Literature Review

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.

Approaching end-of-life discussions with hospital patients Medscape; by Amanda Loudin; 12/2/25 ... Around 35% of Americans die in the hospital, which makes it particularly important that hospitalists are equipped to have end-of-life discussions with patients and their families. Yet many doctors come poorly prepared for these moments, leaving them uncomfortable when the conversations are necessary. “Most doctors receive training in how to deliver bad news surrounding a diagnosis, but that’s about it,” said Wyatt. “Doctors like cures and staving off death.” ... The issue is often compounded by the fact that patients and their families haven’t had these conversations, either, ...

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.

Hope Hospice Center completes, exceeds $15M capital campaign Times-Leader, Fairfield, MT; by Keila Szpaller; 12/1/25 Before the Hope Hospice Center opened in Missoula in July, people working on the project toured different facilities in the country looking for ideas. ... They learned that families are as integral to the mission as their loved ones, even that it’s advisable to have multiple USB ports in a room and couches that convert into beds. ... Now, four months after opening its doors to families across Montana, the Hope Hospice Center has served more than 100 patients and their families, exceeded a $15 million capital campaign by $200,000 ... 

Interim HealthCare expands in South Carolina with successful Palmetto state healthcare entrepreneur Business Wire - Interim Healthcare, Inc., Sunrise, FL; Press Release; 12/2/25 Interim HealthCare Inc. ... announced a major expansion in South Carolina, backed by Gary Cooper, a longtime South Carolina healthcare entrepreneur and co-founder of Palmetto Infusion Services. Alongside his son and business partner, Clemons Cooper, they will oversee operations across Chesterfield, Clarendon, Darlington, Florence, Kershaw, Lee, Marlboro, Sumter, and Williamsburg counties.

[Canada] Examining compassion satisfaction and work-related stress within a hospice for the homeless (H4H) organization: Results from a multi-method surveyAmerican Journal of Hospice & Palliative Care; by Celina Carter, Mary Anne Olalia, Justine Giosa; 10/25Communities in Canada have created targeted hospice palliative care strategies such as facility-based hospices for the homeless (H4H) to promote equitable access to care. We developed and administered an anonymous 26-item survey to 104 providers including both staff (eg, nurses, administrators) and volunteers at a facility-based H4H in Ontario. Requests for additional resources to foster workplace wellbeing included educational, process-related, spiritual/psychological, and social supports. Respondents storied that positive workplace wellbeing includes being able to provide quality care, and having supportive relationships, personal fulfillment, and a respectful culture within the workplace. Provider participants were satisfied with their ability to be effective carers, yet chronic multi-level work-related stressors can erode a sense of meaning in H4H work.

Unique ethical dilemmas occur in long-term care settings: Staff need ethics resources  Medical Ethics Advisor; by Stacey Kusterbeck; online ahead of print 12/1/25 issue ... “The position paper was developed in response to concerns from our members about the ethical challenges of the changing environment in long-term services,” says Jason M. Goldman, MD, MACP, president of the American College of Physicians. ... Discharge disposition, communication issues (either among the clinical team or between clinicians and parents), behavior problems, and goals of care were the top ethical issues reported. Lack of caregiver support was another frequent unique ethical concern. Editor's Note: Your hospice is in a unique role to provide ethics trainings for end-of-life care, and thus building trust, clinical best practices, and referrals. The CMS Hospice Conditions of Participation require: Hospices That Provide Hospice Care to Residents of a SNF/NF or ICF/MR (§ 418.112) (f) Standard: Orientation and training of staff. Finally, this rule requires a hospice to assure the orientation of SNF/NF and ICF/MR staff caring for hospice patients. Staff orientation must address the following topics: hospice philosophy; hospice policies regarding patient comfort methods, pain control, and symptom management; principles about death and dying; individual responses to death; patient rights; appropriate forms; and record keeping requirements.

Grateful patient finds strength and support through UConn Health’s ALS Program UConn Today; by Jennifer Walker; 11/17/25 ... ALS, also known as Lou Gehrig’s disease, is a progressive neurodegenerative disorder that affects the nerve cells in the brain and spinal cord responsible for muscle movement. ... Originally conceptualized by Dr. Amanda Hernandez, division chief of Neuromuscular Medicine, the UConn Health ALS and MD Program provides a “one-stop shop” for patients with progressive neuromuscular diseases that often require coordination across multiple specialties. ... “Our social worker meets every patient,” said Viguera Altolaguirre. “We address caregiver stress, financial barriers, and emotional coping. Palliative care helps patients navigate difficult decisions about feeding tubes, ventilation, and future planning—always at their own pace and comfort level.” 

Telehealth survives again: What the most recent flexibility extension means for providers JD Supra; by Conor Duffy and Danielle Tangorre; 11/17/25 On November 12, 2025, President Trump signed H.R. 5371 the “Continuing Appropriations, Agriculture, Legislative Branch, Military Construction, and Veterans Affairs and Extensions Act, 2026” (the Act). The Act ended the federal government shutdown by providing necessary funding; it also extends key Medicare telehealth flexibilities to January 30, 2026. ... This represents another short-term extension of Medicare telehealth flexibilities that will again need to be revisited in January 2026. ... Medicare Telehealth Flexibilities Extended by the Act [include]:

United Way helps Hospice in the Pines bring care to all The Lufkin Daily News, Lufkin, TX; by Ruben Ibarra, Jr.; 11/15/25 For nearly four decades, Hospice in the Pines has offered end-of-life care with compassion to hundreds of families each year. Now approaching its 40th anniversary, the nonprofit continues to provide care to patients across 12 counties, with crucial support from the United Way of Angelina County helping fill the gaps for those who cannot afford care. ... Through the United Way, Hospice in the Pines receives funding that directly supports charity care for uninsured patients. Each year, the nonprofit provides more than $250,000 worth of medical services and equipment to individuals who have no Medicare, Medicaid or private insurance coverage, making sure patients receive the same level of care as any other.

VITAS Healthcare hosts free CME/CE webinar for healthcare professionals during National Care at Home Month PR Newswire, Miramar, FL; by VITAS Healthcare; 11/12/25 In honor of National Care at Home Month, VITAS Healthcare, the nation's leading provider of end-of-life care, invites healthcare professionals to a free, accredited webinar titled, "From Cure to Comfort: The Hospice Journey to What Matters Most." The virtual event will take place on Wednesday, Nov. 19, 2025, from 1–2:30 p.m. ET / 10–11:30 a.m. PT. 

Opportunities to improve end-of-life care in assisted living: Results from a national survey of administrators The Journal of the Post-Acute and Long-Term Care Medical Association; by Emmanuelle Belanger, PhD, Nicole Rosendaal, MSc, Michelle L. Rogers, PhD, Tamara A. Sequeira, RN, MSN, Kali S. Thomas, PhDe ∙ Joan M. Teno, MD, MS, Susan L. Hayes, MPAf, Xiao (Joyce) Wang, PhD, Pedro L. Gozalo, PhDa, David M. Dosa, MD, MPHh, Melissa A. Clark, PhD; 11/9/25 Among 4796 eligible assisted living communities invited, 2084 administrators completed the survey from all 48 targeted states, a response rate of 43.4%. ... This national study of administrators highlights important opportunities to improve end-of-life care both as part of assisted living care processes for dying residents and through collaboration with hospice. These novel survey measures will help determine how end-of-life care processes vary along state regulations and shape residents' outcomes.