Literature Review

Humana renews challenge to downgrade of US Medicare 'star' ratings Reuters; by Daniel Wiessner; 7/21/25 Humana ... filed a new lawsuit over the U.S. government's reduction in the health insurer's star ratings for government-backed Medicare plans, after an earlier challenge was dismissed on technical grounds. Humana, in the lawsuit in Fort Worth, Texas, federal court, says the lower ratings could cause it to lose customers and potentially billions of dollars in bonus payments from the government, which would have been used to reduce premiums and increase benefits for its members. U.S. District Judge Reed O'Connor in Fort Worth dismissed those claims last week, finding Humana had failed to exhaust all of its out-of-court options to challenge the ratings. In the new lawsuit, Humana says it has in recent months exhausted an administrative appeals process, giving the insurer standing to sue. 

VNA Golf-A-Thon fundraising drivers give it their best shots Vero News, Vero Beach, FL; by Stephanie LaBaff; 7/24/25 Generosity was in full swing during the 35th annual VNA & Hospice Foundation Golf-A-Thon, held this year at the Vero Beach Country Club, where pros representing 13 local clubs spent a full day on the course playing more than 100 holes of golf. “It’s a beautiful day here at the Vero Beach Country Club, and I really want to thank everybody who participated today,” said Carol Kanarek, VNA & Hospice Foundation board chair, thanking the professional golfers, volunteers and staff of the VNA and the VBCC. “This has been a year of events for the VNA,” said Kanarek, referencing the VNA’s 50th anniversary, the 35th anniversary of the Golf-A-Thon and the 25th anniversary of the Hospice House. ... Co-chairs Nancy Edmiston and Karen Formont scored a perfect game with the assistance of their team, raising more than $484,000 in critical funding for VNA & Hospice Foundation programs and services. Editor's Note: Congratulations VNA & Hospice Foundation on this "more than $484,000" raised, and your 50th, 35th, and 25th anniversaries!

Facing new CMS pressure, providers should audit mental health diagnoses, prescriptions: expert McKnights Long-Term Care News; by Kimberly Marselas; 7/22/25 As reported in McKnight’s Long-Term Care News on July 23, “Nursing homes should be auditing documentation for all residents with mental health disorders to ensure their diagnoses are compliant with new federal guidance, a well-known clinical reimbursement recommended Tuesday. Leigh Ann Frick, president of Care Navigation Consulting, made that suggestion while reviewing updated Long-Term Care Surveyor Guidance that went into effect in late April. At over 900 pages, the new manual and appendixes have left many providers still navigating the changes and how best to respond to them. When it comes to giving antipsychotic medications, diagnosing patients with disorders that require them, or identifying and responding to any other patient needs, the guidance puts new emphasis on the use of professional standards, Frisk explained. Guest Editor’s Note, Judi Lund Person:  For nursing home residents who have elected the Medicare hospice benefit, this information may apply. Diagnosing mental health issues, prescribing, and documenting based on professional standards is an important component in the updated Long-Term Care Surveyor guidance issued in April.

A woman in hospice granted a wish of one last swim WEAU-13 News, Bloomer, WI; by Danile Gomez; 7/16/25 Often times the small things are taken for granted. Like a dip in the pool. For Barbara Melby, it was on the final list of things to do as she lives out her time in hospice care. “Barbara has been doing pretty well. She has had some fatigue and some tiredness,” said Leah Grace, the registered nurse with St. Croix Hospice assigned to Melby’s case. ... Grace worked hard to make sure Melby’s last dip in the pool would come to fruition. She cleared it with Melby, her family and the managers at the hospice center. The aquatic center helped in granting the wish too. ... “The way the chair put me in down the water was very nice,” said Melby. Of those in Melby’s family that jumped in the pool with her included Stoll and her kids Colby, Sydney and Brody. “I grew up swimming in my grandmother’s pool. ...” said Stoll. She is happy to be there for her grandmother’s last swim. “Just a pretty special memory we will all hold on to for a pretty long time.” Melby was a swim instructor, ... It was something she always loved and it made her happy to have had her wish granted.

Trump administration hands over Medicaid recipients’ personal data, including addresses, to ICE Associated Press (AP), Washington, DC; by Kimberly Kindy and Amanda Seitz; updated 7/17/25 Immigration and Customs Enforcement officials will be given access to the personal data of the nation’s 79 million Medicaid enrollees, including home addresses and ethnicities, to track down immigrants who may not be living legally in the United States, according to an agreement obtained by The Associated Press. The information will give ICE officials the ability to find “the location of aliens” across the country, says the agreement signed Monday [7/14] between the Centers for Medicare and Medicaid Services and the Department of Homeland Security. ... Such disclosures, even if not acted upon, could cause widespread alarm among people seeking emergency medical help for themselves or their children. ... The database will reveal to ICE officials the names, addresses, birth dates, ethnic and racial information, as well as Social Security numbers for all people enrolled in Medicaid. The state and federally funded program provides health care coverage program for the poorest of people, including millions of children. ... [Federal] law requires all states to offer emergency Medicaid, a temporary coverage that pays only for lifesaving services in emergency rooms to anyone, including non-U.S. citizens. Emergency Medicaid is often used by immigrants, including those who are lawfully present and those who are not.

Post-acute care faces labor shortage amid immigration scrutiny Modern Healthcare, Post-Acute Care; by Diane Eastabrook; 7/23/25 Nursing homes and home care operators are scrambling to find replacements for foreign-born workers no longer eligible to work in the U.S. due to changes in immigration policy. Providers in Boston, Atlanta and other cities with large populations of immigrants, and Haitians in particular, say the loss of foreign-born workers in an already tight job market is making it increasingly difficult to meet the growing demand for care — and will likely drive up care costs. Last month the Homeland Security Department began notifying more than 500,000 Cubans, Haitians, Nicaraguans and Venezuelans that it terminated a Biden-era program that allowed them to live and work in the U.S. It said those who have not attained legal status to remain in the U.S. outside of the program must leave immediately. Despite court challenges, the federal government also aims to end another program in early September that grants temporary protected status to Haitians and Venezuelans who have lived in the U.S. for more than a decade. [Full access might require subscription.]

Filling the gaps with the loss of Wilshire Health and Community Services NBC KSBY-6, California's Central Coast; by Dylan Foreman; 7/22/25 At the end of June, the longtime medical service provider Wilshire Health and Community Services, which offered everything from hospice and home health care to community services like counseling and transportation, closed its doors, leaving clients looking for help elsewhere. ... [Services] like home health and hospice care are being transferred over to organizations like Dignity Health Home Health and Hospice Care, getting 50% of the patients from Wilshire and sending offers out to 30% of their staff. According to Wilshire, on any given day, they could have at least 250 clients.

Great minds have purposes; others have wishes. ~ Washington Irving

[United Kingdom] The Sussex Beacon to become UK’S first LGBTQ+ hospice with HIV specialism Sussex Health & Care; Press Release; 7/18/25 In a landmark development, The Sussex Beacon has announced it is to become the UK’s only dedicated hospice for LGBTQ+ people, uniquely combining inclusive care with expertise in specialist HIV care. The Sussex Beacon is refreshing its approach to palliative and end-of-life care services, expanding its offer to the wider LGBTQ+ community, regardless of HIV status. ... Decades of experience supporting people with HIV have given The Sussex Beacon deep insight into the ongoing impact of stigma and health inequalities. National research, including Hospice UK’s report “I Just Want To Be Me”, which examines access to care for trans & gender-diverse people and insights from LGBTQ+ organisations.

Roche Bros. co-owner donates $1M to hospice care nonprofit Boston Business Journal; by Kate Keeley; 7/21/25 Rick Roche, co-owner of Roche Bros. Supermarkets, and his wife contributed a $1 million gift to NVNA and Hospice's $20 million fundraising campaign. ... The Roche family has worked with the nonprofit for more than a decade, and the organization said the family's involvement has been essential to its long-term stability. NVNA established the Pat Roche Hospice Home, the South Shore's first nonprofit hospice home, in 2013. The 12-bed care center, located in Hingham, is named after Roche's father who co-founded the family's grocery chain.

Caring for a difficult elderly parent during a transitionPsychology Today - Caregiving; "Personal Perspective" by Franne Sippel, EdD, LP; 7/21/25 I am the only child of an only child who lives in an assisted living facility thousands of miles away. I unofficially diagnosed Mom with obsessive-compulsive personality disorder after struggling for years with a relationship fraught with guilt and frustration. ... It’s difficult enough to care for a frail parent when their health is failing. However, the added OCD personality, with its micromanaging, rules, and demands, tests patience beyond compare.  ... A good friend suggested I call hospice to evaluate her. Jim, a hospice RN in his 70s, arrived and instantly assessed the situation with laser-like precision. ... I spend many months going back and forth between South Dakota and Arizona to see my mom. Hospice continues to visit her three to four times a week at the assisted living facility, and a dear family friend also visits her several times a week. ... Editor's Note: Keep reading this article to its end. The insightful, practical, sensitive care from these hospice clinicians generated life-long transformations for this burdened caregiver-daughter. 

Health systems tap into Gen Z’s most-desired benefits Becker's Hospital Review; by Kristin Kuchno; 7/14/25 Generation Z healthcare workers prioritize financial wellness and mental health support — and hospitals and health systems are responding. Given changing demographics and labor shortages, organizations across the U.S. are focused on recruiting and retaining the newest generation to enter the workforce. Gen Z employees include new college graduates and those with a few years of professional experience, with the oldest members age 28. Becker’s connected with human resources leaders from five organizations — ranging from large academic health systems to community hospitals — to learn how they are tailoring benefits to meet workforce demands. ...

You must do the thing you think you cannot do. ~ Eleanor Roosevelt