Literature Review
Hospice CARE Act reintroduced
03/19/26 at 03:00 AMHospice CARE Act reintroduced Hospice News; Jim Parker; 3/18/26 Rep. Linda T. Sánchez (D-Calif.) and Sen. Mark Warner (D-Va.) have re-introduced the Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act, designed to modernize the Medicare Hospice Benefit, fight fraud and expand access to care. The bill contains a blend of program integrity provisions and payment reforms intended to “strengthen” the benefit, according to the lawmakers. The bill would establish new safeguards to prevent fraudulent providers from enrolling in Medicare and bolster federal oversight of hospices. It would also change payment structures to incentivize high-quality care.
The secure leader: How attachment styles shape leadership | part one
03/19/26 at 03:00 AMThe secure leader: How attachment styles shape leadership | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Jamie Goff; 3/18/26 What if the greatest barrier to effective leadership isn’t a lack of skills—but a lack of self-awareness? What if the real challenge isn’t learning more tactics, but understanding the internal stories, beliefs, and patterns that shape how you lead every day? In Part One of this powerful conversation, Chris Comeaux sits down with Dr. Jamie Goff, executive coach and author of The Secure Leader, ... Dr. Goff challenges the traditional focus on technical leadership skills and instead shines a light on the internal mindset shifts that truly transform leaders.
Hospice of Southern Kentucky celebrates revitalization of memorial garden
03/19/26 at 03:00 AMHospice of Southern Kentucky celebrates revitalization of memorial garden ABC 13 - WBKO News, Bowling Green, KY; by Avery Catalano; 3/18/26 Hospice of Southern Kentucky is celebrating the revitalization of the Geri Buchanon Smith Memorial Garden on its Bowling Green campus. The garden honors the late wife of longtime board member Dr. David Smith. The couple shared a deep love of gardening, and hospice leaders said the space is meant to reflect that.
LLUH and Kara Health form joint venture to launch Loma Linda University Hospice
03/19/26 at 03:00 AMLLUH and Kara Health form joint venture to launch Loma Linda University Hospice Public; Press Release; 3/17/26 Loma Linda University Health (LLUH) and Kara Health are partnering to expand access to hospice services for patients and families across the Inland Empire. LLUH, a leader in clinical care and education, and Kara Health, a technology-enabled post-acute care organization, today announced the formation of a new joint venture: Loma Linda University Hospice. The collaboration combines LLUH's clinical expertise and longstanding community presence with Kara Health's hospice infrastructure and technology platform.
Most newly enrolled California hospice agencies flagged for fraud, CMS says
03/19/26 at 02:00 AMMost newly enrolled California hospice agencies flagged for fraud, CMS says Washington Examiner; by Mia Cathell; 3/18/26 A top official at the Centers for Medicare & Medicaid Services informed Congress on Tuesday that federal investigators have stripped billing privileges from three-fifths of newly enrolled hospice agencies that have continued to pop up in California, a state long riddled with healthcare fraud. Of the remaining California-based hospice service providers that emerged over the past six months, 35% were flagged for corrective action, Kimberly Brandt, the chief operating officer of CMS, told the House Energy and Commerce Subcommittee on Oversight and Investigations.
Akron-area teen remembered for facing cancer with grace, laughter
03/19/26 at 02:00 AMAkron-area teen remembered for facing cancer with grace, laughter Akron Beacon Journal, Akron, OH; by Ralph N. Paulk and Marilyn Miller Paulk; 3/18/26 Darren Hampton smiled and laughed almost incessantly. ... His family reminisced how he fought an agonizing battle with grace and a seemingly habitual smile long after he was diagnosed with cancer in 2016 at age 7. ... Darren wasn’t afraid to die,” Hampton said. “He understood what was going on.” ... Then, shortly after arriving at the hospice center, he asked Abood, “Are you telling me I don’t have to go to school?” Yet, he expressed a willingness to take his state tests. “He was always concerned about his schoolwork,” ... "(Darren) was full of energy and always positive. He wanted to step in and change the world. He talked about recycling in rivers and lakes.” ... On the day he died, Darren summoned his family. ...
CMS implements enhanced oversight for MAC MBI lookup tools
03/18/26 at 03:00 AMCMS implements enhanced oversight for MAC MBI lookup tools Hospice News; by Jim Parker; 3/17/26 ... In response to a rise in these fraudulent activities, CMS has strengthened oversight of Medicare Administrative Contractor (MAC) MBI lookup tools. The agency now monitors MBI searches against submitted claims using National Provider Identifiers (NPIs). Access to these tools may be revoked if providers conduct a high volume of lookups without submitting corresponding claims. This move by CMS is likely an important step in combatting fraud, according to Sheila Clark, president and CEO of the California Hospice and Palliative Care Association (CHAPCA).
Hospital workers are revealing the heartbreaking regrets patients had on their deathbeds, and I'm at a loss for words
03/18/26 at 03:00 AMHospital workers are revealing the heartbreaking regrets patients had on their deathbeds, and I'm at a loss for words BuzzFeed Staff; by Liz Richardson; 3/16/26 You may have heard about people's last words, but if there's anything even more haunting, it's the regrets they have on their deathbed. And, as you can imagine, those who work closely with dying patients have heard some unforgettable final regrets that stick with them for years. ... Several users shared the striking and heartbreaking regrets their patients shared, and wowww, it will hit you hard. Here's what they had to say: ... Editor's Note: This article reflects a more popularized perspective than we typically feature, but it raises themes that are deeply familiar in serious illness and end-of-life care. Hospice and palliative care teams are trained to meet these moments with presence, skilled communication, and interdisciplinary support—helping patients and families explore reflection, meaning, and connection in ways that extend far beyond the headlines.
Antibiotics in hospice: Applying the four-quadrant approach to improve patient-centered care
03/18/26 at 03:00 AMAntibiotics in hospice: Applying the four-quadrant approach to improve patient-centered care Oxford Academic | Clinical Infectious Diseases; by Patrick D. Crowley, Karen M. Meagher, Amelia K. Barwise; 3/5/26The use of antibiotics in the hospice setting is complicated by differing patient goals, elevated side effects, and limited information regarding effectiveness. Here, we describe a case and apply the four-quadrant approach (4QA). This includes analyzing the case through the lenses of (1) medical indications related to improving function and reducing symptoms; (2) patient preferences ...; (3) quality-of-life factors that include managing infectious symptoms versus antibiotic side effects; and (4) contextual features, which include antimicrobial resistance concerns and cost considerations. Antibiotics may be beneficial in some cases and should not be denied to patients enrolled in hospice care. More robust evidence-based information about outcomes is needed to inform discussions at the time of enrollment. Applying the 4QA to a case can help determine the best approach for each individual patient.
Metro East hospice aide caring for her own son with rare terminal disorder
03/18/26 at 03:00 AMMetro East hospice aide caring for her own son with rare terminal disorder First Alert 4, Collinsville, IL; by Jeffrey Bullard; 3/13/26 A Collinsville mother has worked as a hospice care aide for more than 13 years, and soon she will be placing her son in that care. “She is the best,” said Brenda McGarvey of Amber Mers, her coworker at Unity Hospice Care. “If you didn’t know Amber personally, you would never know what she is going through,” explained Beverly Lee. Amber is facing a mother’s worst nightmare. Her son Emil is dying.
HCA’s CEO-to-worker pay ratio widens in 2025
03/18/26 at 03:00 AMHCA’s CEO-to-worker pay ratio widens in 2025 Becker's Hospital Review; by Andrew Cass; 3/16/26 Nashville, Tenn.-based HCA Healthcare CEO Sam Hazen was paid 420 times more than the health system’s median employee in 2025, according to a March 13 proxy statement filed with the Securities and Exchange Commission. Mr. Hazen’s total compensation was $26,456,606 in 2025. The total compensation of HCA’s median compensated employee was $62,955. The ratio of these amounts was 420:1.
Spotlight On: Linda Ward, President & CEO, Gulfside Healthcare Services
03/18/26 at 03:00 AMSpotlight On: Linda Ward, President & CEO, Gulfside Healthcare Services Capital Analytics Associates (CAA); 3/16/26 Linda Ward, president and CEO of Gulfside Healthcare Services, sat down with Invest: to discuss the organization’s strategic expansion across Tampa Bay, its commitment to underserved communities, and the evolving regulatory landscape shaping post-acute care. Key points:
If you don't get out of the box you've been raised in, you won't understand ...
03/18/26 at 03:00 AMIf you don't get out of the box you've been raised in, you won't understand how much bigger the world is. ~ Angelina Jolie
Alzheimer’s definitions, biomarkers, and antibodies: Halima Amjad, Barak Gaster, and Heather Whitson
03/18/26 at 03:00 AMAlzheimer’s definitions, biomarkers, and antibodies: Halima Amjad, Barak Gaster, and Heather WhitsonGeriPAL podcast; by Alex Smith, Eric Widera, Halima Amjad, Barak Gaster, Heather Whitson; 3/12/26It’s an era of breakthroughs in Alzheimer’s research, yet for many clinicians, it’s also a time of profound uncertainty. We are currently navigating competing definitions of the disease, multiple new biomarkers coming on market seemingly every week, and the clinical rollout of new amyloid antibodies. How do we translate this rapid-fire science into daily practice? On this week’s GeriPal podcast... we dive deep into:
Community built it. Corporate changed it.
03/18/26 at 03:00 AMCommunity built it. Corporate changed it. The Durango Herald, Durango, CO; by Myriam Palmer; 3/13/26 Durango Herald reporters have been informing us about the changes in palliative and hospice care at Mercy Hospital CommonSpirit. In November, we learned that Mercy Hospice House would be temporarily closed to realign with the CommonSpirit model. It is notable that the construction of Mercy Hospice House was fully funded by community contributions. Years of soliciting donations from the entire community resulted in great pride when it began receiving patients in 2017. In the months since we learned that Hospice House was temporarily closed, we said farewell to the director of hospice services at Mercy. The most recent comprehensive article (Herald, March 1), attempted to explain the new for-profit model of outpatient palliative care at Mercy.
Facing death as a doctor: Knowledge vs nature
03/18/26 at 03:00 AMFacing death as a doctor: Knowledge vs natureMedscape; by Sarah Amandolare; 3/12/26 The decision to enroll her father in hospice care came easily for Janet Abrahm, MD. Abrahm, a palliative care doctor and former oncologist, helped her father — an internist who died of prostate cancer at home — understand the program’s benefits, such as family bereavement services, and that he could be readmitted to the hospital if needed. “Most doctors don’t know that,” said Abrahm, who is also a professor of medicine at Harvard Medical School in Boston and the author of Comprehensive Guide to Supportive and Palliative Care for Patients with Cancer. “They think it’s a one-way street, I imagine — that you put somebody in hospice and then that’s it. ... The level of engagement physicians have with death in their practice may inform how they want to die — and how they counsel loved ones facing a serious illness. But a new study suggests even as they face end-of-life decisions through the lens of their expertise, physicians can also be swayed by the same financial, familial, and existential burdens afflicting their patients.
Will Scotland be the first [in the UK] to legalise assisted dying?
03/18/26 at 03:00 AMWill Scotland be the first [in the UK] to legalise assisted dying? BBC News; by James Cook, Scotland editor; 3/16/26 For more than a year, Scottish politicians have been grappling with matters of life and death as they debated one of the most contested bills in the history of devolution. Tuesday's (3/10) final Scottish Parliament vote on the Assisted Dying for Terminally Ill Adults (Scotland) Bill is seen as too close to call. But, if it passes, Scotland could become the first nation in the UK to legalise assisted dying. ... Critics of the bill have called it dangerous and say MSPs should focus instead on improving end-of-life care. ... [Supporters of the bill have] said the result was a "bulletproof" bill which amounted to "the toughest and most comprehensively-safeguarded" such legislation in the world.
[Portugal] Impact of Artificial Intelligence on the care of terminally ill patients
03/18/26 at 03:00 AM[Portugal] Impact of Artificial Intelligence on the care of terminally ill patients Healthcare (Basel); by Florbela Gonçalves, Margarida Gaudencio, Sofia B Nunes, Francisca Rego, Rui Nunes; 2/27/26 Conclusions: AI-based technologies hold significant potential to address contemporary challenges in PC, including inequitable access, workforce strain, and the need for more efficient service delivery. Nevertheless, their implementation raises substantial ethical concerns related to autonomy, transparency, data governance, and the preservation of human dignity. AI should therefore be understood as a complementary tool that supports-but does not replace-the human dimension of PC.
Now open: VITAS Healthcare inpatient hospice care at Oak Manor
03/17/26 at 03:15 AMNow open: VITAS Healthcare inpatient hospice care at Oak Manor PR Newswire, Largo, FL; by VITAS Healthcare; 3/16/26 Residents in Pinellas County now have improved access to high-quality, compassionate end-of-life care with the opening of VITAS Healthcare inpatient care at Oak Manor in Largo. As the first VITAS inpatient center in the region, the facility strengthens the continuum of care for people facing terminal illness by providing around-the-clock clinical support in a comfortable, supportive environment. The center features 12 private patient rooms designed to offer comfort, dignity and support for patients and families. The facility ... is expected to care for more than 400 patients and their families each year.
Unilateral DNR? Gina Piscitello, Erin DeMartino, Will Parker
03/17/26 at 03:00 AMUnilateral DNR? Gina Piscitello, Erin DeMartino, Will ParkerGeriPAL podcast; by Alex Smith, Eric Widera, Gina Piscitello, Erin DeMartino, Will Parker; 2/19/26Do you think your hospital should allow unilateral DNR orders? Under what circumstances? Through what process? Do you think that when you obtain the assent of a family to not code their loved one, that assent DNR should be counted as a unilateral DNR order? Should we document unilateral DNR and the rationale? Why for DNR, when we don’t document unilateral dialysis not offered, or unilateral no ECMO offered? Is the assent of a family member to a statement that we will not code their loved one a nudge, and is the assent approach ethical? Reasonable people will disagree, as we do on this podcast.
Alliance concerned by MedPAC’s misguided 2026 home health and hospice payment recommendations
03/17/26 at 03:00 AMAlliance concerned by MedPAC’s misguided 2026 home health and hospice payment recommendations National Alliance for Care at Home, Alexandira, VA and Washington, DC; Press Release; 3/13/26The National Alliance for Care at Home (the Alliance) is deeply concerned by the Medicare Payment Advisory Commission’s (MedPAC) March 2026 Report to Congress: Medicare Payment Policy. MedPAC’s congressionally mandated report provides analysis and recommendations on various Medicare programs, including home health and hospice. The Commission’s findings focus on payment adequacy, access to care, quality, financial performance, and projections for 2026 and beyond. The Alliance previously expressed concern in response to MedPAC’s vote in January 2026.
Top o' the mornin' to ya! May your ...
03/17/26 at 03:00 AMTop o' the mornin' to ya! May your coffee be strong and your day be lucky! ~ Happy St. Patrick's Day from Hospice & Palliative Care Today
Drew Brees visit delights Saints fan living final days in hospice care in Southern California
03/17/26 at 03:00 AMDrew Brees visit delights Saints fan living final days in hospice care in Southern California Fox 8, New Orleans; by Ken Daley; 3/14/26 Hall of Fame quarterback Drew Brees this week paid a surprise visit to a devoted Saints fan living out his final days at a hospice care facility in Southern California. According to social media posts from the Southern California Hospice Foundation, a 48-year-old man identified as Eddie likely has 1-2 weeks to live after being diagnosed with a terminal brain tumor and undergoing four surgeries in the past month that were unable to improve his prognosis. The initial post last Tuesday said Eddie had been transferred to the Heavenly Home hospice in Mission Viejo, an Orange County community between Los Angeles and San Diego. It said Eddie was originally from New Orleans, has always been a devoted fan of the Saints, and especially admired Brees. The post said one of his final wishes was simply to meet an NFL player.
