers have consistently proposed clear pathways to resolution. Today alone, negotiating team members offered to consolidate and expedite bargaining across all six contracts and offered 22 additional negotiation dates in July — both of which Essentia flatly refused.

New Winship web tool helps Georgians find palliative care services Emory University Winship Cancer Institute; Press Release; 7/7/25 Patients, families and referring physicians now have a new online source for locating palliative care services in Georgia. Developed by Winship Cancer Institute of Emory University, More Access to Palliative Care Georgia (MAPGA) is a searchable database of vetted inpatient and outpatient palliative care agencies and hospital-based programs across the state. ... Users who visit MAPGA can view a list and interactive map of nearby palliative care services, including hospital-based outpatient clinics and home-based care. For more customized results, they can enter their zip code or filter by location (clinic, in-home or hospital-based/inpatient) and type (adult or pediatric). MAPGA also features a “heat map” that highlights gaps in access to care. 

How rising tariffs could affect hospice M&A Hospice News; by Jim Parker; 7/11/25 ... Tariffs tend to raise prices and often trigger interest rate increases by the Federal Reserve. This makes financing debt more expensive, and many buyers in the M&A market rely on borrowing to make acquisitions. This can have a “ripple effect” on the M&A landscape, including in hospice, according to Cory Mertz, managing partner of the M&A advisory firm Mertz Taggart. “Tariffs raise costs, which can tighten debt markets and make capital more expensive,” Mertz told Hospice News in an email. “Since M&A is largely driven by both debt and equity investors, a higher cost of capital tends to put downward pressure on valuations. This can lead some buyers to pause or redirect their investment elsewhere, while some potential sellers may hold off on going to market.”

VA announces expanded burial benefits for those under VA-provided hospice care Tri-State Alert; by Staff Report; 7/11/25 The Department of Veterans Affairs announced today it has temporarily expanded burial benefits for certain Veterans, per the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. The new law specifies eligible Veterans are those who are discharged from VA-provided medical or nursing care to receive VA-provided hospice care at their home and who pass away between July 1, 2025, and Oct. 1, 2026. Previously, Veterans who died at home under VA hospice care after discharge from VA-provided medical or nursing care were not always eligible for a full VA burial allowance. The Dole Act addresses that gap.

Social Media Watch 7/11/25

HOPE Summer SchoolProvider Insights communication; by Annette Lee; 7/11/25Provider Insights Inc. has created a "HOPE Summer School" series, an 8-course microlearning program for our busy hospice professionals. This series is specifically designed to help hospice teams master the upcoming CMS HOPE Data Set, ensuring staff are confident and compliant. The program covers four core objectives: understanding HOPE's purpose and structure, navigating CMS documentation and reporting, building confidence in completing HOPE items with real-life examples, and meeting the Symptom Follow-Up Visit Measure. The 8 bite-sized modules (5-20 minutes each), interactive quizzes, a post -test, and 14 downloadable tools, this mobile-friendly training is perfect for busy nurses on the go. Download the HOPE Section A tool for a free sneak peek of the simple tool kit, and head over to providerinsights.com for more information and to get your organization enrolled.

Medicare fraud has gone global. It’ll take a nationwide effort to stop itLos Angeles Times; by Mehmet Oz, Kim Brandt; 7/15/25Federal law enforcement recently announced a $14-billion fraud takedown — the largest healthcare fraud action in U.S. history, involving many crimes orchestrated by foreign nationals. Every American taxpayer should be alarmed not just because of the dollars at stake, but also because it reveals how vulnerable Medicare and Medicaid have become to large-scale, international exploitation... Fraud is a national problem, but it starts locally. Drive around certain neighborhoods in Los Angeles and you’ll pass what appear to be empty office buildings, which unbeknownst to neighbors could serve as hubs of criminal activity. There are more than 1,000 potentially fraudulent hospice operations identified in Los Angeles.Publisher's note: Medicare fraud is tragic - and that hospice is the highlighted provider in this story is also tragic. This article includes steps that can be taken to stop this fraud. Also, thanks to Sheila Clark, President-CEO of the California Hospice & Palliative Care Association (CHAPCA) for forwarding this article.