Literature Review

The government shutdown’s impact on Medicare Advantage: As clear as mud? JD Supra; by Jeffrey Davis and Lynn Nonnemaker; 10/16/25 Over the last couple of weeks, stakeholders have raised many questions about how the government shutdown will affect different healthcare initiatives and programs, and Medicare Advantage (MA) is no exception. The Centers for Medicare & Medicaid Services (CMS) has provided guidance related to Medicare claims processing, telehealth services, and other operations, but most of that has pertained to Medicare fee-for-service (traditional Medicare). MA plans have been largely responsible for figuring out how the information applies to them. About half of Medicare beneficiaries are in MA, meaning more than 35 million Medicare beneficiaries and the providers who care for them rely on MA plans to communicate how benefits and coverage have, or have not, changed. As the shutdown drags on, CMS’s work to establish future MA policies and payment rates through rulemaking and notices also could be impeded. To discuss some of the ways that the shutdown has impacted MA and may continue to do so, I’m bringing in my colleague Lynn Nonnemaker. ...

[Finland] Management of dyspnea with high-flow nasal air or fan-A randomized controlled crossover trialJournal of Pain and Symptom Management; by Sirpa Leivo-Korpela, Heidi A Rantala, Lauri Lehtimäki, Reetta P Piili, Hannele Hasala, Tarja Korhonen, Juho T Lehto; 9/25[This study aimed to] assess the effect and feasibility of HFNT [high-flow nasal therapy] with air compared to fan therapy in relieving dyspnea among non-hypoxemic patients with incurable cancer. The effect of airflow through HFNT or fan on dyspnea did not differ in non-hypoxemic patients with advanced cancer. Both therapies seemed to give slight relief on dyspnea without significant adverse events. Thus, the choice between HFNT with air or fan should be made according to the patient´s preferences.

Center provides hospice care options The Laker / Lutz News, New Port Richey, FL; Press Release; 10/15/25 Gulfside Healthcare Services celebrated the opening of its newest inpatient care facility Sept. 19 in New Port Richey. Guests not only toured patient rooms and family areas but also applauded the announcement of a gift by Dr. Jay Weil. The new care center will be called the Dr. Jay Weil Center for Hospice Care in honor of his generosity. Gulfside Healthcare Services celebrated the opening of its newest inpatient care facility Sept. 19 in New Port Richey. Guests not only toured patient rooms and family areas but also applauded the announcement of a gift by Dr. Jay Weil. The new care center will be called the Dr. Jay Weil Center for Hospice Care in honor of his generosity.

If one door closes and another one opens, your house is probably haunted. ~ Unknown

National Hospice Locator: Updated quality sorting algorithmHospice Analytics blog; by Cordt T. Kassner; 10/14/25

Executive Personnel Changes - 10/17/25

Oasis Hospice & Palliative Care unveils scholarship program for health care, social work studentsHospice News; by Jim Parker; 10/14/25 Chicago-based Oasis Hospice & Palliative Care has launched a new initiative designed to bolster its workforce. The company’s charitable arm, the Oasis Foundation, is now offering the Pathway to Purpose Scholarship, which includes $2,500 in tuition dollars for students whose lives have been shaped by hospice or palliative care. New clinicians and other interdisciplinary group members who have had past, personal experience with hospice and palliative care can enrich hospice teams, according to Toso Mohammed Haruna, content strategist for Oasis Hospice & Palliative Care. 

Chesapeake Supportive Care and Southern Maryland House Calls partner to expand access to in-home palliative care in Calvert County Southern Maryland News Net, Chesapeake, MD; 10/16/25 Chesapeake Supportive Care (CSC), the palliative care arm of Hospice of the Chesapeake, is excited to announce a new partnership with Southern Maryland House Calls (SMHC), a trusted leader in home-based geriatric care, to enhance access to palliative care services for residents of Calvert County. ... “Southern Maryland House Calls has been an exceptional partner in caring for our shared patients,” Becky Miller, President and CEO of Hospice of the Chesapeake, said. “Together, we’re building on that relationship to help more people access the kind of care that truly improves quality of life.”

5 critical skills leaders need in the age of AI Harvard Business Review (HBR) - Generative AI; by Herminia Ibarra and Michael G. Jacobides; 10/7/25To thrive in the rapidly evolving age of generative AI, senior leaders need to recognize that success hinges less on the technology itself than on leadership and organizational transformation. In particular, they’ll need to develop five key skills: 1) cultivating AI fluency by engaging with diverse networks and fostering cross-industry conversations; 2) redesigning organizational structures to unlock AI’s value; 3) orchestrating collaborative decision-making between people and AI; 4) empowering teams through coaching and psychological safety; and 5) modeling personal experimentation with AI to inspire broader adoption. Doing so will allow them to guide their organizations through the profound changes required to realize the technology’s full potential.

The Center to Advance Palliative Care and the National Kidney Foundation make the case for the integration of palliative care into kidney disease management PR Newswire, New York; by The Center to Advance Palliative Care; 10/8/25 Despite facing high rates of distressing symptoms—including fatigue, pruritus, and pain—people living with advanced kidney disease are far less likely than those with cancer to receive appropriate pain and symptom management. And fewer than 10% of older adults receiving dialysis report having had conversations about their goals of care. These are two of the many important statistics highlighted in The Case for Palliative Care in Kidney Care, a new publication from the Center to Advance Palliative Care (CAPC) and the National Kidney Foundation (NKF), which emphasizes the critical need to integrate palliative care services into the treatment of patients with advanced kidney disease. 

The pitfalls that derail home health providers’ new palliative care efforts Home Health Care News; by Joyce Famakinwa; 10/14/25 ... Though home health-operated palliative care is a rarity, companies like Visiting Nurse Health System, Contessa Health and Compassus have managed to successfully incorporate these services into their broader care delivery model. When structuring an effective palliative care services program, there are some common pitfalls home health providers should avoid. “One of the biggest ones is positioning palliative care as early hospice,” Nikki Davis, senior vice president of palliative care programs at Contessa, said at Home Health Care News’ FUTURE conference. “And just make sure that there’s also clear eligibility and referral pathways, so that when you’re partnering with your home health and hospice teams, you have those processes in place, so that it’s very clear who’s eligible for palliative care.”

When we strive to become better than we are, everything around us becomes better too. ~ Paulo Coelho

AdventHealth saves $47.5M with redesigned nurse career ladderBecker's Clinical Leadership; by Mariah Taylor; 10/9/25 AdventHealth’s redesigned career ladder has prevented the departure of more than 700 nurses and saved the system an estimated $47.5 million in 2024. The Professional Excellence Program launched in 2022 to keep nurses at the bedside and counter the notion that they had to migrate into leadership, quality or safety roles to progress in their career. “Historically, to advance, nurses often felt they had to step away from the bedside because those roles didn’t fully recognize the specialized competencies they bring,” Trish Celano, RN, system chief nurse executive for the Altamonte Springs, Fla.-based system, told Becker’s. “The clinical ladder changes that.”