Literature Review

GUIDE and beyond: Strategies for comprehensive dementia care integrationJournal of the American Geriatrics Society; by Kristin Lees Haggerty, David B Reuben, Rebecca Stoeckle, David Bass, Malaz Boustani, Carolyn Clevenger, Ian Kremer, David R Lee, Madelyn Johnson, Morgan J Minyo, Katherine L Possin, Quincy M Samus, Lynn Spragens, Lee A Jennings, Gary Epstein-Lubow; 10/25The Centers for Medicare & Medicaid Services' (CMS) Guiding an Improved Dementia Experience (GUIDE) Model represents a landmark opportunity to improve outcomes for persons with dementia and their caregivers and scale comprehensive dementia care through a structured service delivery and alternative payment approach.  Drawing from the experiences of six previously tested programs ... we describe a four-step approach to enable successful adoption and implementation: identifying key leaders and partners, preparing a tailored value proposition, initiating program start-up, and ensuring sustainable implementation. We highlight practical tools and resources to address operational challenges, including electronic health record integration, reimbursement strategies, and staff training. By focusing on evidence-based models, health systems and other providers can accelerate implementation, reduce costly emergency and institutional care, and deliver high-quality, person-centered support. This approach can help to empower GUIDE participants and others to build effective, durable, scalable comprehensive dementia care systems, ultimately advancing the goal of establishing such care as a permanent Medicare benefit.

Hospice, palliative care, and care experiences among Medicare beneficiaries with cancerJournal of Geriatric Oncology; by Lisa M Lines, Miku Fujita, Kim N Danforth, Daniel H Barch, Michael T Halpern, Michelle A Mollica, David T Eton, Ashley Wilder Smith; 11/25Among 37,025 Medicare beneficiaries with cancer, 11.1 % received hospice (with or without PC) and 7.4 % received PC only. Nearly 30 % of the sample died within five years of diagnosis; fewer than one-third of decedents received hospice. Factors associated with receiving hospice included increasing age, non-Hispanic ethnicity, American Indian/Alaska Native and multiracial identities, living in higher-income neighborhoods, survey-completion proxy assistance, fair/poor general health, advanced stage at diagnosis, and more illness burden. Independent predictors of PC encounters included age 75-79, female identification, no dual enrollment, no proxy assistance, and more illness burden. Differences in care experience associated with hospice or PC use were shown for two care experience measures: doctor communication scores and doctor rating scores were higher among beneficiaries who received neither hospice nor PC relative to beneficiaries who received hospice.

Saturday newsletters focus on headlines and research - enjoy!

Best Buy takes $192M hit from healthcare arm Becker's Health IT; by Giles Bruce; 11/26/25 Best Buy took a $192 million accounting loss after ending its hospital-at-home partnerships with health systems. The tech retailer recorded the pretax, noncash asset impairments related to Best Buy Health in the third quarter of fiscal 2026, according to a Nov. 25 earnings report. Best Buy exited the hospital-at-home space earlier this year, ...

December is like Friday of the months. 

From WhatsApp chat to worldwide connectionehospice; 11/25/25 When palliative care physician Ros Taylor reflected on the Global Palliative Doctors Network (GPDN) WhatsApp group, her words captured its essence — five guiding principles for a happier life: being connected, staying curious, continuing to learn, giving knowledge and support, and keeping the mind active. These principles lie at the heart of GPDN — a community built on connection, curiosity, and collective growth. What began as a simple WhatsApp chat among doctors has evolved into a global movement that transcends borders and brings together physicians dedicated to improving palliative care worldwide. [Click here for photo]

Brené Brown and Adam Grant say the best leaders do this. Mediocre managers do the opposite Fast Company; by Inc.; 11/22/25 Are you a 'learner' or a 'knower'? How can you tell if someone is a great leader? They always want to know more. They’re interested in mastery of a subject or skill. They ask great questions. And, as they find out more, they sometimes change their mind. They’re a “learner.” But these days, most CEOs and other leaders take the opposite approach. They think of themselves as “knowers.” They appear to have all the answers. That’s bad for them, their direct reports, and the organizations they lead.

Social Media Watch 12/5/25

As Oregon mulls private equity hospice merger, lawmakers hear of grim financial logic Willamette Week, Portland, OR; by Andrew Schwartz; 12/3/25 Last month’s presentation to a Oregon Senate health care committee came as a for-profit company seeks to assume management of the state’s largest home hospice network. ... The presentation, by Braun and other hospice industry experts, comes as the Oregon Health Authority weighs approval of a major transaction: As part of a multistate deal, Compassus, a for-profit company run in part by private equity interests, is seeking to take over management of home health and hospice assets of the nonprofit Providence Oregon, the state’s largest provider of such services.

Data book: Beneficiaries dually eligible for Medicare and Medicaid MEDPAC (Medicare Payment Advisory Commision) and MACPAC (Medicaid and CHIP Payment and Access Commission); December 2025 This data book is a joint project of the Medicaid and CHIP Payment and Access Commission (MACPAC) and the Medicare Payment Advisory Commission (MedPAC). The data book presents information on the demographic and other personal characteristics, expenditures, and health care utilization of individuals who are dually eligible for Medicare and Medicaid coverage. Dually eligible beneficiaries receive both Medicare and Medicaid benefits by virtue of their age or disability and low income. This population is diverse and includes individuals with multiple chronic conditions, physical disabilities, and cognitive impairments such as dementia, developmental disabilities, and mental illness. It also includes some individuals who are relatively healthy.

Aging is changing: Three truths that should reshape our strategiesMcKnights Long-Term Care News; by 

Hospice SLO County announces move to new location Paso Robles Daily News, Paso Robles, CA; by News Staff; 12/3/25 Hospice of San Luis Obispo County says its new location improves visibility and long-term stability. The new, smaller facility will continue to be known as the Dorothy D. Rupe Center. The name honors the Arthur N. Rupe Foundation and the legacy that helped establish the organization’s first permanent home in 2001. Hospice of San Luis Obispo County said the move reflects a step toward sustainability by providing a more visible and efficient space while maintaining its existing environment.

Still complaining about compliance? Attackers love hearing that Forbes - Innovation - Cybersecurity; by Emil Sayegh; 12/1/25 Across industries, compliance frameworks are often misunderstood. Executives see cost. IT teams see checklists. Owners see audits, findings corrective actions. Whether it is NIST 800-171, CMMC, HIPAA, PCI DSS, ISO 27001 or SOC 2, the reaction is predictable. Another requirement. Another deadline. Another disruption. But the truth is that these frameworks have saved companies from ruin. They have reduced breach costs, protected consumers and patients, stabilized industries and prevented the collapse of trust systems that modern life depends on.