Literature Review

After almost a year closed, Longview hospice center [reopens]The Daily News (Longview, WA), by Minka Atkinson; 2/2/24PeaceHealth Richard Nau Hospice House is scheduled to begin accepting patients Monday [2/5/24]. An open house Wednesday [1/31/24] allowed community members to tour the facility and meet with care staff ahead of the center’s opening.

University of Colorado researcher uses platform to advocate for LGBTQ+ patients in hospice careMcKnights Home Care, by Foster Stubbs; 2/6/24Personal identity plays a big role in Carey Candrian’s research. An associate professor of medicine-internal medicine at the University of Colorado School of Medicine who identifies as a lesbian, her work primarily focuses on the experiences of older LGBTQ+ adults in hospice care. This work is especially important today in the wake of increased violence towards the community and inconsistent legal protections in recent years.

StateServe’s Delta Care Rx acquisition fueled by hospice cost saving potentialHospice News, by Holly Vossel; 1/29/24Durable medical equipment (DME) provider StateServ has acquired Delta Care Rx, a national hospice pharmaceutical benefits manager (PBM). The acquisition is a move aimed at leveraging technology to improve quality, care delivery and operational efficiencies among hospice, palliative and post-acute care providers, according to Drew Mihalyo, founder, president and COO of Delta Care Rx.

A journalist assisted a woman’s quest for suicide. Did he get too involved?The Washington Post, by Jeremy Barr; 2/3/24The Boston Globe acknowledged that writer Kevin Cullen crossed an ethical line by signing a legal form for Lynda Bluestein. But the woman’s husband is grateful for what he did. Kevin Cullen, a veteran columnist for the Boston Globe, spent months shadowing a terminally ill Connecticut woman as she campaigned for permission to have an assisted suicide and ultimately died that way several weeks ago. ... But Cullen did more than just chronicle [her] journey. He also got involved in her story by signing a legal form attesting that she was sound of mind when she requested to die in Vermont, which granted her the right to do so.

NHPCO Publishes Culturally Sensitive Communications to Enhance Care Delivery: A resource guide for healthcare professionalsNHPCO Press Release; 1/30/24The National Hospice and Palliative Care Organization’s (NHPCO) Diversity Advisory Council (DAC) published Culturally Sensitive Communications to Enhance Care Delivery: A Resource Guide for Healthcare Professionals. ... It contains information from a multitude of NHPCO resources, such as the Hospice Through The DEI Lens report, Inclusion and Access Toolkit, Black and African American Outreach Guide, Chinese American Resource Guide, Latino Outreach Guide, and LGBTQ+ Resource Guide, as well as information from additional external research sources.

 Where do we end our lives? American Council on Science and Health, by Chuck Dinerstein, MD, MBA; 2/5/24The concept of an elephant's graveyard, where old elephantes supposedly go to die, is more of a myth than a scientifically supported phenomenon. Humans do not have a specific location where we gather to die, but a study looks into the matter nevertheless.

CMS proposes Medicare Advantage rate cutBecker's Payer Issues, by Rylee Wilson; 1/31/24CMS proposed a slight decrease in Medicare Advantage benchmark payments for 2025. The agency issued its proposed 2025 rate notice Jan. 31, cutting benchmark payments by 0.2% on average. Risk model revision will amount to a 2.45% decline in revenue, according to a fact sheet issued by the agency. Plans should expect to see 3.7% higher revenue overall, with an MA risk score trend of 3.86% — the average increase in risk adjustment payments year over year — offsetting risk model revisions and a projected decline in star rating bonuses.

Debate over psychedelic therapy returns to Missouri General AssemblyMissouri Independent, by Rebecca Rivas; 1/30/24Republican lawmakers are once again pushing legislation that would require Missouri to conduct a clinical study on using psilocybin, more commonly referred to  as “magic mushrooms,” to treat depression, substance use or as part end-of-life care. 

Strategies for positive change in opioid prescribingPharmacy Times; 2/1/24This is a video synopsis/summary of a Practice Pearls featuring Ryan Haumschild, PharmD, MS, MBA, CPEL; Megan Mitchell, PharmD, MS; Stephanie Abel, PharmD, BCPS; and Jennifer Grate, CPhT. Haumschild discusses the importance of positive change in opioid stewardship. 

Medicare Advantage profitability on the decline, Moody's findsHealthcare Finance, by Jeff Lagasse; 2/2/24A significant spike in utilization is putting cost pressure on insureres, which will likely affect earnings. While Medicare Advantage remains attractive to the healthcare industry due to strong growth, high revenue and earnings per member, profitability is on the decline, according to a new analysis by Moody's Investor Service.

NC report defines healthcare worker shortage and recommends solutionsNC Newsline, by Lynn Bonner; 1/29/24The healthcare workforce has a lot of gaps. The report from DHHS and Commerce focused on nursing, behavioral health, and direct care, saying these areas are the most urgent.

Private equity’s growing footprint in home health care draws scrutinyAlabama Reflector, by Anna Claire Vollers; 1/31/24Critics point to Help at Home’s departure from Alabama as a cautionary tale for what can happen when states that spend little on health care rely on private equity-owned providers to care for their most vulnerable residents.

3 Reasons Continuous Home Care utilization is fallingHospice News, by Jim Parker; 2/2/24Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9% of hospice care days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO). This is down from 1.8% in 2013.Notible mentions: Sarah Simmons and Patrick Harrison, NHPCO.