Literature Review

Birth and death are the most singular events we experience – and the contemplation of death, as of birth, should be a thing of beauty, not ignobility. – Jacob K. Javits 

Mayo Clinic Minute: Creating an advance directive for your future well-being

Hospices face ‘devastating’ financial crisis as staff costs rises, charity warns Shropshire Star, United Kingdom; 4/15/24 Hospices are facing a “devastating” financial crisis because of rising staff costs which are putting services at risk, a charity has warned. The chief executive of Hospice UK, Toby Porter, said the last year had seen the “worst financial results for the hospice sector in around 20 years.”

Message-based telehealth an increasingly important part of seniors’ healthcare, study findsMcKnights Senior Living, by Aaron Dorman; 4/11/24 Many healthcare experts, and even government agencies, are working to try to expand telehealth coverage for older adults. But much of that work considers telehealth in terms of video and/or phone conversations. E-mails and digital messaging across patient portals, however, also are part of seniors’ healthcare regimen, particularly those who are Medicare beneficiaries, finds a new study published in Health Affairs Scholar. As such, updated telehealth coverage decisions should factor in the time that older adults, their caregivers and clinicians need to exchange these messages, the researchers said.

Iowa River Hospice arranges unique celebration of life for Marshalltown woman with cancer Times Republican, by Robert Maharry; 4/13/24 Sandy Messer ... has been battling cancer for the last two years and is currently receiving in-home hospice care. On March 23, a Celebration of Life was arranged by Iowa River Hospice at Mama DiGrado’s so that her family members could share their love with Messer while she is still alive.

Medical marijuana program enrollments up 500% from 2016 to 2022 Green Market Report, by John Schroyer; 4/11/24The increase was partially due to a rise in mainstream "cultural acceptance of cannabis" and corresponding interest in medical uses. A new federally funded report that tallied medical marijuana patient statistics from across the country found a dramatic increase of registered cannabis patients over a seven-year period, from roughly 678,000 in 2016 to more than 4.1 million at the end of 2022.

Private Equity: Proposed Health Over Wealth Act - What this means for you JD Supra, by Roger Strode; 4/11/24 On April 3, 2024, Senators Edward Markey ... and Elizabeth Warren ... chaired a Senate Health, Education, Labor, and Pensions (HELP) Subcommittee ... titled, When Health Care Becomes Wealth Care: How Corporate Greed Puts Patient Care and Health Workers at Risk. As part of the hearing process, Senator Markey released his new legislative agenda that calls for transparency and accountability for private equity (PE) in health care. ... The bill would require PE-backed or other for-profit owned providers (those providing services covered by Medicare under 42 U.S.C. Section 1395d) such as hospitals, hospice, nursing homes, and certain other facilities[1], to annually report to HHS on all manner of things including, but not limited to ... [click on the title to link to the list].

AHA seeks federal probe of MultiPlan, insurers Modern Healthcare, by Michael McAuliff; 4/9/24 The American Hospital Association wants the Labor Department to investigate the analytics company MultiPlan and its large insurer clients to determine whether they engage in business practices that disadvantage patients and providers. According to a New York Times investigation published Sunday, MultiPlan and customers such as UnitedHealth Group subsidiary UnitedHealthcare, CVS Health subsidiary Aetna and Cigna boost their finances by dispensing low payments to out-of-network providers and burdening patients with large bills.

Central Oregon hospice sues feds over challenged Medicare claims The Lund Report, by Nick Budnick; 4/11/24 One of a declining number of nonprofit hospice providers, Partners In Care leaders have successfully defended the vast majority of disputed claims, but have sued to erase the rest while challenging government methods. The case could have 'huge ramifications' and will be closely watched.

Expanding perinatal palliative care, hospice Hospice News, by Holly Vossel, 4/10/24A lack of trained staff and evolving health laws are among the leading barriers to expanding perinatal palliative and hospice care among underserved populations. ... Mistrust and fear of discrimination are among the common barriers, along with social determinants of health such as insurance coverage, socioeconomic status and transportation, according to recent analysis from researchers at the Morehouse School of Medicine’s Department of Obstetrics and Gynecology.

New DOJ rules for online healthcare content make sure seniors aren’t taken offline McKnights Senior Living, by Aaron Dorman; 4/11/24The Department of Justice took steps earlier this week to help make sure old adults have appropriate access to valuable web content they need for understanding important healthcare and coverage decisions. State and government agencies, such as the Centers for Medicare & Medicaid Services, must abide by new technical standards, according to a new DOJ rule signed Monday [4/1/24]. “Just as stairs can exclude people who use wheelchairs from accessing government buildings,” the official rule states, “inaccessible web content and mobile apps can exclude people with a range of disabilities from accessing government services.” The technical requirements of the rule are extensive — the updated document is almost 300 pages long — but the overall purpose is to instruct agencies on their obligations to account for possible disabilities.

New paper outlines Draft Code of Conduct to ensure that the use of AI in health and health care meets its full potential reliably and safelyNational Academy of Medicine; 4/8/24 While AI holds immense promise for revolutionizing health care and improving health outcomes, it is not without significant risk. ... A new NAM Perspectives Commentary outlines a draft framework for achieving accurate, safe, reliable, and ethical AI advancements that can transform health, health care, and biomedical science. ... The NAM Leadership Consortium is seeking input from stakeholders on the Code Principles and Commitments to ensure responsible and equitable use of AI in health, health care, and biomedical science. Share your experiences and feedback ... Participate in the survey.

Village Hospice hosts Vietnam Veteran’s Breakfast CBS KCTV 5, Kansas City, MO; 4/10/24 Village Hospice provides many services to support their residents, including ways to honor their residents that are veterans. Jillian hears about a recent Vietnam Veterans’ Breakfast and how it celebrated Veterans living at John Knox Village.