Literature Review

Memorial Hermann drops Humana Medicare AdvantageBecker's Payer Issues, by Jakob Emerson; 1/4/24Houston-based Memorial Hermann Health System is no longer in network with Humana's Medicare Advantage plans, effective Jan. 1. The 17-hospital system told Houston Public Media that it continues to participate in Humana's commercial network. Humana told the outlet that its Medicare Advantage members who are actively receiving treatment at Memorial facilities, can "continue care until treatment is completed." In November, Memorial Hermann issued termination notices after the reimbursement dispute came to an impasse. It is unclear how many people are affected by the dispute. Along with its hospitals, Memorial has 6,700 affiliated physicians across 260 care delivery sites. Humana is the country's second largest MA insurer, with 5.9 million members as of Nov. 1.

Cap rates increase by 74 basis points across all segments of senior living and careMcKnights Senior Living, by Kathleen Steele Gaivin, 1/3/24The average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. The commercial real estate services and investment company sought feedback from senior housing investors, developers, lenders and brokers throughout the United States. The survey was conducted in October, and results were released in December.

Most palliative care nurses feel unable to meet patient needsNursing Times, by Ella Devereaux; 1/4/24Junior health staff are having to make complex decisions about end-of-life care, due to a lack of out-of-hours palliative care nursing services, a new report has warned. The report, published by the Queen’s Nursing Institute and the Marie Curie Charity, has assessed how end-of-life care has changed over time and some of the issues that continue to impact the efficiency of services.

Pets can improve health outcomes for older adults living at home, overseas study findsMcKnights Home Care, by Adam Healy; 1/3/24Pet ownership may be linked to slower cognitive decline among adults aging in place, according to a recent study conducted in England. “Older adults living alone are at high risk for developing dementia,” the researchers wrote in the study published by JAMA Network Open. “Pet ownership might completely offset the association of living alone with faster rates of decline in verbal memory and verbal fluency among older adults.”Editor's Note: What happens when the senior adult becomes to ill to take care of their pet? Explore one  program, Banfield's "Peace of Mind: Keeping Pets and People Together During Hospice Care."

Terminally ill Connecticut woman ends her life on her own terms, in VermontAP US News, by Lisa Rathke; 1/4/24A Connecticut woman who pushed for expanded access to Vermont’s law that allows people who are terminally ill to receive lethal medication to end their lives died in Vermont on Thursday.

7 health tech predictions for 2024McKnights Home Care, by Patrtick Tarnowski; 1/4/24

I have no special talents. I am only passionately curious. ~Albert Einstein, 1952

Bank employees go above and beyond—Donations exceed $100,000 in 2023PRNewswire; 12/28/23Lake City, FL—First Federal Bank is pleased to announce the success of its 2023 First Federal Way campaign, which received contributions of $50,430 from employees. With the bank’s match, a total of $100,900 is being donated to local non-profit agencies who make a significant difference in their communities.

New residential end-of-life facility opens in central PAPatriot-News (Harrisburg, PA); 12/26/23Chambersburg, PA—Mercy House of Chambersburg has opened at 730 Norland Ave. in Chambersburg. Mercy House was formed last year and partners with local hospice agencies in providing care for those who need 24-hour assistance and who are unable to remain at home.

Hospice patient enjoys fishing adventureHickory Daily Record; 12/30/23Carolina Caring’s compassionate hospice and palliative care empowers patients to make the most of each day as they navigate serious illness. One patient, Barbara, has been under hospice care with Carolina Caring and has shared ... with her nurse, Kelly Avery, and social worker, Megan Elmore ... that her fondest memories were of fishing with her family on Lake Hickory. After being diagnosed with chronic obstructive pulmonary disease and chronic heart failure, Barbara’s symptoms were getting increasingly harder to manage. She went from fishing once a week to once a month, to not having fished in over two years. ... Thanks to multiple visits a week from her Carolina Caring care team, Barbara was able to build the confidence to once again cast her line and enjoy the great outdoors. ... Kelly and Megan coordinated with the Carolina Caring Volunteer and Foundation Departments to secure fishing licenses and gather together a spread of Barbara’s favorite foods at Dallas Park & Recreation ponds. For just the second time in the past year, Barbara left the house.

Rosalynn Carter’s impact on caregiversKevin MD Blog, by R. Lynn Barnett; 12/25/23... As caregivers, we are the voice for others, but we also need to be a voice for ourselves. ... I wasn’t prepared, as many people aren’t, for the fiscal and physical aspects of caregiving. ... The toll that caregiving can take is often underrated, understated, and under-appreciated. ... Rosalynn Carter was known as a “Steel Magnolia,” showing the same inner fortitude and mettle, combined with grace, of the main characters in the film of the same name. I think all of us caregivers become steel magnolias. It’s not that we deserve a medal for our actions; we just deserve a little peace.[Editor's Note, Joy Berger for Hospice and Palliative Care Today: Rosalynn Carter founded the Institute for Caregiving 35 years ago, preparing for the surge of Baby Boomers' aging and caregiving needs. Her memorable quote lives on: "There are only four kinds of people in the world--those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers." Visit www.rosalynncarter.org for more information.]

Disparities in election, access, and outcomes in Medicare end-of-life care: A national studyInnovation in Aging, by Thomas Christian, Michael Plotzke, Mariana Sarango Cancel, Catherine Hersey, and Zinnia Harrison; 12/23We examined whether end-of-life care racial disparities persist even within groups with similar geographic access and health care options. We reviewed calendar year (CY)2021 fee-for-service Medicare claims to determine if a beneficiary ever: elected hospice, had an end-of-life care conversation with their physician, and/or received advanced care planning services. ... We found no substantial racial/ethnic disparities in recorded advance care plans or end-of-life conversations.

Impact and sustainability of a palliative care education module in patients with heart failureAmerican Journal of Hospice and Palliative Medicine, by Shelley L. Thompson, DNP; Allison Lindgren, MSPAC; Jaime McDermott, DNP; Stephanie G. Barnes, MSN; Carolina D. Tennyson, DNP; Bradi Granger, PhD; 12/23Approximately 6.7 million American adults are living with heart failure (HF). Current therapies are geared toward preventing progression and managing symptoms, as there is no cure. Multiple studies have shown the benefit of including palliative care (PC) in patients with HF to improve symptoms and quality of life. Heart failure guidelines recommend the inclusion of PC in therapy, but referrals are often delayed. A previous pilot project demonstrated increased involvement of PC when targeted education was given to patients with HF. This sustainable project again demonstrated education on PC increases utilization of PC but does not statistically impact mortality, re-admissions, or transfers to higher levels of care.