Literature Review



RN median hourly pay, by state

08/26/25 at 03:05 AM

RN median hourly pay, by stateBecker's Hospital Review; by Kelly Gooch; 8/19/25Median hourly base pay for registered nurses varies across states, with RNs in California earning the most, according to SullivanCotter’s “2025 Health Care Staff Compensation Survey Report.” The survey, released in July, covers nearly 2.5 million healthcare employees across over 2,660 participating organizations, including more than 800,000 individual RNs, licensed practical nurses and nursing managers. Here is the median per-hour base pay for RNs, by state, according to survey data shared with Becker’s [see article for all states]:

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Nonprofit hospital CEO, employee pay gap widens: Study

08/26/25 at 03:00 AM

Nonprofit hospital CEO, employee pay gap widens: StudyBecker's Hospital Review; by Kelly Gooch; 8/20/25The wage gap between CEOs and average employees at U.S. nonprofit hospitals widened from 2009 to 2023, according to a study published this month in Health Affairs. Researchers from the University of Chicago, Brown University in Providence, R.I., and Rand Corp. used IRS Form 990 and Medicare cost reports to examine data from 1,424 nonprofit hospitals. They found hospital CEOs earned about 10.2 times the average wage of hospital employees in 2009. By 2023, that ratio had risen to 12 times the average wage — a 17.6% increase. Between 2009 and 2023, average CEO pay rose by 27.5% and top executive pay by 23.1%, while the average wage for all hospital employees (executives included) rose just 9.8%. Inflation-adjusted average annual CEO pay rose from about $814,000 in 2009 to $1.04 million in 2023.Publisher's note: What is the CEO / Employee pay gap in your organization?

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States with the most, fewest licensed nurses

08/26/25 at 03:00 AM

States with the most, fewest licensed nursesBecker's Clinical Leadership; by Mariah Taylor; 8/13/25The National Council of State Boards of Nursing found Washington, D.C., has the most licensed nurses per capita, while Utah is the state with the fewest... The data found Wyoming and Vermont had the fewest licensed nurses in their states overall, at 9,440 and 12,957, respectively. Meanwhile, California and Texas had the most licensed nurses at 578,043 and 526,812, respectively. Becker’s used 2024 Census data to calculate how many nurses are in each state per 100,000 population. Here are [states] with the most and fewest nurses:Most [licensed RNs per 100,000 population]

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UnitedHealth, Elevance scaling back ACA offerings in Colorado

08/26/25 at 03:00 AM

UnitedHealth, Elevance scaling back ACA offerings in Colorado Becker's Payer Issues; by Andrew Cass; 8/21/25UnitedHealth’s Rocky Mountain HMO and Elevance’s Anthem HMO Colorado have filed plans to end coverage for multiple health plans in the individual market for the state. The decisions are projected to affect 96,000 Coloradans, the Colorado Division of Insurance said in an Aug. 20 news release. All counties will continue to have plans available in the individual market despite the discontinuation notices.

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Lessons from U.S. Army Special Ops on becoming a leader

08/26/25 at 03:00 AM

Lessons from U.S. Army Special Ops on becoming a leaderHarvard Business Review; by Angus Fletcher; 8/19/25In today’s volatile and uncertain world, leadership skills have become more crucial than ever, yet many organizations struggle to train their managers to lead effectively. But experiential learning and failure-based training, as practiced by U.S. Army Special Operations, can transform managers into leaders who excel in high-pressure situations. By focusing on initiative, emotional confidence, imagination, and strategic vision, the Special Ops curriculum offers a unique and effective approach to leadership development that can be adapted to various industries and organizational contexts. This method has shown remarkable success in both military and business settings, making it a valuable resource for companies looking to cultivate strong leaders in times of uncertainty.

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Hospice AI - Compare Medicare Advantage to Traditional Medicare

08/26/25 at 03:00 AM

Hospice AI - Compare Medicare Advantage to Traditional MedicareHospice & Palliative Care Today staff; 8/24/25Today we asked ChatGPT two questions. It created a 3-page detailed summary that included:

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How to choose the right assisted living facility for your aging loved one

08/26/25 at 03:00 AM

How to choose the right assisted living facility for your aging loved one Mediafeed.org; by Rebecca Schier-Akamelu; 8/19/25 When you tour assisted living facilities, you’ll have the opportunity to speak directly with staff members and, when appropriate, even residents. Asking questions about pricing, amenities, caregivers, the types of care provided, and community culture will help you and your loved one compare when it’s time to choose the best facility. Key questions to find the right fit: ... 

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Cambia, BCBS North Dakota announce strategic affiliation

08/26/25 at 03:00 AM

Cambia, BCBS North Dakota announce strategic affiliationBecker's Payer Issues, by Jakob Emerson; 8/21/25Cambia Health Solutions and Blue Cross Blue Shield of North Dakota plan to enter a strategic affiliation that would bring the Fargo-based insurer under Cambia’s management while maintaining its local governance and mutual status. The agreement would integrate BCBSND into Portland, Ore.-based Cambia, alongside its Regence Blues plans in Idaho, Oregon, Utah and Washington, according to an Aug. 21 news release. Cambia will assume responsibility for operations, including claims, IT, financial reporting and plan performance. BCBSND employees will become Cambia employees, though the health plan will keep its local name, board of directors and foundation. Its reserves and philanthropic resources will also remain in North Dakota.

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Job Board 8/26/25

08/26/25 at 03:00 AM

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Today's Encouragement - Snoopy

08/26/25 at 03:00 AM

Charlie Brown: Some day, we will all die, Snoopy.Snoopy: True, but on all the other days, we will not.

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PEOPLE's 100 Companies that Care in 2025

08/26/25 at 03:00 AM

PEOPLE's 100 Companies that Care in 2025 People; by Brendan Le; 8/20/25 In collaboration with Great Place to Work, a global authority on workplace culture, PEOPLE surveyed companies across the U.S. to find the businesses that best demonstrate outstanding respect, care and concern for their employees, communities and the environment. The ninth annual list is based on 1.3 million responses and data from companies representing over 8.4 million employees. 

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NPHI applauds California’s statewide campaign to combat hospice fraud

08/26/25 at 03:00 AM

NPHI applauds California’s statewide campaign to combat hospice fraud ehospice; 8/21/25Momentum grows nationally to protect patients and preserve high-quality hospice care – The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit hospice and palliative care providers, applauds California Attorney General Rob Bonta for launching a comprehensive statewide campaign to combat hospice fraud. This campaign includes public service announcements, community outreach events, and a new reporting hotline designed to educate consumers about hospice fraud. It comes amid a broader national effort by the Centers for Medicare & Medicaid Services (CMS) to strengthen hospice program integrity and crack down on fraudulent providers across the country, with heightened focus on fraud-prone states such as California, Nevada, Arizona, and Texas.Notable mentions: Statement from Tom Koutsoumpas.

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By the Bay Health launches new scholarship in memoriam of Marin County healthcare visionary Pat Kendall

08/25/25 at 03:10 AM

By the Bay Health launches new scholarship in memoriam of Marin County healthcare visionary Pat KendallBy the Bay Health press release; by Caroline Kawashima; 8/21/25By the Bay Health, the largest independent nonprofit hospice, palliative care, and home health provider in Northern California, today announced a new scholarship in memoriam of Marin County healthcare advocate and visionary Pat Kendall. The By the Bay Health Pat Kendall Memorial Nursing Scholarship provides financial assistance to Bachelor of Science Nursing students who demonstrate financial need and have an interest in pursuing a career in home-based care in the Bay Area... Through the generosity of By the Bay Health donors, a $50,000 scholarship will be awarded this year to two Dominican University of California students in the B.S. Nursing program enrolled in the 2025-2026 and 2026-2027 academic years. Each scholarship awardee will receive $12,500 per year for the 3rd and 4th years of the B.S. in Nursing program and an exclusive recruitment opportunity with By the Bay Health in the Spring semester of their fourth year. [Press release here.]

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Make every dollar count: Budget strategies you can implement

08/25/25 at 03:05 AM

Make every dollar count: Budget strategies you can implementCHAP blog; by Daniel Stephens, Jan Sweat; 8/22/25Every leader knows the feeling. Budget season rolls around, and suddenly you’re staring at spreadsheets, deadlines, and targets that don’t always add up to reality. Too often, the process becomes about filling in boxes instead of creating a plan that actually drives growth. But a budget isn’t just numbers, it’s your strategy in action. When approached the right way, it forces you to step back and ask: Where have we been? Where are we today? And where do we want to go? That’s where budgeting shifts from wishful thinking to purposeful planning.

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How Ochsner Health integrated palliative care training into its medical school curriculum

08/25/25 at 03:05 AM

How Ochsner Health integrated palliative care training into its medical school curriculumCAPC blog; by Thomas Morel, Susan Nelson, Elizabeth Monies, Sarah Jin Lee; 8/14/25Making the case for palliative care in undergraduate medical education—and practical advice for getting started. We always begin our palliative care lecture for fourth-year medical students with a loss exercise... "This experience underscores the reality that anyone can become seriously ill, and everyone deserves access to the benefits of palliative care." Medical schools have a unique opportunity—and responsibility—to teach foundational palliative care principles. The need is clear: research shows increasing demand for quality palliative care education. Yet in the U.S, medical schools vary widely in how—or whether—they include it in their curricula.

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HHS launches committee to shape Medicare, Medicaid

08/25/25 at 03:00 AM

HHS launches committee to shape Medicare, MedicaidBecker's Payer Issues; by Andrew Cass; 8/22/25HHS and CMS are establishing a panel of experts tasked with providing recommendations on how to “improve how care is financed and delivered” across Medicare, Medicaid, the Children’s Health Insurance Program and the ACA’s exchanges... “This committee will help us cut waste, reduce paperwork, expand preventive care, and modernize CMS programs with real-time data and accountability, all while keeping patients at the center,” Dr. Oz said in the release.Publisher's note: Click here for additional information or to apply to particiate on this Technical Expert Panel.

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JUST UPDATED! HOPE Assessment Tool – CMS Question and Answer Repository

08/25/25 at 03:00 AM

JUST UPDATED! HOPE Assessment Tool – CMS Question and Answer RepositoryCHAP press release; 8/21/25CMS posted a HOPE Implementation Frequently Asked Questions (FAQs) course in August 2025. The FAQs cover important topics about the transition from the HIS to the HOPE tool, updated reporting requirements, and what providers should prepare for. Access the FAQ course. The following Questions and Answers about the HOPE Assessment tool come from CMS postings on the Hospice Quality Reporting Program (HQRP) Website. CHAP has gathered them in one place and organized them by topic for your convenience. Read Q&As.

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Job Board 8/25/25

08/25/25 at 03:00 AM

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Medicare still matters

08/25/25 at 03:00 AM

Medicare still mattersHealth Affairs; by Marilyn Moon; 8/1/25In July 1965, Medicare and Medicaid were signed into law to provide basic health insurance for vulnerable populations. Over the past six decades, these two programs have transformed the US health care landscape, providing affordable coverage and access to care for tens of millions of Americans. To mark this milestone, the Forefront editors invited several Medicare and Medicaid experts to share their thoughts on where these programs began, how they’ve changed, and what may lie ahead. [Interesting article, including:]

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Why more doctors can't make ends meet

08/25/25 at 03:00 AM

Why more doctors can't make ends meetAxios; by Tina Reed; 8/12/25America's doctors are working harder and getting paid less. And that could soon translate into less access for some patients. The big picture: A new report from consultancy Kaufman Hall shows primary care physicians and specialists are delivering more services since the pandemic. But they're not making more money because of stagnant reimbursements from public and private insurers and inflation. The data helps explain why medical practice bankruptcies hit a six-year high last year — and why some providers are shifting to pricey procedures for cash-paying customers to boost their bottom lines.

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Switching your mentality from...

08/25/25 at 03:00 AM

Switching your mentality from "why is this happening to me?" to "what is this trying to teach me?" is a game changer. ~Tips that change your life

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CMMI’s new strategic direction: Three priorities for success

08/25/25 at 03:00 AM

CMMI’s new strategic direction: Three priorities for successHealth Affairs; by Joshua M. Liao; 8/18/25The Center for Medicare and Medicaid Innovation (CMMI) recently released a new strategy to “Make America Healthy Again.” Broadly, this direction seeks to emphasize prevention, patient engagement, and empowering people to achieve their health goals. [These goals include:]

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Sick doctors: Don’t be the kind of patient you hate

08/25/25 at 03:00 AM

Sick doctors: Don’t be the kind of patient you hateMedscape; by Eric Spitznagel; 8/18/25On a frigid November night in 2018, Michelle Sullivan came home from dinner with friends, took the dog out, and suddenly felt something off. “I walked outside, and I could feel my heart go into an odd rhythm,” says Sullivan, an osteopath from southern Illinois whose husband, Bill, is an emergency physician... “I said, ‘I don’t think I have time for an EKG. Something’s really wrong.’” When they hit the ER doors, her heart rate was 180. “I said, ‘I don’t know if I’m going to make it. I feel like I’m going to die right here,’” Sullivan recalls. “They hooked me up, and I said, ‘It’s AFib [atrial fibrillation], isn’t it?’ Yeah. It was AFib.” And then…nothing. No one came in. No crash cart, no orders - and this was her hospital. “Finally, Bill runs out into the hallway and says, ‘I’m sorry, can somebody please get in here?’”Publisher's note: This is part of a Medscape series titled "Dr. Patient" describing what it's like when healthcare professionals become patients. From a hospice perspective, does your hospice provide the quality of care you would want for yourself or a loved one?

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Supreme Court narrowly OKs NIH cuts

08/25/25 at 03:00 AM

Supreme Court narrowly OKs NIH cutsBecker's Hospital Review; by Madeline Ashley; 8/22/25On Aug. 22, the U.S. Supreme Court allowed the Trump administration to move forward with broad cuts to National Institutes of Health grants connected to diversity, equity and inclusion policies, while leaving unresolved whether the policy itself was lawfully enacted, NBC News reported Aug. 21.Publisher's note: Some of our providers and researchers may be connected to some of these NIH grants...

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American Academy of Hospice and Palliative Medicine Announces Pierre M. Désy, MPH, CAE, as New Chief Executive Officer

08/25/25 at 03:00 AM

American Academy of Hospice and Palliative Medicine Announces Pierre M. Désy, MPH, CAE, as New Chief Executive OfficerIn late July, Pierre Désy, MPH, CAE became the new CEO of the American Academy of Hospice and Palliative Medicine. Désy recently served as CEO of the Society of Gynecologic Oncology (SGO) and the Foundation for Women's Cancer (FWC), where he led the development and implementation of strategic plans, revised bylaws, improved governance models, and advanced diversity and inclusion initiatives. Désy previously held executive leadership roles with the International Association of Oral and Maxillofacial Surgeons (IAOMS) and the Emergency Nurses Association (ENA). He has also served as a management consultant and coach, supporting healthcare associations and professionals in improving performance and achieving excellence. Désy said, "I am particularly energized to be part of an organization where I can bring together my public health background and decades of association management experience, and work alongside a team that shares my passion for building partnerships, advancing health equity, and supporting interdisciplinary collaboration to expand access to quality care. I am impressed by the work that has been accomplished by the Academy and look forward to working together to further its mission."Guest Editor Note, Ira Byock, MD: Mr. Désy’s public health background and substantial experience in executive roles of national specialty groups positions him well to lead AAHPM during this turbulent period in American healthcare. Hopefully, with his guidance the Academy will find ways to respond to the variability in access to and quality of hospice and palliative services and the widespread persistence of unmet needs among seriously ill and dying Americans.

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