Literature Review

The limits of efficiency in home health’s cost-cutting era Home Health Care News; by Morgan Gonzales; 3/24/26With reimbursement pressures, rising inflation and rampant workforce shortages, efficiency has become a top priority for many home-based care providers. But efficiency initiatives carry certain risks if not executed with precision. The home-based care industry must retain a long-range view when looking to improve efficiency, according to Zac Long, CEO of Well Care Health, a family-owned and operated home health and hospice provider. ... “What AI does is just basically pour gasoline on an existing process,” Long said. “So if that process isn’t 100% buttoned up and compliant, it can create a lot of risk when you pour gas on it. ..."

Keys to reinvigorating hospice quality Hospice News; by Holly Vossel; 3/24/26 Health care disparities across a swelling aging population are driving a need for evolutionary change in hospice quality standards. ... Staffing shortages are playing a more significant role in the push for regulation changes, Hospice Analytics CEO Cordt Kassner said. Keeping pace with rising demand and fewer staffing resources has hospices seeking creative avenues, Kassner indicated. Leveraging technology has helped some hospices to improve clinical capacity and staffing ratios. However, more regulatory change that supports expanded hospice and palliative care education and greater transparency around staffing could go a long way in quality improvement, he said. “We can create these staffing ratios, but if they aren’t publicly reported and available how helpful are they?” Kassner said in the assembly. “It makes sense that we would want the experts, the people with the most experience in this field, to be helping to craft the regulations. ..."Editor's Note: Cordt Kassner, PhD, is also the owner and publisher for Hospice & Palliative Care Today.

Palliative care should be integrated into cardiology therapy earlier, says study Medical Xpress; by Inka Väth; 3/25/26 An international group of authors has called for a shift in cardiovascular care. ... For clinical practice, the group of authors therefore recommends a stronger structural integration of palliative care content into cardiology. This includes interdisciplinary care teams, shared treatment models, and more intensive training in internal communication and symptom management. Palliative care should also be given greater consideration in medical education. ... Palliative care should be the standard in cardiology, not the exception. After all, the success of sustainable cardiology will not be measured solely by how long people live, but by how well they can live.

* CEO, Hildegard House, nonprofit, Louisville, KY

CMS clarifies hospice revocations, face-to-face encounters McKnights Home Care; by Suzy Frisch; 3/24/26 If a hospice patient is discharged from care or has their benefits revoked, they do not have to complete a waiting period to arrange for new care, according to the Centers for Medicare & Medicaid Services, which provided such clarifications earlier this month. If a hospice patient is discharged from care or has their benefits revoked, they do not have to complete a waiting period to arrange for new care, according to the Centers for Medicare & Medicaid Services, which provided such clarifications earlier this month. 

Building excellence: The journey to American Heart Association Certification Journal of Hospice & Palliative Nursing; by Fahey, Donna M. MSN, MFA, RN, AHN-BC, CHPN, CNL; 3/24/26 Heart failure patients often arrive at hospice with advanced symptoms, variable care plans, and limited coordination across settings. To address this, Samaritan Healthcare and Hospice pursued the American Heart Association Palliative/Hospice–Heart Failure Certification. The initiative required a full system redesign focused on standardizing education, documentation, care coordination, and performance measurements. This article outlines the challenges encountered ... and describes the process used to achieve certification in October 2025. 

... And they'll walk out to the bleachers, and sit in shirt-sleeves on a perfect afternoon. They'll find they have reserved seats somewhere along one of the baselines, where they sat when they were children and cheered their heroes. And they'll watch the game, and it'll be as if they'd dipped themselves in magic waters. The memories will be so thick, they'll have to brush them away from their faces. ~ from Field of Dreams, actor James Earl JonesCelebrating 2026's Opening Day of Baseball!

Medicare Advantage ‘working’ for seniors, but not for taxpayers, experts say: Penn LDI panel cites costs for enrollees alongside billions in overpayments and systemic gaming Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 3/23/26 In response to the question “Is Medicare Advantage Working?” posed in a University of Pennsylvania panel discussion, two top experts concurred that the program is “working” in one narrow but powerful sense: It delivers more appealing coverage to many seniors, especially those with modest incomes. But it is not “working” in the sense originally promised by policymakers, because it is not saving public money and has encouraged a range of payment distortions, coding games, marketing excesses, and utilization-management conflicts.

Medicare plan switching and hospice care among decedents with advanced cancer JAMA Network Open; by Xin Hu, Changchuan Jiang, Youngmin Kwon, Fangli Geng, Qinjin Fan, Kewei Sylvia Shi, Zhiyuan Zheng, Jingxuan Zhao, Joan L Warren, K Robin Yabroff, Xuesong Han; 3/2/16Importance: Hospice ... is an excluded benefit under Medicare Advantage (MA), with coverage instead provided by traditional Medicare (TM). With growing MA penetration, more beneficiaries also switch between MA and TM for financial protection and physician access considerations, although less is known about how different Medicare programs and plan switching behaviors affect EOL care for patients with advanced cancers.Conclusions and relevance: In this cohort study of Medicare decedents with advanced cancers, continuous MA enrollees were most likely to receive hospice at home, while those who switched from MA to TM more frequently received hospice care in nursing homes. Plan switching near the EOL may reflect access barriers, highlighting the importance of addressing care coordination to improve EOL care.

NPHI calls on CMS to enact temporary nationwide moratorium on new hospice provider enrollments to stop fraudulent operators National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 3/25/26 The National Partnership for Healthcare and Hospice Innovation (NPHI), representing the nation’s leading nonprofit, mission-driven, safety-net, hospice and advanced illness care providers, is calling on the Centers for Medicare & Medicaid Services (CMS) to implement a temporary, nationwide moratorium on new hospice provider enrollments in response to the continued growth of fraudulent providers exploiting the Medicare hospice benefit. In a letter sent today to CMS Administrator Dr. Mehmet Oz and Deputy Administrator Kimberly Brandt, NPHI outlines concerns regarding the unchecked expansion of fraudulent hospice providers and the impact on patients, families, and the integrity of the Medicare program.

Next Level Hospice Care receives Texas Medicaid hospice license and expands access to critical care services EIN Presswire, Houston, TX; by OAK Interactive; 3/24/26 Next Level Hospice Care is proud to announce that it has received contractual approval for a Texas Medicaid hospice license as a Home and Community Support Services Agency (HCSSA), effective February 4, 2026. This milestone approval was granted by the Texas Health and Human Services Commission (HHSC) following a rigorous and comprehensive review process.

AI is coming for admin jobs, CFOs sayBecker's Hospital Review; by Andrew Cass; 3/24/26 Artificial intelligence is expected to disproportionately affect routine, clerical and administrative roles, while having a limited near-term impact on overall employment, The Wall Street Journal reported March 24.  The Journal cited findings from a working paper recently published on the National Bureau of Economic Research website. The study, produced with economists from the Federal Reserve Banks of Atlanta and Richmond, surveyed about 750 CFOs across multiple industries between late 2025 and early 2026. Five things to know: ...

Mercy Hospice House reopens after five month hiatus Durango Herald, Durango, CO; by Elizabeth Pond; 3/21/26 The Mercy Hospice House, an end of life care wing of Mercy Hospital, officially reopened this week after a five-month-long closure, according to a Monday news release by Mercy’s owner, CommonSpirit Health. The hospital wing temporarily closed because of a change in outpatient service ownership and a required licensing review, a CommonSpirit spokesperson told The Durango Herald in November. The facility transferred leadership of outpatient services to its national entity, CommonSpirit Health at Home, on a for-profit basis in October, with inpatient ownership remaining under its original regional leadership and nonprofit model.