Literature Review

Home health & hospice M&A in 2026: how AI is changing diligence and deal execution JD Supra; by Arnall Golden Gregory, LLP; 6/11/26 Home health and hospice buyers are processing substantially more information during diligence than in prior transaction cycles, particularly in transactions involving multi-location platforms, complex reimbursement profiles, or accelerated growth.Key Takeaways:

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

Celebration of Compassion raises over $100,000 for Hosparus Health Hospice Care Center Hosparus Health, Louisville, KY; Press Release; 6/11/26 Hosparus Health, one of the region’s leading nonprofit providers of hospice and palliative care, hosted its fourth annual Celebration of Compassion on Friday, June 5, at the Kentucky Derby Museum. The inspiring evening, presented by Republic Bank Foundation, honored outstanding caregivers, donors, and community partners, and raised over $100,000 in support of a bold vision: building the region’s first standalone Hospice Care Center – a facility now under construction after breaking ground last fall. ... Becky Tooker, President of Hosparus Health said, “Because of this community, the vision for the Hospice Care Center has progressed from promise to reality—construction is underway, and we look ahead to opening in 2027.” 

1776-1786: 250 Years - A History of CareHospice & Palliative Care Today; by Joy Berger; for 6/10/26Continental Congress, Declaration of Independence, July 4, 1776

LA County fraud: Why hospice care became the new target Film Daily; by Simone Barbon; 6/3/26 Los Angeles County has become the focal point of multiple federal, state, and local actions against hospice fraud schemes that target Medicare and Medi-Cal. The concentration of facilities, unusual billing patterns, and recent arrests explain why regulators treat the county as ground zero. ... Data shows unusual density. Records reviewed by CBS News found roughly 1,800 hospices operating in Los Angeles County. More than 700 of them triggered multiple state fraud indicators. One stretch of Victory Boulevard contained nearly 500 hospices within three miles, and a single building listed 89 separate companies. Typical facilities in the county billed Medicare about $29,000 per patient. The national average sits at $13,200. That gap prompted auditors to flag the region years before arrests began.Editor's Note: This article describes complex factors of the hospice fraud crisis with clarity for the general public.

Dr. Joan Teno exposes the hidden problems with hospice ratings and quality scores | part two Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Dr. Joan Teno; 6/3/26 Hospice quality ratings play a critical role in helping patients and families make informed care decisions—but are they telling the whole story? In Part Two of this compelling conversation, Dr. Joan Teno continues her deep dive into the challenges surrounding hospice quality measurement, transparency, and consumer choice.  Building on the foundation established in Part One, she explores how healthcare leaders can better leverage existing data to help patients and families identify high-quality hospice providers while avoiding misleading or incomplete information.  Dr. Teno also shares her vision for a future where technology, data analytics, and artificial intelligence empower consumers to make more informed decisions during some of life’s most difficult moments.

When the storm hits: how hospice providers help protect Florida’s most vulnerable patients South Florida Hospital News and Healthcare Report; by Kathleen Coronado; 6/1/26 In South Florida, hurricane preparedness is a part of life. Hospitals activate emergency operations centers, nursing homes review evacuation plans, and families rush to gather supplies before a storm makes landfall. For hospice providers, preparedness carries an additional layer of responsibility. Patients receiving end-of-life care are among the most medically vulnerable members of our communities. Many rely on oxygen, medications, specialized equipment or around-the-clock support that cannot simply pause when severe weather arrives. At VITAS Healthcare, hurricane preparedness is not a seasonal checklist. It is a year-round operational priority designed to ensure continuity of compassionate care before, during and after a disaster.

Los Angeles County Fraud Hotline LACounty.gov | Department of Auditor-Controller, Office of County Investigations; 6/8/26 You may remain anonymous, but having the ability to contact the informant is often critical to the success of an investigation. If you choose to provide your name and contact information, the County will hold your identity in confidence to the extent allowed by law. You can read more about this here.

Don't forget to overthink the best possible scenario, too...

1776-1786: 250 Years - A History of CareHospice & Palliative Care Today; by Joy Berger; for 6/10/26Continental Congress, Declaration of Independence, July 4, 1776

P4s are either unhelpful or unnecessary. Proposing a better AI-powered solution to predict patients' preferencesBioethics; by Beatrice Marchegiani; 5/26The Personalized Patient Preference Predictor (P4) has been proposed as an AI tool to aid surrogate decision-making when incapacitated patients lack advance directives. This paper argues that P4s face a fundamental dilemma: they are either unnecessary or unhelpful. To address  ... [its] limitations, I propose a better AI-powered alternative: the Patient Preference Retriever (PPR). Rather than generating new text, the PPR uses vector search techniques to retrieve relevant statements from a patient's digital footprint, presenting them verbatim alongside metadata such as date, context, and source. This approach offers greater transparency, respects autonomy more reliably, and supports surrogate decision-makers in weighing authentic evidence. I conclude that while advance directives remain the gold standard, retrieval-based approaches like the PPR provide a more reliable and ethically defensible use of AI in surrogate decision-making than generative approaches like P4s.