Literature Review

It was one of those March days when the sun shines hot and the wind blows cold: when it is summer in the light, and winter in the shade. - Charles Dickens, Great Expectations

Medicare’s new Dementia GUIDE Model: How can physicians, hospices, and home health agencies participate? Morgan Lewis Blog Post; 3/1/24If you have had a loved one suffer from dementia, you know the emotional, physical, and financial toll of this terrible disease. With advancements in dementia treatment, however, there is renewed hope on addressing this disease and increasing emphasis on fostering innovative care models. A central pillar of this effort is the Guiding an Improved Dementia Experience (GUIDE) model, announced by the US Department of Health and Human Service’s Centers for Medicare & Medicaid Services (CMS) in July 2023. This initiative—a new voluntary, nationwide alternative payment model—is designed to support Medicare beneficiaries with dementia, as well as their caregivers.

Premier Hospice Phoenix exits Medicare program, impacting local healthcareBNN, by Mazhar Abbas; 3/4/24Premier Hospice in Phoenix ends its Medicare agreement, sparking concerns among patients and providers. Explore the impact and future of hospice care.

What is the appropriate response when a colleague is not following an aid-in-dying law? American Clinicians Academy on Medical Aid in Dying - Ethics Consultation Service; posted by Jean Abbott, MD, MH; originally posted 2/2/24 and emailed 3/4/24 Outline of Ethics Question: A resource practitioner for aid-in-dying care has encountered practitioners who have not followed the requirements of the laws in that state, including eligibility, documentation, and other standard legal or medical elements of aid-in-dying care. The resource practitioner wonders what ethical responsibilities should guide their response to these concerns. Definition of “resource practitioner”: An experienced prescriber who acts as a source of information or a mentor for others prescribing or consulting for patients considering aid in dying. Their role is to advise the provider on aid-in-dying best medical practices and the process required to comply with the law.

Pharmacy associations join forces to advocate for pharmacists during change healthcare outageNewswire Press Release; 3/3/24 Association executives from the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA), the National Alliance of State Pharmacy Associations (NASPA), and the American Society of Consultant Pharmacists (ASCP) released an open letter to pharmacy benefit manager (PBM) executives and other insurance payers whose systems may have been impacted by the Change Healthcare outage. Pharmacists and pharmacies are asking for assurances that claims fulfilled during this outage will be paid, and paid in a timely manner, considering the challenges faced by pharmacies and pharmacists with predicting co-payments and determining eligibility and coverage. 

At Frieze LA, Gary Tyler finds resilience after prison—in each stitch of his poignant quilts ARTnews, by Steven Vargas; 2/29/24 Los Angeles–based artist Gary Tyler has been making quilts for close to 15 years but has yet to exhibit them in his hometown. This week, he will debut several of his intricate and emotionally packed pieces at Frieze Los Angeles, after having been named the winner of the fair’s Impact Prize. His quilts document the 42 years he spent in prison following a wrongful conviction of murder at age 17. His journey to receiving the prize may be unconventional, but for him, it is a reminder of the resilience of an artist.Publisher's note: This article features another quilter from the Angola Prison Hospice Project.

How will Kentucky's medical marijuana program be regulated? Here's where things stand Louisville Courier Journal, by Olivia Evans; 3/4/24The Kentucky Medical Cannabis Program — which regulates the legal cultivation, production, sale and use of medical marijuana products — is set to officially start Jan. 1, 2025. ... In early January, Gov. Beshear's administration filed its first set of 10 regulations governing the industry and providing a framework for how businesses will operate. ... The 10 regulations focus on cultivators, processors, producers, safety compliance facilities, dispensaries and more. ... According to the website for the state medical cannabis program, the cabinet is in the process of developing additional regulations.

MMJ.com expands access to Medical Marijuana cards across 26 states in the US Newsfile Corp., 3/1/24 In a significant development for healthcare and legal access to medical marijuana in the United States, MMJ.com has announced its expansion to offer services across 26 states. This initiative represents a pivotal moment in the ongoing effort to provide patients with legal, safe, and convenient access to medical marijuana, reflecting changing societal attitudes and advancements in telehealth.

The Future of the Hospice Benefit Component of the Value-Based Insurance Design (VBID) ModelCMS website; 3/4/24Beginning in Calendar Year (CY) 2021, the Value-Based Insurance Design (VBID) Model allowed participating Medicare Advantage Organizations (MAOs) to include the Medicare hospice benefit in their Medicare Advantage (MA) benefits package, herein known as the Hospice Benefit Component. After carefully considering recent feedback about the increasing operational challenges of the Hospice Benefit Component and limited and decreasing participation among MAOs that may impact a thorough evaluation, CMS has decided to conclude the Hospice Benefit Component as of December 31, 2024, 11:59 PM. CMS will not accept applications to the previously released CY 2025 Request for Applications for the Hospice Benefit Component of the VBID Model.

Sometimes the smallest step in the right direction ends up being the biggest step of your life. Tiptoe if you must, but take a step. - Naeem Callaway 

Aspirus Health completes St. Luke's Duluth acquisitionModern Healthcare, by Alex Kacik; 3/1/24Aspirus Health finalized its acquisition of St. Luke's Duluth, forming a 19-hospital system spanning northeastern Minnesota, northern and central Wisconsin and Michigan’s Upper Peninsula. ... As part of the transaction, Aspirus will invest at least $300 million over eight years in St. Luke’s and will expand its health plan to St. Luke’s service area within two years. In addition, Aspirus will honor all physician, labor and union contracts, the system said in a news release Friday. Editor's Note: Both Aspirus Health and St. Luke's Duluth provide hospice care.

Staffing, capacity gains ‘catapult’ growth at VITAS Hospice News, by Jim Parker; 2/28/24Capacity gains driven by a slate of new hires has propelled VITAS Healthcare to pre-pandemic performance. A bonus program implemented last year has accelerated hiring, which in turn has relieved some of the capacity constraints that have been a stumbling block for several quarters running.The initiative included a one-time retention payment that ranges from $2,000 to $15,000 per employee for nurses, nurse managers, home health aides and social workers. 

Home Health & Hospice secures over $1 million in grants for innovative health care initiatives VB VermontBiz, by The University of Vermont Health Network Home-Health & Hospice; 2/29/24Home Health & Hospice (HHH) is pleased to announce the receipt of two grants from the Vermont Agency of Human Services, totaling $1.18 million. Vermont received funding through the American Rescue Plan Act of 2021 to enhance, expand, and strengthen home and community-based services (HCBS) and allocated a portion of those funds to offer grants to HCBS providers that serve Medicaid members.