Literature Review

Freedom consists not in doing what we like, but in having the right to do what we ought. ~ Pope John Paul II

Why drug prices & modern tech matter in hospice care, too, with Nick Opalich Capital Rx; podcast with Nick Opalich; 1/24/25 For Episode 51 of the Astonishing Healthcare podcast, we spoke with Nick Opalich, CEO of HospiceChoice Rx. We learned about how end-of-life care is evolving in the U.S., including the roles pharmacy and technology play in the hospice industry. Nick discusses some similarities between the hospice pharmacy benefit management (PBM) and commercial PBM spaces, such as the importance of a great pharmacy network and independent pharmacies, why the drug price index matters (NADAC vs. AWP), medication access, and disconnected systems. A former pharmacy owner himself, Nick explains the importance of helping hospice providers control drug spend, which is usually the second highest cost behind labor, and reimbursement trends/pressure. 

New hospice center in Missoula prepares for grand opening Times-Leader, Missoula, MT; by Taylor Richardson; 1/24/25 The Partner Hope Foundation has completed construction on its new hospice center in Missoula, offering critical services to the region. This facility is only the second of its kind in Montana and aims to provide high-quality care for elders in western Montana. ... The center features 12 patient care rooms equipped with amenities such as a spa, a full kitchen, and a space for spiritual practices. Melro highlighted the design of the patient rooms: "We tried to make them oversize so that family could gather here and stay with the patient as needed. We tried to encompass some things that will help make the patients more comfortable, such as additional storage and their own refrigerator. ... The center's creation was made possible by a $15.4 million fundraising campaign which is 95% funded so far. 

Change breach hit more than half of Americans, UnitedHealth says Modern Healthcare; by Lauren Berryman; 1/24/25 A ransomware attack against Change Healthcare last year exposed data on a record-breaking 190 million people, parent company UnitedHealth Group reported Friday. That's 90 million more people than the company, which operates Change Healthcare through its Optum subsidiary, disclosed to federal regulators in October. It also amounts to 55% of the U.S. population. A cyberattack against Anthem (now Elevance Health) in 2015, which affected nearly 80 million people, was the previous record holder in the healthcare sector.

Hospice of Savannah awarded grant for safety improvements NBC WSAV Savannah News, Savannah, GA; by Eric Dorsch; 1/27/25 Hospice of Savannah Inc. (HSI) has announced it has been awarded a grant for repairs and home modifications. HSI will receive $1,999,111 in Older Adults Home Modification Program grant funding to complete safety and functional home modifications and limited repairs in the primary residences of two hundred eligible homeowners and renters over age 62 with low income. The work aims to improve general safety, increase accessibility, reduce falls, and improve residents’ functional abilities in the home for their safe and successful aging in place. 

Children’s book written by Manheim Township mother finally published 3 years after she died of cancer [video] LNP Lancaster Online, Lancaster, PA; by John Walk; 1/27/25 As she battled a rare sarcoma cancer over the last two years of her life, Manheim Township resident Ginny McCreary struggled to find a children’s book she could read to her two young daughters to help them better understand what she was going through. So McCreary wrote the book herself, sometimes on a smartphone while laying in bed late at night, ... McCreary died Aug. 15, 2021. She was 34. She left behind a self-published manuscript of the children’s book that sat idle for about two years but was not forgotten. ... The book has also made its way inside four Hospice & Community Care locations in Lancaster as well as Penn Medicine’s Ann B. Barshinger Cancer Institute in East Hempfield Township. [Video with Ginny's mother] "I'd love to get it to some cancer centers and hospice centers ..." [Click on the title's link for more information.]

D.C. is America’s loneliest city. Can 1,000 robotic pets help? The Washington Post; by Olivia George; 1/27/25 Rose Watkins, 67, says she doesn’t really have anyone to talk to, not since her mother passed away. Brenda Jacobs, 70, doesn’t drive anymore ... Yvonne Gathers, 74, wishes she had something ... to keep her mind from drifting back to the day she learned her son — who lived with her — was shot and killed. All three seniors live in D.C. and are now part of a new program distributing robotic pets to residents 60 and older who live in Wards 1, 7 and 8. The initiative, spearheaded by three local nonprofits, is part of a broader push nationwide to use battery-powered pets to ease the loneliness and isolation that often accompanies older age and help lessen associated health risks. The pets nuzzle, stretch and roll on their tummies for scratches. You can feel their heartbeat through their soft fur. The dogs bark and wag. The cats purr and meow. “I’ve been lonely, I’ve been depressed,” Watkins said recently, stroking a beige dog with a red bandanna that turns its head when she talks. “I think this will help.” The robotic pets — Joy for All Companion Pets from parent company Ageless Innovation — “really do provide companionship and need nothing in return,” said Steve Cone, chief communications officer at nonprofit provider Capital Caring Health, one of the organizations involved in the D.C. program. “There is no upkeep, no cleanup.” [Click on the title's link to continue reading.]

How innovation is changing [hospital] length of stayHealthLeaders; by Eric Wicklund; 1/23/25 Allina Health is using technology and new ideas to reduce the time a patient spends in the hospital. They're seeing improved outcomes, reduced costs and more capacity to treat patients who need to be hospitalized.  One of the key metrics in clinical care is patient length of stay (LOS), traditionally defined as the time between a patient's admittance and discharge from a hospital. ... New technologies like AI and concepts like remote patient monitoring (RPM) and Hospital at Home are helping healthcare executives gain a better understanding of LOS, and in turn they're reducing costs and improving care management.Editor's note: How do these hospital technologies interesect with and impact your referrals for palliative and hospice referrals? For discharges to home health or senior facilities that receive care from your agency?

Stillwater Hospice CFO: A winning recipe for improving rural hospice care Hospice News; by Holly Vossel; 1/23/25 Montana-headquartered Stillwater Hospice has found a successful rhythm to strategic rural-based growth and sustainability. The strategy hinges on building culture, staffing resources and a reputation for quality, according to CFO and Co-founder Chris Graham. Launched in 2017, the hospice company serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. ... What are the most significant concerns among rural-based hospice providers currently? How have the challenges of rural care delivery evolved in recent years? "Staffing is very hard. You’ve got to find staff who are willing and like to travel because they have a lot of windshield time. It’s also the logistics of remote care. We have patients that live 75 miles or more outside of a town, then once you get there it’s another 20 miles on a dirt road that could be covered in snow and ice. ..." [Click on the title's link to continue reading.]

Visiting Nurses Foundation awarded $132,000 in grant funding to Assured Hospice for comfort therapies in 2024 The Chronical, Centralia, WA; by The Chronicle; 1/22/25 The Visiting Nurses Foundation awarded $132,000 in grant funding to Assured Hospice in 2024 to deliver essential comfort therapies to end-of-life patients across Washington state, the foundation announced Wednesday. "Since the partnership began in 2002 with a $600 grant, the program has expanded significantly, reaching hundreds of patients and their families each year," the Visiting Nurses Foundation said in a news release. Comfort therapies — including acupuncture, massage, music therapy, guided imagery and animal-assisted therapy — are proven to reduce pain, foster relaxation and enhance overall quality of life, the news release stated.

Operator of home health care company sentenced to 12 years in prison for multimillion dollar health care fraud schemeDOJ press release; 1/23/25[Massachusetts] Faith Newton, 56, was sentenced... to 12 years in prison to be followed by three years of supervised release. Newton was also ordered to pay a fine of $250,000 and restitution in the amount of $99,734,517. In July 2024, Newton was convicted of one count of conspiracy to commit health care fraud, one count of health care fraud and three counts of money laundering. The jury found the defendant not guilty on one count of money laundering conspiracy... “Ms. Newton used the home health care agency she operated to perpetrate a massive, years-long fraud scheme that siphoned over $100 million from a program designed to support our most vulnerable residents."

The opposite of love is not hate, it's indifference. The opposite of art is not ugliness, it's indifference. The opposite of faith is not heresy, it's indifference. And the opposite of life is not death, it's indifference. ~ Elie Wiesel, Holocaust survivor from "Auschwitz slave labor" and the Buchenwald death march, American author, Nobel Peace Prize, Founder of the Holocaust Museum, first chairman of the U.S. Holocaust Memorial Council

[United Kingdon] Christmas tree collection raises £45,000 for Jersey Hospice Care Soleil Radio; by Jersery News; 1/20/25 Jersey Hospice Care's annual Christmas Tree Collection has raised more than £45,000 for the local charity. Every year in early January, volunteers give their time to collect Christmas trees from all around the island in exchange for a small charity donation. 2000 trees were collected in the 2025 new year period, which were taken to the green waste team at La Collette and converted into soil improver for Jersey farms and gardeners. The £45,000 raised in the annual tree collection and recycling project will cover a month's worth of care in the hospice's in-patient unit.