Literature Review

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.

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.

The Medicare Advantage question hospitals want answered Becker's Hospital Review; by Alan Condon; 12/4/25 With Medicare Advantage enrollment approaching 55% of eligible beneficiaries, health systems across the country are grappling with a question that’s gone largely unaddressed in policy circles: What happens if the healthcare providers best equipped to care for seniors can no longer afford to participate?

The business of caring for older Americans is in a deepening crisis The Washington Post; by Shannon Najmabadi; 12/7/25 Jonas Atta-Kyereme helps 85-year-old David Reese dress in the morning and prepare for bed at night. He makes sure the retired pediatrician takes his medicine, and calms him when he gets anxious looking for his wife, Jane, who died last year. ... Home health workers and caregivers such as Atta-Kyereme, who immigrated from Ghana two years ago, fill a critical role in the health care ecosystem as America ages and demand for caregivers soar. ...

Q&A: What is the relationship between AI and clinical informatics? CDW Healthcare; by Jordan Scott; 12/8/25 ... Health systems are seeking ways to address workflow inefficiencies with artificial intelligence, but if those tools aren’t implemented with a deep understanding of existing workflows and IT environments, then they aren’t likely to succeed. Clinical informaticists are well versed in health IT implementation and the change management required to ensure buy-in and adoption. HealthTech spoke with Murielle Beene, senior vice president and chief health informatics officer at Trinity Health — a large, not-for-profit health system with 92 hospitals across 25 states — about how AI is changing the field of clinical informatics. 

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. 

2026 Forbes top hospitals Forbes; edited by Rachel Rabkin Peachman; 12/4/25 Forbes has developed its inaugural list: Forbes Top Hospitals 2026. This unique rating system evaluates general acute care hospitals throughout the United States to offer consumers unbiased information on which hospitals can offer top-notch, high-value medical services, no matter where they are in the country—as well as a benchmark against which hospitals can compare their performance to that of their peers. ... Central to the methodology is its emphasis on clinical patient outcomes (such as rates of mortality, survival, infection and readmissions). These measures were given the most weight and, therefore, had the most influence on each hospital’s overall rating. Editor's Note: Go to this article and scroll down to "The Full List." You can search by name, filter by state, see methodology (link next to "Star Ratings"), and see star ratings for "Overall," "Outcomes," "Best Practices," "Value," and "Patient Experience." A related article about this list is by Becker's Hospital Review, "253 5-star hospitals: Forbes." Are any hospitals you partner with listed? Share this article and congratulate them.

A Place for Mom’s refreshed marketing strategy focused on family stories, thought leadership Hospice News; by Jim Parker; 12/8/25 Upon the 25th anniversary of its founding, the senior services company A Place for Mom is undergoing a rebrand and redesigning its marketing strategy. The company’s name is not changing as part of the rebrand. Rather, A Place for Mom has a new logo and visual identity and has developed a data-driven, tech-enabled approach to marketing that leverages AI, social media and video content. This is coupled with efforts to further establish the company as a thought leader in the senior care space.

Social worker dies from injuries suffered in San Francisco hospital stabbing attack: Police ABC News; by Bill Hutchinson; 12/7/25 A social worker, described by colleagues as "remarkable" and "compassionate," has died from stab wounds she suffered when a patient armed with a steak knife allegedly attacked her inside a San Francisco hospital, according to authorities. The victim, whose name has not been released, was pronounced dead on Saturday, two days after she was stabbed repeatedly inside Zuckerberg San Francisco General Hospital and Trauma Center, according to the San Francisco Sheriff's Office. The victim was described by the sheriff's office as a 51-year-old University of California, San Francisco, social worker. 

HOV honors family traditions North Central News; by Staff; 12/8/25 Family traditions enrich the holiday season, and for Hispanic families in the community, Día de los Muertos is an especially meaningful observance, says Lin Sue Flood, director of community engagement at Hospice of the Valley. “Though the name translates to ‘Day of the Dead,’ this cherished Mexican holiday is not a morbid occasion. Instead, it is a vibrant celebration that honors those we hold dear through ofrendas (altars) adorned with photos, favorite foods and bright marigolds, alongside music and dancing,” she added. ... Organizer Dulce Rodriguez noted that the event helps reinforce family bonds across generations and strengthens cultural identity.

Inside TRU Thrift’s Giving Room: How Boulder donations reach neighbors in need The Gazette, Boulder, CO; by Tricia Stortz; 12/6/25 In the back of TRU Community Care’s Thrift Shop in Boulder, past racks of winter coats and holiday decor, there’s a doorway most shoppers never notice. Step through it, and you enter the Giving Room, a bustling, volunteer-run operation where nearly nothing goes to waste and where unsold items find new purpose across Boulder County. The space is compact, but the impact is wide. More than 30 local partner organizations – from homeless outreach teams to youth programs, animal shelters, mobility-assistance nonprofits and more – rely on the items flowing through this little room. Editor's Note: Calling all hospice organizations that have a thrift shop, read on!

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