Literature Review

Hospice nurse weekend visit rates, by state Becker's Hospital Review; by Elizabeth Gregerson; 3/11/26 ... CMS collects skilled nursing visit data, submitted directly by hospice providers, from Medicare hospice claims, and from the Hospice Consumer Assessment of Healthcare Providers and Systems survey, through the Hospice Quality Reporting Program. The national percentage of hospice nurse visits provided during the weekend was 9.6%. Here are the percentage of weekend skilled nursing minutes provided between Jan. 1, 2023, and Dec. 31, 2024, by state, according to CMS: ...

Nursing's moral agency cannot be outsourced to AI, study warns Medical Xpress; by University of Pennsylvania School of Nursing; 3/10/26 As artificial intelligence (AI) rapidly integrates into clinical settings—from predicting patient outcomes to deploying humanoid "robotic nurses"—an article published in the Hastings Center Report warns that the core of nursing, its moral agency, must remain a human-driven responsibility. The article, What Does Moral Agency Mean for Nurses in the Era of Artificial Intelligence?, explores the growing tension between advanced algorithmic capabilities and the ethical obligations of the world's most trusted profession. While AI systems can now simulate empathy and generate context-aware responses, Penn Nursing's Connie M. Ulrich, Ph.D., RN, FAAN, the Lillian S. Brunner Chair in Medical and Surgical Nursing, Professor of Nursing, and Professor of Medical Ethics and Health Policy, and her co-authors argue that AI lacks sentience, intentionality, and accountability. The authors define a moral agent as a person capable of discerning right from wrong and being held accountable for their actions.

Hospice fraud explodes in California after state ‘crackdown’: 742 flagged providers, $105 million overbilled, and ghost offices California Globe; by Megan Barth; 3/11/26 California investigative reporter Christian Hartsock, in collaboration with California State Assemblywoman Alexandra Macedo for the California Courier, released a breaking undercover investigation just days ago, exposing dozens of suspicious hospice and home healthcare agencies in Los Angeles. Their on-site visits revealed hundreds of companies registered to crumbling buildings with no ramps, no handicap parking, disconnected phones, and signs reading “Out to Lunch.” Hartsock’s footage highlights how over $3.5 billion in Medi-Cal fraud has been identified in Los Angeles County alone, with 31% of all U.S. hospices registered there despite only 2% of the nation’s aging seniors residing in the area. 

Aetna agrees to pay $117.7 million to resolve false claims act allegationsDOJ press release; 3/11/26Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees in order to increase its payments from Medicare.

* CEO, Hildegard House, nonprofit, Louisville, KY

[Japan] Half of hospice and palliative care unit inpatients' family members are surprised by death Journal of Palliative Medicine; by Satoko Ito, Tatsuya Morita, Masanori Mori, Isseki Maeda, Yutaka Hatano, Takashi Yamaguchi, Hiroyuki Otani, Tetsuya Yamagiwa, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, Kento Masukawa, Mitsunori Miyashita; 3/10/26 Background: Sudden unexpected death can occur even among patients with advanced cancer receiving hospice and palliative care. How bereaved families perceive this remains unclear. ... Design/setting/subjects: We analyzed longitudinally linked data from a prospective cohort of advanced cancer patients in 23 palliative care units in Japan and a nationwide survey of bereaved families. Conclusions: Compared with physicians' perspectives, bereaved family members perceive death to be sudden or unexpected more frequently and differently, and their perceptions are associated with postbereavement mental health.

VNA of Texas to take over operations of Faith Presbyterian Hospice Hospice News; by Jim Parker; 3/11/26 Faith Presbyterian Hospice, a subsidiary of the nonprofit senior housing operator Forefront Living, is transferring its patients and most of its staff to the Visiting Nurse Association of Texas (VNA). VNA is expanding its census and its footprint through a deepened partnership with Forefront, with which the organization has had a longstanding relationship. Faith Presbyterian is currently winding down its operations, allowing VNA and Forefront to focus on their own core competencies while leveraging each other’s expertise.

Why Florida’s certificate of need program works for hospice | Opinion The Florida Times-Union; by Susan Ponder-Stansel; 3/11/26 Since the introduction of hospice care in the U.S. during the 1970s, Florida has been a leader in establishing high standards for licensing of hospice organizations who provide care in our state. This includes a certificate of need program that has a competitive process that is intentional, effective and disciplined. Through a competitive batching process under the program, hospice licenses are awarded only when providers can demonstrate unmet community need and prove they have the resources, staffing, infrastructure and expertise to meet that need reliably and over time. [Full access may be limited by paywall] 

Why post-merger integration matters The Bloom Organization; 3/9/26 Most healthcare practice owners spend their time thinking about the front end of a transaction: valuation, deal structure, buyer selection, and closing. But for practice owners who will remain involved in their business after closing, whether through an employment agreement, earnout, or rollover equity, what happens after the deal closes can be just as important as the terms on the letter of intent. Post-merger integration determines whether the transition is smooth or disruptive, whether earnout targets are achievable, and whether the day-to-day experience of running your practice improves or deteriorates under new ownership.Editor's Note: Pair this with "What Actually Happens to Your Healthcare Workers After Acquisition?," which we posted on 12/22/25 and 12/28/25 (our Sunday's "Most Read" edition). It states that "47% of employees leave within the first year following an acquisition, climbing to 75% by year three."

Shanti Niketan Hospice Home Campaign reaches $3.5 million goal WGRK K-Country 105.7, Glasgow, KY; by Josh Mickinney; 3/10/26 The T.J. Community Mission Foundation (TJCMF) announced the successful completion of the $3.5 million capital campaign to build Shanti Niketan Hospice Home during a special ceremony celebrating the facility’s five-year anniversary. The campaign, titled “Love Makes This House a Home,” was launched in 2015 with the goal of creating a residential hospice facility to serve families throughout south central Kentucky. Since opening in 2021, Shanti Niketan Hospice Home has provided care and comfort for more than 275 patients and their families. “Shanti Niketan Hospice Home reflects the very best of compassionate healthcare,” said Neil Thornbury, CEO of T.J. Regional Health.

Hospice News 50: Hospice News Provider Rankings and Annual Trends Report Hospice News; 3/10/26 Second Annual Hospice News Provider Rankings and Trends Report The hospice sector continues to evolve rapidly, driven by shifting ownership structures, demographic demand and new approaches to caring for seriously ill populations. For the second annual Hospice News 50 report, we partnered with Hospice Analytics to rank the largest hospice chains by 2024 Medicare claims. Drawing on proprietary data — including Medicare payments, corporate disclosures, acquisition activity and SEC filings — the report provides a detailed view of how consolidation, investment patterns and emerging players are reshaping the industry. Explore the latest data and analysis to understand the market forces driving hospice transformation — and what they mean for providers in 2026 and beyond.

Wicker named interim CEO at Hospice & Palliative Care Index-Journal, Greenwood, SC; Press Release; 3/5/26Dr. Nancy Hart Wicker has been named Interim Chief Executive Officer at Hospice & Palliative Care of the Piedmont. “Dr. Wicker is a respected leader with a deep understanding of our mission and our community,” said Rhonda McGinnis, chair of the Board of Directors. “We are confident in her ability to guide the organization during this period and ensure continued excellence in care.” Wicker affirmed that Hospice & Palliative Care of the Piedmont’s mission, values and day-to-day operations will remain unchanged. 

Residential Home Health and Hospice acquires Covenant [Home Health in Pennsylvania] Hospice News; by Jim Parker; 3/10/26 Residential Home Health and Hospice has acquired Covenant Home Health in Pennsylvania for a confidential amount. Covenant provides home health, private duty and supportive services throughout nine counties in its home state. The transaction will bring Residential’s footprint to two new counties and add density in seven others. ... Residential provides skilled home health, palliative and hospice care in communities across Florida, Illinois, Kansas, Michigan, Missouri, Ohio and Pennsylvania.