Literature Review

Home care workers could be a secret to savings, value-based care Modern Healthcare; by Diane Eastabrook; 5/20/25 ... About 3.9 million workers provide personal care services, such as bathing, toileting, grooming and meal preparation to patients in their homes, according to the Labor Department. While those workers don’t typically provide medical services, they often spend more time with patients than healthcare providers and can offer valuable insight into patients' conditions, said Kristen Wheeler, executive director of home care for the National Alliance for Care at Home. “They will be the first to recognize when something has changed. These caregivers can report back and are a critical part of the healthcare team," Wheeler said. ... That can lead to faster — and less costly — care. The Labor Department estimates the U.S. will need another 800,000 home care workers over the next decade as the population ages. 

[United Kingdom] Hospice cuts staff and beds to secure its future BBC News, Yorkshire, UK; by Alex Moss; 5/23/25A hospice in Huddersfield has announced it has made 19 staff redundant and reduced the number of inpatient beds in order to save its future. The Kirkwood provides end-of-life care to about 2,000 patients each year but its chief executive Michael Crowther said it had faced a "perfect storm" of rising operational costs over the past few years. ... He said: "This has been the single hardest decision we have ever had to make." Another nine staff members have agreed to cut their hours and several others have decided to retire to help reduce the annual costs by £1.7m, the hospice added. ..."As you can imagine, this has been one of the most difficult periods in The Kirkwood's history. ..."Editor's note: Read more--directly from The Kirkwood--at "Securing Our Future Together: A New Way Forward." 

66 top hospitals for patient experience, safety: Healthgrades Becker's Hospital Review; by Mariah Taylor; 5/14/25 A total of 66 hospitals received both Healthgrades’ Outstanding Patient Experience and Patient Safety Excellence awards. Healthgrades released its 2025 Outstanding Patient Experience Award, which recognizes hospitals that provide top-quality care while ensuring a positive healthcare experience for patients. The company analyzed data from 3,059 hospitals that submitted at least 100 patient experience surveys to CMS between January and December 2023. It used 10 metrics from the Hospital Consumer Assessment of Healthcare Providers and Systems patient survey data. ... Read more about the methodology here. For patient safety, Healthgrades analyzed 14 patient safety indicators using inpatient data from the Medicare Provider Analysis and Review file and the Agency for Healthcare Research and Quality’s Patient Safety Indicators Technical Specifications and AHRQ WinQI software. Read the methodology here. ...

BrightSpring Health Services (NASDAQ:BTSG) Q1 earnings: Leading the senior health, home health & hospice pack StockStory; by Jabin Bastian; 5/22/25 The end of an earnings season can be a great time to discover new stocks and assess how companies are handling the current business environment. Let’s take a look at how BrightSpring Health Services (NASDAQ:BTSG) and the rest of the senior health, home health & hospice stocks fared in Q1. ... The 7 senior health, home health & hospice stocks we track reported a strong Q1. As a group, revenues beat analysts’ consensus estimates by 2.3%. ... 

Hospice propelling growth for publicly traded home-based care companies Hospice News; by Jim Parker; 5/23/25Hospice has emerged as a growth engine for publicly traded home-based care companies, several of which are on the hunt for acquisitions. Hospice has buoyed growth for several companies as they battle home health-related headwinds, including reimbursement pressures. Companies like VITAS Healthcare (NYSE: CHE), which only provide hospice and palliative care, also saw substantial growth. ... VITAS attributes the revenue growth to an 11.9% increase in days-of-care and a geographically weighted average Medicare reimbursement rate increase of approximately 3.2%. Hospice is also fueling growth at Addus Homecare (Nasdaq: ADUS). ... Similar trends exist for other publicly traded companies, including Aveanna Healthcare (Nasdaq: AVAH), Enhabit Inc. (NYSE: EHAB), The Pennant Group (Nasdaq: PNTG) and BrightSpring Health Services (Nasdaq: BTSG).

Primary mental health competencies for hospice and palliative medicine physicians: A Delphi studyJournal of Pain and Symptom Management; by Lisa Podgurski, Danielle Chammas, Keri O Brenner, Leah B Rosenberg, Neha G Goyal, Maria I Lapid, Sue E Morris, William F Pirl, Bridget Sumser, Benjamin W Thompson, Lindsey Wright, and Daniel Shalev; 5/20/25  Objectives: To establish and prioritize 'primary mental health competencies' for specialist hospice and palliative medicine physicians using expert consensus methods. Results: The expert panel proposed 68 competencies divided into: (A) psychological foundations of serious illness care, (B) diagnosis and management of mental health disorders in serious illness, and (C) systems-based practice. After first-round voting, 23 competencies were recirculated for a second vote. Following second-round voting, 32 competencies were included in the final list: 7 from part A, 20 from part B, and 5 from part C.

The Mentorship Model: Cultivating resilience and leadership in palliative care pharmacy Pharmacy Times; by Alana Hippensteele; 5/22/25 Key Takeaways

Disproportionate impact: Supreme Court narrows disproportionate share hospital reimbursement to Supplemental Security Income cash recipients The National Law Review; by Vinay Kohli, Matthew J. Westbrook, D. Austin Rettew; 5/23/25 The U.S. Supreme Court has issued a significant ruling affecting hospitals that serve low-income Medicare beneficiaries, narrowing the interpretation of the Disproportionate Share Hospital (“DSH”) payment formula. In Advocate Christ Medical Center v. Kennedy, the Court determined that only Medicare patients who were eligible to receive a cash Supplemental Security Income (“SSI”) payment during the month of their hospitalization may be included in the calculation for additional DSH reimbursement. This decision represents a setback for more than 200 hospitals that had advocated for a broader, more inclusive definition of SSI entitlement, potentially reducing the financial support available for treating Medicare’s poorest patients. 

Trend Report: Artificial Intelligence In Health CareHealth Affairs; 5/25/25For our first Insider trend report, we explore the ways that artificial intelligence could impact the health care landscape. The report highlights:

Tell us more: The Palliative Care Oral History Project Journal of Palliative Medicine; by Richard E. Leiter, Yilong Peng, and William E. Rosa; 5/19/25 As palliative specialists, we have a unique appreciation for the power of oral tradition—the stories of healing and suffering, challenge and accomplishment, and meaning and purpose that can be honored between us in safe and inclusive spaces. To this end, we take great pride in launching a new Journal of Palliative Medicine (JPM) podcast series, “Tell Us More: The Palliative Care Oral History Project.” Each month, we will sit down with a pivotal leader from Hospice and Palliative Care (HAPC) and do what our field does best—ask questions, listen, and reflect. Through our podcast, we’ll seek to understand the complexities and nuance behind our established practices and processes. Our interviews will be with pioneers from across HAPC’s professions and around the world. 

Experts discuss what hospice and palliative care are and how they can help ideastream public media; by Leigh Barr; 5/21/25Contemplating a life-limiting or life-changing illness or even death can be difficult topics for Americans.  Last year, USA Today conducted a survey which found about 30% of Americans surveyed found it difficult to talk about or even contemplate their own mortality. When it comes to managing serious illness or the final phase of life, surveys show that a majority of Americans say they have at least heard of hospice or palliative care but most admit they may not know a lot about either topic. We're going to talk about both to begin Wednesdays “Sound of Ideas” and try to dispel some of the myths that may surround hospice and palliative care. 

ACC issues new tool to provide guidance on using Apple Watch for heart health monitoring American College of Cardiology; ACC News Story; 5/20/25 The ACC has issued a new "Leveraging Apple Watch for Cardiovascular Care" tool, designed to provide guidance for clinicians and patients using health data collected while wearing an Apple Watch to effectively track and manage cardiovascular health. Through the tool, clinicians can establish best practices for incorporating Apple Watch data relevant to a patient's care plan, create an implementation plan for collecting and responding to data, and develop processes for working with patients to ensure they are using the watch correctly and seeking care where appropriate. The tool also advises when an Apple Watch should not be used, including clinically indicated rhythm monitoring where immediate alerts to a clinician are needed. 

Welcome to today's Special Edition, Memorial Day 2025.