Literature Review



My patient was gone. I had to help his family see it: The art of medicine means sitting with families’ grief and hope

12/16/25 at 02:00 AM

My patient was gone. I had to help his family see it: The art of medicine means sitting with families’ grief and hope Stat10 - First Opinion; by Raya Elfadel Kheirbek; 12/15/25 Bullets tore through Michael Thompson’s car at a stop sign, ending the life of a 35-year-old father in an instant. Just minutes earlier, he had dropped his 8-year-old daughter, Emma, at dance class, her pink tutu bouncing as she waved goodbye. Now, in the ICU, his young body lay tethered to machines — ... a ventilator’s hiss forcing his chest to rise. ... His family’s grief filled the room, raw and heavy, as I prepared to document our meeting. On the screen, a pop-up appeared: “Patient is deceased; do you want to continue?” Its cold bluntness paled against their pain. Michael looked alive. His chest rose and fell with the ventilator. ... Medicine isn’t just tests or machines. It is presence — sitting with families in their grief, faith, and love. Our tools should support that presence, not interrupt it with cold prompts. ... Most U.S. hospitals lack clear guidelines for these situations, leaving families and clinicians alike in limbo. They also worried about organ donation — a decision fewer than 1% of families consent to after brain death, often because the body still looks alive.Editor's Note: We thank the palliative care physicians, nurses, social workers, and chaplains who provide sensitive presence with families in the unbearable spaces between hope and loss, especially when life support decisions arise. In this season, may we pause to honor those who carry this sacred work—and remember the families who have had to accept harsh truths while machines still “breathe.”

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Palliative care interventions for caregivers of people with advanced dementia: A meta-analysis

12/15/25 at 03:00 AM

Palliative care interventions for caregivers of people with advanced dementia: A meta-analysis Sigma Global Nursing Excellence - Worldviews on Evidence-Based Nursing; by Ita Daryanti Saragih, Ira Suarilah, Hsun-Kuei Ko, Ice Septriani Saragih, Bih-O Lee; 12/11/25 Conclusion: Palliative care interventions were successful in reducing conflict in decision-making of caregivers of people with advanced dementia. ... Linking Evidence to Action: Future palliative care interventions for caregivers of advanced dementia patients should focus on developing the contents of palliative care materials based on evidence-based evaluations and explore strategies to improve engagement between patients, caregivers, and healthcare professionals.

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'Get out of my house': 84-year-old man shoots son in the face for not visiting mother in hospice care, police say

12/15/25 at 03:00 AM

'Get out of my house': 84-year-old man shoots son in the face for not visiting mother in hospice care, police say Law & Crime, Palm Bay, FL; by Conrad Hoyt; 12/12/25 An elderly man is accused of shooting his son in the face because he and his spouse did not visit the older man's wife over the weekend while she was in at-home hospice care. William Nowak, 84, has been charged with attempted murder, according to an arrest affidavit reviewed by Law&Crime. Nowak was at his home ... in Palm Bay, Florida, where he lived with his wife and their disabled daughter. His wife had recently been put on in-home hospice care, "and William has been taking care of both of them," ... The defendant's son and his wife came over to the house to visit, something she said they did "on a weekly basis." After they arrived around 6 p.m., "William began to express how he was upset they did not visit over the weekend." According to authorities, an argument between the father and son ensued.

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A flight to the North Pole

12/15/25 at 03:00 AM

A flight to the North Pole Fairfax County Times, Reston, VA; by Kristin Johnson; 12/12/25 Last Saturday morning [12/6], Gate D15 at Dulles Airport was filled with families wearing Christmas sweaters and pajamas. They were waiting for a 10 a.m. departure to the North Pole. The Fantasy Flight is a 30-minute plane ride that takes off annually on the first weekend in December. The event is for the families of children currently in hospice or long-term care. ... The mood at the gate is festive, but a little chaotic. The busyness helps to dull Tabitha Johnson’s grief. Her son died in hospice three weeks ago. She decided the family should still come. 

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The balancing act: How caregivers navigate the stress of work, family, and caring for a loved one

12/15/25 at 03:00 AM

The balancing act: How caregivers navigate the stress of work, family, and caring for a loved one Delaware LIVE; by Staff Writer; 12/12/25With two-thirds of U.S. caregivers struggling to manage both employment and home duties, experts say planning, boundaries, and support can prevent burnout. ... Insights from national research and guidance from Delaware Hospice, Oasis Senior Care (a leading consultant for families), and Easterseals Delaware & Maryland’s Eastern Shore underscore a central message: you don’t have to do this alone, and thriving — not just surviving — is possible. ...

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Illinois is newest state to allow medical assistance in dying after Pritzker signs bill

12/15/25 at 03:00 AM

Illinois is newest state to allow medical assistance in dying after Pritzker signs bill CBS News, Chicago; by Sara Tenenbaum and Charlie De Mar; 12/12/25, 11:02 am CST Gov. JB Pritzker signed a new law Friday making Illinois the newest state allowing medically assisted dying in terminally ill residents. Known as "Deb's Lawn," allows eligible terminally ill adults with a prognosis to live six months or less to request a prescription from their doctor that would allow them to die on their own terms. The legislation was narrowly approve by the Illinois Senate in October after the Illinois House passed it in May. People on both sides of the debate over the controversial legislation lobbied the governor up until the last minute. Medical aid in dying, also called assisted suicide or dying with dignity, is already legal in 12 states. Eight more are considering similar legislation. Pritzker's signature makes Illinois the first state in the Midwest to allow medically assisted death.

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Long-term hospice stay: New edit to prevent overpayment

12/15/25 at 03:00 AM

Long-term hospice stay: New edit to prevent overpayment CMS - MLN Matters - Medicare Learning Network; by the U.S. Department of Health & Human Services; 12/5/25Related CR Release Date: December 5, 2025Effective Date: April 1, 2026Implementation Date: April 6, 2026Action Needed: Make sure your billing staff knows about a new edit that will help identify and prevent overpayments of long-term hospice care for claims submitted with matching “admission” and “from” dates.Key Updates: This new edit in the CWF will close the gap in the system that allows claims to pay at a higher rate when the “admission” and “from” dates match. MACs will reject hospice claims when the “admission” date doesn’t match the election period start date on the corresponding election period. ...

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A little bit of light ...

12/15/25 at 03:00 AM

A little bit of light dispels a lot of darkness. ~ Rabbi Schneur Zalman of Liadi

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[United Kingdom] Children's hospice to shut days before Christmas

12/15/25 at 03:00 AM

[United Kingdom] Children's hospice to shut days before Christmas BBC News, London, England; by Amy Clarke; 12/12/25 A children's hospice that has supported children living with complex life-limiting conditions for 25 years is due to close just days before Christmas. Richard House in Newham, east London, provides specialist care to more than 300 families - offering services such as residential care, transition from hospital to home, bereavement support and end-of-life care. 

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Providence Care appoints Werner Freymann, Jr. as new Chief Executive Officer

12/15/25 at 03:00 AM

Providence Care appoints Werner Freymann, Jr. as new Chief Executive Officer Morningstar; by Business Wire; 12/10/25 Providence Care, a leading hospice, palliative and primary care for seniors organization, today announced the appointment of Werner Freymann, Jr. as its new Chief Executive Officer. In the role of CEO, Werner will lead the company’s strategic direction and drive continued growth and innovation across its continuum of care for the elderly wherever they call home. Mr. Freymann brings more than 25 years of executive leadership experience, previously serving as SVP of Discovery at Home. 

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Navigating the AI frontier: Legal guardrails for home health and hospice providers in 2025 and beyond

12/15/25 at 03:00 AM

Navigating the AI frontier: Legal guardrails for home health and hospice providers in 2025 and beyond JD Supra; by Jason Bring, Bill Dombi, Arnall Golden Gregory LLP; 12/12/25 Key Takeaways

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TCMH Hospice of Care online auction raises record amount

12/15/25 at 03:00 AM

TCMH Hospice of Care online auction raises record amount Houston Herald; by Helania Wulff; 12/11/25 The TCMH Healthcare Foundation announced that this year’s Hospice of Care online auction and new in-person wrap-up party set a new all-time fundraising record, bringing in $38,454.64 to support its Hospice of Care program. The hybrid format, online bidding throughout the week, capped with a live auction-style finale at Piney River Brewing on Friday night, helped drive engagement and push the event past last year’s record total. 

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FMOL Health doctor is spreading palliative care programming across system

12/15/25 at 03:00 AM

FMOL Health doctor is spreading palliative care programming across system Catholic Health Association of the United States (CHA); by Julie Minda; 12/9/25 Dr. Mark Kantrow still remembers when it clicked for him exactly how important palliative care is in medicine.It was around 2006, and he had just attended his first conference on palliative care, at a time when the concept was new to him and to many other clinicians. ... As system medical director for palliative care, he has been integrating palliative care programming into all nine of the health system's hospitals. This work has included educating staff and patients about the approach, assembling multidisciplinary teams to deliver this type of care and building patient and family awareness of what FMOLH Health hospitals offer.

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4 hospice buyers acquire Traditions Health

12/14/25 at 03:55 AM

4 hospice buyers acquire Traditions Health Hospice News; by Jim Parker; 12/3/25 Traditions Health has been acquired by four hospice providers, each dividing the company’s assets across their geographic footprints. The Care Team, VitalCaring, LifeCare Home Health Family and Mission Healthcare have each purchased a portion of Traditions Health’s locations. Financial terms of these transactions are undisclosed. Traditions was formerly a portfolio company of the private equity firm Dorilton Capital Partners. 

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Oregon state legislators weigh hospice CON reform

12/14/25 at 03:50 AM

Oregon state legislators weigh hospice CON reformHospice News; by Holly Vossel; 12/1/25Oregon state lawmakers are considering tightening regulatory oversight of hospice expansion with revisions to its certificate of need (CON) policies. Legislators are currently mulling potential changes to the state’s existing CON laws for 2026. This process pertains to part of a hospice licensure and oversight bill introduced in 2025. A focus group has been established to address some of the lingering questions related to the bill. Among the concerns are the increased volume of for-profit hospice providers entering the state in recent years and how this trend relates to availability of high quality services, Sen. Deb Patterson (D-District 10) indicated in a recent state Senate committee meeting recording shared with Hospice News... “Oregon needs to do something,” Oregon Hospice & Palliative Care Association CEO Barb Hansen said. “We can’t be passive. We have nothing in our rules that prevents someone from starting a hospice where it’s not needed. Patients, regardless of where they live in Oregon, should have access to high quality care, and the state of Oregon can do something to help enhance that. Where we need the growth is in rural areas.”

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Medicare's AI prior authorization pilot sparks backlash over incentives to deny care

12/14/25 at 03:45 AM

Medicare's AI prior authorization pilot sparks backlash over incentives to deny care Complete AI Training | Insurance; by Joren Erne; 12/7/25 CMS will pilot AI prior auth in traditional Medicare across AZ, NJ, OH, OK, TX, WA through 2031. Expect tougher reviews, vendor incentives, and pushback on denials and delays. ... For insurance professionals, this is a signal: CMS is importing private-plan utilization tactics into fee-for-service Medicare, with financial incentives tied to denial-driven cost savings. Expect policy, operations, and provider relations to feel it. 

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Ask Sheri: Overcoming fear and expressing thanks

12/14/25 at 03:40 AM

Ask Sheri: Overcoming fear and expressing thanks Lovin' Life; by Sheri Simpson; 12/7/25Dear Sheri,When my mother’s health began to decline, our family found ourselves standing at the edge of something we couldn’t quite prepare for. ... From the very first visit, the hospice team wrapped my mother — and our entire family — in comfort, dignity and compassion. They didn’t just care for her; they cared about her. They learned her favorite songs, listened to her stories, and treated her as the vibrant, funny, loving woman she’d always been. The nurses would hum along when she sang softly, and one even brought her a small, crocheted blanket because she noticed how much mom loved the color lavender. Hospice is not about giving up, it’s about giving more: more peace, more presence, more love. Azorna Hospice helped us see that. ...

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Hospice margins dropping despite utilization gains

12/14/25 at 03:35 AM

Hospice margins dropping despite utilization gains Hospice News; by Jim Parker; 12/9/25 Hospice margins are falling despite record-high utilization, according to data from the Medicare Payment Advisory Commission (MedPAC). The commission has released its draft recommendations to Congress, repeating its annual call to eliminate hospice payment rate increases in future years. “For fiscal year, 2027, Congress should eliminate the update to the 2026 Medicare base payment rate for hospice,” MedPAC indicated in its draft recommendations. ... The average Medicare fee-for-service margin for hospices fell to 8% in 2023, down from 9.8% in 2022 and 14.2% in 2020, according to MedPAC. Among for-profit providers, the average 2023 margin was 13.7%, whereas nonprofits in aggregate showed a loss at -1.3%. These numbers exclude cap overpayments and non-reimbursible costs. These declines occurred during a time of record-breaking demand. Hospice utilization in 2024 reached the highest rate it has ever seen at 53%, MedPAC reported. More than 1.8 million Medicare decedents received hospice care that year for a total of 148 million days of service. [MedPAC 12/5/25 report here.]

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Social Media Watch 12/5/25

12/14/25 at 03:30 AM

Social Media Watch 12/5/25

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Poured out and given: The lived experience of self-care among hospice nurses in rural Appalachia

12/14/25 at 03:25 AM

Poured out and given: The lived experience of self-care among hospice nurses in rural Appalachia Journal of Hospice and Palliative Nursing; by Amanda Camden, Sandra P Thomas, Lisa C Lindley, Lisa Davenport, Ali Winters; 12/5/25, Online ahead of print Hospice nurses encounter profound challenges that make self-care both essential and deeply complex. ... The findings suggest that practicing self-care must be augmented by other actions such as systemic changes, caseload limits, leadership training, and structured emotional support systems. This study highlights the urgent need for health care systems to prioritize hospice nurses' well-being and help sustain compassionate nursing care.

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Prison hospice: From the inmate hospice volunteers’ perspective – a “snapshot” by Barry R. Ashpole

12/14/25 at 03:20 AM

Prison hospice: From the inmate hospice volunteers’ perspective – a “snapshot” by Barry R. Ashpole ehospice; by Barry R. Ashpole; 12/6/25 ... [In the words of a prison inmate]: "... When they brought in a hospice, it gave us an avenue to take care of each other. In order to get in here, they’re pretty sick. They’re dyin’. ... All you’re doin’ is makin’ their passing easier. We hold their hands. We pray. And we bathe ‘em. We feed ‘em, ... We take care of all the things that they need. And when that patient has a family, his family is allowed to come back in here to the hospice. When I started hospice, I thought it would be about what I can give to the patient, what I could do for that patient to make ‘em feel better. But when you do what you do, the feeling that you get back from them, you can’t even describe it."

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AARP: 55 percent of family caregivers use tech to coordinate care

12/14/25 at 03:15 AM

AARP: 55 percent of family caregivers use tech to coordinate care McKnights Home Care; by Donna Shryer; 12/9/25 Technology adoption is surging on both sides of the caregiving equation. AARP estimates there are about 63 million unpaid caregivers nationwide, and among those caregivers age 50 and older, 55% now use one or more digital tools to manage routines, coordinate care or track health. Among all adults age 50+ (unpaid caregivers and care recipients), 78% say they rely on technology to stay connected with friends and family, according to AARP’s newly released 2026 Tech Trends and Adults 50-Plus report.Guest Editor's Note, by Judi Lund Person: As AARP points out, today’s caregivers are increasingly likely to use technology to coordinate care for their loved ones. Are hospice and palliative care providers up to the challenge – if your plumber can notify you that they are 15 minutes away, is there technology in place that will alert the caregiver that the hospice nurse or aide is 15 minutes away? How are you equipping your care teams to communicate with caregivers effectively, efficiently, and securely? Remember, a CAHPS Hospice question is, "How often did the hospice team let you know when they would arrive to care for your family member?"

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Hospice of South Texas announces full funding for new support services building

12/14/25 at 03:10 AM

Hospice of South Texas announces full funding for new support services building PROLG Press Release Distribution, Victoria, TX; by Hospice of South Texas; 12/8/25 Hospice of South Texas (HOST) is grateful to announce that the Support Services Building is now fully funded. This milestone was reached through a remarkable $700,000 gift from the M. G. and Lillie A. Johnson Foundation and the generous support of many additional donors. Their partnership ensures continued access to nonprofit, compassionate hospice care for families across twelve South Texas counties. 

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Healthcare fraud enforcement trends to expect in 2026

12/14/25 at 03:05 AM

Healthcare fraud enforcement trends to expect in 2026 JD Supra; by Arnall Golden Gregory; 12/8/25Key Takeaways

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Sunday newsletters

12/14/25 at 03:00 AM

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!   Also, remember our Job Board to find staff for the new year!

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