Literature Review

Cigna ends Humana merger talks, prioritizes share buybacks Modern Healthcare - Insurance; by John Lauerman, Bloomberg; 11/11/24 Cigna Group said it won’t pursue a combination with rival insurer Humana Inc. after reports the two companies had renewed discussions of a deal. The company “remains committed to its established M&A criteria and would only consider acquisitions that are strategically aligned, financially attractive, and have a high probability to close,” according to a statement Monday. Cigna shares jumped by 8% in premarket trading, while shares in Humana dropped by 7%. The two health insurance giants, with a combined market value of roughly $125 billion, held talks about a deal last year, but Cigna walked away after the two companies failed to agree on a price, Bloomberg News reported in December.   

DOJ preps lawsuit to block UnitedHealth-Amedisys deal Modern Healthcare; by Josh Sisco, Bloomberg; 11/12/24 The US Justice Department is moving to block UnitedHealth Group Inc.’s $3.3 billion purchase of Amedisys Inc. over concerns the deal would harm competition in the market for home-health services, according to people familiar with the matter.  Justice Department antitrust officials have signed off on a lawsuit to be filed in federal court as soon as this week to stop the deal, according to the people, who asked not to be named discussing a nonpublic matter. The move follows a meeting last week between company executives and the Justice Department in a last-ditch effort to ease the government’s concerns, the people said. 

Balancing work, life and whatever is in between McKnights Senior Living; guest column by Rebekah Bray, LNHA; 11/11/24 Defining our work and lives as separate entities implies that one should not affect the other. For balance, opposing forces must be equal and not influence each other. In actuality, our careers and our home lives have been begrudgingly unifying for years.  ... Late night and weekend hours somehow have become a badge of honor that demonstrates a commitment to the senior living community or long-term care facility, with the thinking that no one else will possibly be able to achieve it. Endless hours are not sustainable and, simultaneously, a baseline has been developed that tireless commitment is the bare minimum. ... [People] in leadership positions in healthcare seldom are given the luxury to unplug, mentally or physically, due to the endless cycle of problems, including staffing, changes to regulations, revenue and day-to-day operations. Many leaders consider it a sacrifice that comes with the job of leadership. ... Editor's note: Work-life balance continues to be a trend in reasons for retention, unionization, strikes, and more. More significantly--in the midst of your important work as leader--this is your life. This is your time to create and navigate relationships, work, and more. Tapping into your passion for end-of-life care, what will be your joys and regrets when you are receiving palliative and hospice care? What kinds of grief care will your family need after your death?

Startup Guaranteed looks to improve end-of-life care Healthcare Brew; by Cassie McGrath; 11/6/24 After losing her father, Jessica McGlory founded a startup to improve end-of-life care. In August 2019, Jessica McGlory got a call that her father had had a double heart attack and was admitted to a hospital in Chicago. As his health declined, McGlory became his caregiver and healthcare proxy. But she said she never got the opportunity to discuss her father’s end-of-life care or his wishes. “I thought it was going to be an opportunity to really focus on my loved one, but instead, [I] had to focus on everything else and really didn’t get the support [I] expected from the hospice,” she told Healthcare Brew. Hospice is palliative care that typically includes counseling, physical care, medicine, and equipment for patients with terminal illnesses. Two years later, despite having no previous experience in healthcare, McGlory decided to take action. In 2022, she launched Guaranteed, a New York-based hybrid end-of-life care startup that works to support people with terminal illness as well as their loved ones and caregivers. ... Guaranteed has raised $10 million to date and is looking to expand into three more states next year, she said.

Agrace recognized for commitment to organ, tissue donation In Business (IB) - Greater Madison, WI; IB Staff; 11/11/24 Local nonprofit health care organization Agrace, which provides hospice care, supportive (palliative) care, and grief support throughout southwest Wisconsin, was recognized by the Lions Eye Bank of Wisconsin (LEBW) as a recipient of the 2024 Crystal Vision Award. This award is presented annually to hospices, hospitals, and other community partners who demonstrate commitment to organ and tissue donation. In 2023, Agrace made a total of 27 donor referrals, helping recipients in Wisconsin, the U.S., and worldwide. LEBW honored 21 recipients from various categories this year, including surgeons, hospitals, medical examiners, funeral homes, and other community partners.

A doctor’s life-changing realization about empathy after becoming a patient [podcast] MedPage Today's KevinMD.com; podcast by KevinMD; 11/10/24 Join us for a conversation with Fazlur Rahman, a hematology-oncology physician and author of Our Connected Lives. In this episode, we explore how Fazlur’s journey from physician to patient transformed his understanding of empathy. He reflects on the importance of personal connection in medicine, the impact of a lack of empathy on both doctors and patients, and the need for medical education to include the humanities to foster compassionate care. This episode dives deep into the role empathy plays in improving patient outcomes and doctor-patient relationships. Fazlur Rahman is a hematology-oncology physician and author of Our Connected Lives. He discusses the KevinMD article, “From doctor to patient: a life-changing lesson in empathy.”

The price of anything is the amount of life you exchange for it. ~ Henry David Thoreau 

National program helped 27 states develop background check processes for long-term care McKnights Senior Living; by Kimberly Bonvissuto; 11/11/24 A national background check program was so successful in helping states develop or enhance systems for conducting background checks of prospective long-term care employees that more than a quarter million prospective employees were disqualified from working in the sector, even after funding for the program ran out, according to a final report on the program. The US Department of Health and Human Services Office of Inspector General released a final analysis on Thursday of the National Background Check Program for long-term care providers. The agency reported that 29 states participated in the program between 2010 and 2024 and that the program helped 27 of them develop programs to identify efficient, effective and economical procedures for conducting background checks on prospective long-term care employees. During the National Background Check Program, states disqualified at least 106,000 individuals with criminal convictions from employment. Disqualifying criminal convictions included offenses of murder, assault, battery, robbery, theft, fraud and forgery. 

Location of pediatric deaths in the US JAMA Network - JAMA Pediatrics; by Sarah H. Cross, PhD, MSW, MPH; Khaliah A. Johnson, MD; Maura A. Savage, MSW; Dio Kavalieratos, PhD; 11/11/24Historically, most seriously ill children in the US have died in hospitals despite a presumed preference for home death. Among the general population, home and hospice facility deaths have increased in the past 2 decades, whereas hospital and nursing facility deaths have decreased; however, recent patterns in location of pediatric deaths are unknown.

Elderly man sat with injuries for days after his mobile home burned and collapsed WCBD Charleston, South Carolina; by Tim Renaud; 11/11/24 An elderly Colleton County man sat injured in his yard for days after his mobile home burned and collapsed. Colleton County Fire Rescue said 9-1-1 received a call reporting the fire and injured man around 10 a.m. Friday. Crews arrived to find the single-wide mobile home had already collapsed with the injured man sitting in his yard. The man told firefighters that the home burned down “one or two days ago,” fire rescue said. He suffered burns to his face and hands and was not able to call for help. “He sat injured in the yard since that time,” the agency said. The man’s hospice nurse stopped by to check on him, and that’s when she discovered the fire. She provided initial aid and called 9-1-1. Emergency crews took the elderly man to the burn center at the Medical University of South Carolina for treatment. His condition is unknown. The cause of the fire is under investigation. 

Community carolers share love with Bartlesville's 'Santa' on his final journey home Oklahoma Association of Broadcasters - Bartlesville, Oklahoma; by Nathan Thompson; 11/9/24 He's been known as Bartlesville's very own Santa for more than three decades, and on Saturday night dozens of community members showered Ron Adams with the blessing of love and Christmas carols as he faces the final moments of his life.  Earlier this year, Adams was diagnosed with stage-four liver cancer. His health has rapidly deteriated and he is in hospice care at The Journey Home between Bartlesville and Dewey. Debbie Neece, a friend of the family, says she received a phone call from Adams' daughter, Lindsey, Saturday morning with a special request.  Neece made it happen as a fitting tribute to a Bartlesvile icon and his family. ... Saturday's love from the community gathering and singing more than 20 minutes of Christmas carols had a profound impact on Ron, his wife Debi and his daughter Lindsey. Lindsey came outside and in tears, thanked the gathered crowd. A small blessing of Christmas music. A large outpouring of love from the community. But not as large as Ron Adams' heart and his devotion to bringing joy as Bartlesville's Santa.

Eden Health acquires A Plus Hospice Care Hospice News; by Jim Parker; 11/11/24 Eden Health of Northern Nevada, dba Eden Hospice, has acquired A Plus Hospice Care in its home state. Financial terms were undisclosed. Through the transaction, A Plus Hospice Care patients will have access to Eden Health’s additional services, including home health, home care and palliative care. The M&A advisory firm Agenda Health consulted on the deal. Cultural alignment, proximity to its existing footprint and the seller’s strong track record on compliance were factors in Eden’s decision to acquire, Jamie Brown, the company’s COO, told Hospice News in an email. ... Eden Health is a 100% employee-owned company operating in Washington state, Nevada, California, Idaho, Montana, Wyoming and Arizona.

The person you pass as you walk down the street might not be wearing our nation’s uniform today. But consider for a moment that a year or a decade or a generation ago, he or she might have been one of our fellow citizens who was willing to lay down their life for strangers like us. ~ a former President of the United States