Literature Review

MA’s cost-management tools may be hurting home healthcare quality, outcomesMcKnights Long-Term Care News, by Adam Healy; 3/5/24Medicare Advantage’s use of cost-reducing tools such as copays, prior authorizations and restricted provider networks may be preventing home healthcare providers from delivering higher-quality care, according to one home healthcare leader. 

Healthcare access dimensions and racial disparities in end-of-life care quality among ovarian cancer patients Cancer Research Communications; by Shama Karanth, Oyomoare L. Osazuwa-Peters; Lauren E. Wilson, Rebecca A. Previs, Fariha Rahman, Bin Huang, Maria Pisu, Margaret Liang, Kevin C. Ward, Maria J. Schymura, Andrew Berchuck, and Tomi F. Akinyemiju; 3/5/24 This study investigated the association between healthcare access (HCA) dimensions and racial disparities in end-of-life (EOL) care quality among Non-Hispanic Black (NHB), Non-Hispanic White (NHW), and Hispanic patients with ovarian cancer (OC).

Hospice golf tourney raises more than $130,000 Ocala Gazetter, by Bruce Ackerman; originally posted 1/30/24, redistributed 3/5/24The event raised $131,365 through the 184 participating golfers and a silent auction. At the culmination of the event, a giant check for that amount was presented to Hospice of Marion County CEO Rick Bourne by Gary and Dawn Crawford, co-owners of Pinnacle Retirement Advisors. ... The event was sponsored by Pinnacle Retirement Advisors to benefit the Nancy Renyhart Dementia Education Program.

Hospices welcome VBID’s demise, but questions remainHospice News, by Jim Parker; 3/5/24Citing “operational challenges,” the U.S. Centers for Medicare & Medicaid Services (CMS) announced [Monday] that it would bring to a close the hospice component of the value-based insurance design (VBID) demonstration, effective Dec. 31. ... Hospice News spoke with leaders of hospice organizations, industry groups and other stakeholders to gauge providers’ perceptions of the CMS decision. 

Rising suicide risk among seniors due to loneliness, mobility, financial insecurity, study finds McKnights Home Care, by Adam Healy; 3/5/24As the number of adults over 65 continues to grow, suicide rates among older adults have also been rising, according to data from the National Center for Health Statistics. Between 2008 and 2017, the share of suicide-related emergency department visits among adults 65 years and older more than doubled. These older adults face age-related stressors that can negatively affect mental health, such as declining physical health, reduced mental sharpness, or the loss of friends or loved ones, which can heighten the risk of suicide. 

Johns Hopkins study reveals medical marijuana lowers pain, hospital visits BNN, by Wojciech Zylm; 3/5/24Recent research highlights significant improvements in well-being for cannabis users, offering hope for those with chronic illnesses. The study showcases a potential shift in the perception and utilization of medical cannabis in healthcare.

Editorial: Illness trajectories in the age of big data The BMJ; by Peter Tanuseputro, Colleen Webber, and James Downar; 3/1/24For decades, healthcare providers have understood that patients follow typical trajectories of health decline as they approach the end of life, and they have used this understanding to help patients and families anticipate the dying process. Traditional trajectories focus on function or overall health status and include sudden death, terminal illness ..., organ failure ..., and frailty ... Two Education articles in the BMJ add novel dimensions to our understanding of health decline. Murray et al explain how declines in function do not always mirror declines in social, psychological, and spiritual dimensions. They also add a new trajectory, multimorbidity, to describe a person with conditions from multiple trajectories (such as heart disease from organ failure and cognitive impairment from frailty).

The top strategies healthcare organizations can use to reduce denials MedCityNews, by Laxmi Patel; 3/5/24Here are six actionable steps healthcare organizations can take to reduce their likelihood of denials and write-offs.

Veterans’ care new battleground in nursing home staffing mandate McKnights Long-Term Care News, by Kimberly Marselas; 3/5/24Two senators have introduced a bill to determine exactly what “unintended circumstances” could result for elderly veterans if a federal rule mandating staffing levels at all US nursing homes is allowed to proceed. ... The bill would require the VA to study potential risks associated with the proposed Center for Medicare and Medicaid Services rule — especially as they pertain to rural providers. The senators said the proposal would “unsustainably change staffing ratios at nursing homes.”

Home care nurse strike ends without deal Northwest Labor Press, by Mallory Gruben; 3/1/24Usually, PeaceHealth jointly bargains with the home health unit and a unit of about 1,500 hospital nurses, and all nurses are paid the same. But for this round of negotiations, PeaceHealth demanded that bargaining happen separately. Hospital nurses reached an agreement in August that raises wages 20.5% over four years. PeaceHealth’s latest offer to the home health nurses is a 14.75% raise over four years. [Erin] Grace [a nurse,] says without an equal contract for equal work, PeaceHealth will have difficulty attracting and retaining home care nurses. According to ONA, the unit has already lost a quarter of its members, and more say they plan to leave if a contract isn’t reached soon. 

Providers meet with OMB to prevent ‘devastating’ effect of 80/20 provision McKnights Home Care, by Adam Healy; 3/4/24Home care stakeholders have been busy on Capitol Hill voicing concerns about a controversial provision of the proposed Medicaid Access Rule. The National Association for Home Care & Hospice and Home Care Association of America met with the Office of Management and Budget last week to discuss the Access Rule’s so-called 80/20 provision. The provision, if finalized, would require that 80% of Medicaid payments for personal care, home health and homemaker services be spent on workers’ compensation. “If that one provision is finalized as proposed, it would be so detrimental that we’d likely lose a significant portion of our service delivery base and people would go without care,” Damon Terzaghi, NAHC’s director of Medicaid HCBS (home- and community-based services) said in an interview with McKnight’s Home Care Daily Pulse. “It would truly be devastating.”

Hospice launches Mothers Day tribute page Newrie.ie; 3/3/24Southern Area Hospice has launched an online tribute page ahead of Mother’s Day, providing a platform for individuals to remember their mothers, grandmothers, and mother figures who have passed away. Visitors to the Mother’s Day online tribute page can leave messages, share stories, and upload photographs of their loved ones. The page also allows individuals to read other dedications, fostering a sense of community and remembrance. 

Revolutionizing Elderly Care: Palliative Care's growth and integration into Value-Based ModelsBNN, by Olalekan Adigun; 3/5/24Amid the rapidly evolving landscape of healthcare, palliative care is undergoing a significant transformation, marking a new era in the management and delivery of healthcare services to the elderly. Dr. Jason Black, a seasoned family medicine practitioner with a specialized fellowship in geriatrics, is at the forefront of this change. Working for Gilchrist, a hospice and palliative care organization in Baltimore and central Maryland, Dr. Black embodies the integration of palliative care into the broader healthcare framework, emphasizing value-based care models.