Literature Review

Nevada hospital wins half-billion fraud verdict against Universal Health Services Reno Gazette Journal; by Jason Hidalgo; 9/29/25, updated 9/30/25 Saint Mary’s Health Network earned a big win in court after a jury awarded it half a billion dollars in its case against Universal Health Services. A jury in Washoe County awarded the Prime Healthcare affiliate $510 million after it found Universal Health Services liable for fraud against Saint Mary’s during the COVID-19 pandemic. The verdict included punitive damages. "This verdict affirms that the weaponization of corporate power, betrayal of physician trust, theft of proprietary information, and reckless endangerment of patients will not be tolerated,” said Saint Mary’s Health Network CEO Derrick Glum in a statement. “The verdict restores justice and allows our hospital’s mission to serve our community with compassion and dignity to endure.”

CMS telehealth waivers, virtual hospice re-certification, expire Hospice News; by Jim Parker; 10/1/25 The regulatory flexibilities related to telehealth that the U.S. Centers for Medicare & Medicaid Services (CMS) implemented during the COVID-19 pandemic have expired. This includes the ability of hospices to perform patient re-certification face-to-face encounters via telehealth. Also expiring are waivers that expanded the scope of practitioners eligible to provide telehealth services, as well as flexibilities that removed geographic requirements and expanded originating sites for telehealth services, including or federally qualified health centers and rural health clinics. The government’s failure to extend or make permanent the telehealth re-certification waiver is a “grave mistake,” according to Tom Koutsoumpus, CEO of the National Partnership for Healthcare & Hospice Innovation (NPHI).

Report sounds alarm about private equity’s growing involvement in PACE McKnights Home Care; by Adam Healy; 9/24/25 The Program of All-inclusive Care for the Elderly (PACE), a program funded by Medicare and Medicaid, is an increasingly attractive target for private equity investors. This may be a cause for concern, according to a new report by the Private Equity Stakeholder Project. “Private equity sees PACE as a guaranteed revenue stream, not a care model,” Michael Fenne, report author and PESP’s senior healthcare research coordinator, told McKnight’s Home Care Daily Pulse Wednesday in an email. “The result is that PACE, once a nonprofit-driven model focused on keeping seniors healthy at home, is increasingly being treated as a financial opportunity for investors.”

Home health industry welcomes CMS’ repeal of nursing home staffing mandate Home Health Care News; by Joyce Famakinwa; 9/20/25 Earlier this month, the Centers for Medicare & Medicaid Services (CMS) drafted a rule that would repeal the federal staffing mandate for nursing homes – a move that would send ripple effects through the home health industry. The rule was controversial among nursing home operators, but it also received pushback from home health providers who were concerned that the mandate would lead to further staffing scarcity. “The repeal is positive for home health agencies,” Katy Barnett, director of home care and hospice operations and policy at LeadingAge, told HHCN in an email. 

[Portugal] End-of-life care in the prison environment (supplement #22) ehospice, republished from by Portual Plus; 9/25/25 “Inmates who are dependent on assistance have a significant need for help from fellow prisoners,” stated Manuel Almeida dos Santos, secretary-general of the Obra Vicentina de Auxílio aos Reclusos (OVAR) [i.e., St. Vincent de Paul Work to Aid Prisoners], citing the lack of nursing aides and other professionals within prisons. “The shortage of human resources is not limited to prison guards. The deficiencies in prisons are even greater in other areas,” he argued. This concern was echoed by Vítor Ilharco, president of the Associação Portuguesa de Apoio ao Recluso [i.e., Portuguese Association for Prisoner Support], who mentioned cases of sick or elderly inmates who are bedridden, with their families paying “fixed amounts” to other inmates for assistance. Editor's Note: Log in to your newsletter account, type "prison" in the "Search" field, and compare this with many articles we've published on this topic; notably, "IL law calls for annual report on prison hospice, palliative care" and "Death and redemption in an American prison."

Rise in late-stage lung cancer in nonsmokers highlights need for awareness and screening Medscape Medical News; by Evra Taylor; 9/5/25 ... The common thinking is that lung cancer is a smoker’s disease, but that isn’t the full picture, Jessica Moffatt, PhD, vice president of programs and health system partnerships at Lung Health Foundation in Toronto, told Medscape Medical News. ... Moffatt and her colleagues are working to dispel the stigma that smokers “get what they deserve.” Rosalyn Juergens, MD, professor of oncology at McMaster University in Guelph, Ontario, and president of Lung Cancer Canada, said, “If you find out someone has lung cancer, your first question shouldn’t be ‘Did you smoke?’ It should be ‘What can I do to help you along this journey?’ ” 

Nevada hospice provider launches first-of-its-kind palliative care in Las Vegas education program ABNewswire; by Summerlin Hospice and Palliative Care; 9/29/25 Summerlin Hospice and Palliative Care has announced the launch of an innovative educational initiative designed to increase awareness and understanding of specialized comfort care services throughout Nevada. ... Summerlin Hospice and Palliative Care has developed partnerships with local medical centers, healthcare providers, and community organizations to maximize the program’s reach and effectiveness. These collaborations ensure that educational resources reach diverse populations throughout the Las Vegas Valley and surrounding Nevada communities.

Chapters Health System strengthens California health services Investors Hangout; by Evelyn Baker; 9/30/25 Chapters Health System, renowned as a leading advocate for chronic illness care and the largest nonprofit hospice network in the nation, has recently announced a significant step forward. The organization has finalized its affiliation with Hospice of Santa Cruz County, marking an exciting expansion of the Chapters Health West division within California. ... The integration of Hospice of Santa Cruz County into the Chapters Health West division follows earlier affiliations with established entities like Nathan Adelson Hospice and Willamette Vital Health, enhancing the comprehensive service offerings available in the region. 

Hospice of Santa Barbara’s No One Dies Alone Program ensures that those who are alone and actively dying, have someone at their bedside Santa Barbara Independent, Santa Barbara, CA; by Hospice of Santa Barbara; 9/29/25Hospice of Santa Barbara’s (HSB) No One Dies Alone (NODA) program has partnered with local senior living facilities in Santa Barbara for over a decade, providing compassionate volunteer support to seniors in their final 24 to 72 hours when family or friends are unavailable. Currently, NODA has 21 trained volunteers serving in the program. Before becoming a NODA volunteer, applicants must graduate from a six-week patient care training and serve as a patient care volunteer for a minimum of 9 months before attending a NODA specific training. Most NODA volunteers have been with the program for years and feel a strong commitment to the work they do.

Commentary: New York must act now to protect quality hospice care Times Union; by Cara Pace, Liz Krueger and Amy Paulin; 9/30/25 When your loved one is entering the final stage of their life, who would you rather manage their care: a nonprofit solely dedicated to providing the highest quality care possible? Or a private entity seeking to maximize profits? ... However, for-profit hospices now account for 70% of the market, up from 5% 35 years ago. This comes despite studies showing that for-profit hospices provide fewer essential services, employ less skilled staff, receive a higher volume of complaints and contribute less to their communities than their nonprofit counterparts. ... That's why we introduced legislation (S.3437/A.565) to prohibit the state from approving new applications for the establishment, construction or increased capacity of for-profit hospice entities. The two existing for-profit providers would not be touched, though their capacity to expand would be limited. The legislation now awaits Gov. Kathy Hochul’s signature.Editor's Note: For-profit or non-profit status alone does not speak to the quality of care provided by the individual hospice. Some for-profits provide excellent care; some non-profits do not. This article speaks to evidence-based data, quality scores, patterns, trends, and cumulative results from CAHPS, HIS (which is being replaced by the HOPE Tool, effective today), and more. Examine quality scores in your services with the National Hospice Locator (ranked by scores), provided by National Hospice Analytics.

Expert: In preparation for debut of HOPE tool Wednesday, hospices should provide training, adhere to timelines McKnights Home Care; by Adam Healy; 9/28/25 With the Hospice Outcomes and Patient Evaluation (HOPE) tool scheduled to roll out Wednesday, hospice providers need to get up to speed, ... Katy Barnett, director of home care and hospice operations and policy at LeadingAge, told McKnight’s Home Care Daily Pulse ... "To be successful with the new tool, providers need to adhere to a few best practices. ... Providers should have a designated staff member making sure that their assessments are uploaded within 30 days of completion and that they are accepted by the iQIES system,” she said. “In the first quarter of implementation, meeting the 90% threshold for timely reporting of data is key.” Barnett added, “Providers need to make sure they’re meeting the two-day timeline for symptom follow-up visits and that they’re tracking completion either within their EMR or externally. This is really important since the visits will count towards publicly reported quality measures starting in January.”Guest Editor's Note, from Judi Lund-Person: For patients who are already on service on October 1, hospices will only use the HOPE discharge process and will not use the HUV or SFV visits.  Have you registered for iQIES yet? There is still time….. although every hospice will want to pay close attention to the 90% compliance threshold – if it is not met, there could be a 4% payment reduction for the following year. Good luck with your final preparations!