Literature Review

Fourth temporary extension of COVID-19 telemedicine flexibilities for prescription of controlled medications Federal Register - The Daily Journal of the United States Government; A Rule by the Drug Enforcement Administration and the Health and Human Services Department on 12/31/2025 AGENCY: Drug Enforcement Administration, Department of Justice; Substance Abuse and Mental Health Services Administration, Department of Health and Human Services. ACTION: Temporary rule. SUMMARY: The Drug Enforcement Administration (DEA) jointly with the Department of Health and Human Services (HHS) is issuing a fourth extension of telemedicine flexibilities for the prescribing of controlled medications through December 31, 2026. DATES: This rule is effective January 1, 2026 through December 31, 2026.

Translating the value of palliative transfusions for patients with blood cancers into high-quality end-of-life careJAMA Network Open; by Pamela Egan, Dana Guyer; 11/25Studies have described how patients with blood cancers enroll in hospice care at lower rates than patients with solid tumor cancers, receive more futile chemotherapy, are more likely to seek emergency care at the EOL [end of life] , are more likely to be treated in intensive care units, and are more likely to die in hospital settings than their counterparts with solid tumors. The Medicare hospice benefit is structured in such a way that providing transfusions is cost prohibitive for hospice agencies. It is time to heed the call from the American Society of Hematology and palliative care and hospice agencies nationwide to revise the Medicare hospice benefit such that patients with blood cancers can receive hospice care as soon as their cancer-directed treatments are no longer valuable without sacrificing the quality-of-life–sustaining transfusions. This will be an important step toward ensuring high-quality EOL care for patients with hematologic malignant neoplasms.

Precision Radiation Oncology Rhode Island and HopeHealth Hospice & Palliative Care announce Collaborative partnership Today in Business, Providence, RI; Press Release; 12/30/25 Precision Radiation Oncology Rhode Island (PRORI) ... along with HopeHealth, provider of palliative care and hospice services, are proud to announce a new collaborative partnership, aimed at improving quality of life and Precision outcomes for patients undergoing cancer care, beginning January 2026. This collaboration brings together two organizations with complementary missions: delivering state-of-the-art cancer treatment while ensuring compassionate, patient-centered support throughout every stage of the patient’s cancer journey. By working closely together, in a synergistic manner, PRORI and HopeHealth will provide a seamless continuum of cancer care that addresses not only the clinical aspects of cancer treatment, but also the physical, emotional, and psychosocial needs of patients, their families and caregivers.

Alzheimer's: When is it time to consider hospice care? The Advocate, Baton Rouge, LA; by Dana Territo; 12/29/25 ... Since the span of Alzheimer's disease can run from seven to 20 years, it is often difficult to know when the person warrants hospice care. Generally, an individual with Alzheimer's is ready for a hospice referral when they become severely impaired in function, (no longer can walk or feed themselves); when the person has become incontinent; when they experience frequent choking episodes or have difficulty in breathing, are unable to speak or communicate meaningfully (limited to about a half dozen or fewer intelligible words), or have significant weight loss. ...Editor's Note: This local advocacy article provides important information for all hospices, with references to their state organization--Louisiana-Missisippi Hospice & Palliative Care Organization--for ongoing resources. 

Patients with hematologic cancers value blood transfusions most in hospice services Healio; by Josh Friedman; 12/29/25 Key takeaways:

Holistic hospice provider expands to Pinellas County Catalyst; by Mark Parker; 12/24/25 A national end-of-life care company with unique offerings, including pet visits, personal pampering and Memory Bears made from a patient’s clothing, has expanded to Pinellas County. VITAS Healthcare is a nearly 50-year-old mobile hospice provider that takes a holistic approach to providing support during a sensitive time in someone’s life. A new administrative office at 12425 28th St. N. in St. Petersburg serves as a home base for interdisciplinary care teams. Kathleen Coronado, vice president of operations, said VITAS plans to eventually open a local inpatient center “for patients who need a higher level of care.” However, the company’s primary goal is to provide comfort wherever patients call home.

Heart failure deaths shift to home, hospice, but racial disparities persistAJMC, Cranbury, NJ; by Sabrina McCrear; 12/23/25 Key Takeaways: 

Hospice enrollment in young adult LGBTQ + decedents with cancer: A multi-site single healthcare system studyBMC Palliative Care; by Sanjna Rajput, Riham Suleiman, Brittany Kimball, Aminah Jatoi, Elizabeth Cathcart-Rake; 11/25Methods [of the study]: A single healthcare system, 4000 + self-reported LGBTQ + database of patients with cancer identified young adult decedents (18-39 years old at death) to report the percentage who died with hospice, the conversations that preceded hospice enrollment, time-on-hospice, and circumstances that surrounded the deaths of those not enrolled. From the database, ... 67% ... were enrolled in hospice ... Conversations that preceded enrollment discussed (1) limited cancer therapeutic options with worsening end-of-life symptoms and how hospice could help ("discussed… decline and how patient would not want to die hooked up to machines"); (2) medical staff's acknowledgement of same sex spouse/life partners ("[She] is here with her wife"); (3) the inclusion of the birth family in end-of-life discussions, especially if the decedent had been single ("Her father met us… this was difficult news for him to hear.").  Conclusions: Most young adult LGBTQ + decedents with cancer receive hospice services with thoughtful and inclusive conversations that precede enrollment.

Refuge: How people experiencing homelessness spend their final days NBC News, KUSA-9, Denver, CO; by Chris Vanderveen and Chris Hansen; 12/21/25 If few cities and states know how to effectively deal with their unhoused populations, far fewer know what to do when the unhoused enter the final days, weeks, and months of their lives. The 9NEWS documentary “Refuge” represents a deeply personal examination of one of the more invisible crises of American life today: hospice care for the unhoused. “People like to think somehow, some way it’s being taken care of, but it’s not,” said James “JP” Hall, founder of Denver’s Rocky Mountain Refuge, one of a handful of places around the country that offers custodial end-of-life care for people experiencing homelessness.

Innovations in senior living  with Katie Smith Sloan Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Katie Smith; 12/17/25 What if aging services led the way in redesigning care—combining smart technology with deeper human connection?  That’s the challenge Katie Smith Sloan, President and CEO of LeadingAge, brings to the table as we unpack the data, the headwinds, and the promise across nonprofit senior living, home-based care, and hospice. ... Together, Chris and Katie explore how collaboration, innovation, and values-driven leadership can reshape aging services to better serve older adults—and those who care for them. 

Hospice Savannah launches Certified Nursing Assistant Training Program Savannah Tribune, Savannah, GA; Press Release; 12/17/25 Hospice Savannah is proud to partner with Senior Citizens, Inc. and Savannah Technical College to launch the Edel Caregiver Institute’s Weekend Certified Nursing Assistant Training Program. ...  Open to all community members, the program provides full CNA accreditation through Savannah Tech and will include specialized dementia and elder-care skills training. For those who qualify, scholarships are available offering tuition assistance, CAT Bus vouchers, childcare support, discounted meals, and immediate employment opportunities with Hospice Savannah or Senior Citizens, Inc. upon successful completion and certification.Editor's Note: This innovative CNA Training Program was awarded a $50,000 grand from Savannah Philanthropic Partners, under the leadership of President/CEO Kathleen Benton.

I was 36 when my husband died — here's what most of us get wrong about grief Yahoo!Health; by Laura Williams, MS, ACSM EP-C; 12/16/25 Grief is universal, yet deeply personal. Instead of trying to "fix" or "help" someone who's grieving, it's important to make space for them to perpetually navigate the permanent reality of death. ... It turns out, time doesn't heal all wounds. Life simply grows around the immediacy of the pain — the sun rises and sets, and new experiences accumulate, whether or not you want them to, gradually taking the edge off. However, grief isn't just "deep sadness." It's not depression. It's not something you "get over" or "move on from." Grief is the loss of someone you loved — a voice you'll never hear again, a laugh you'll never share. It's the inside jokes no one else understands, the clothing that won't be worn again, ... It's a bed that won't be slept in, a dining room chair that remains empty, a silence that won't be filled.Editor's Note: This first-person reflection gives language to what grief truly is—and is not. It dismantles the myth that time “fixes” loss and instead names grief as a lifelong companion shaped by absence, memory, and love. If this piece feels uncomfortable or heavy at first glance, that discomfort may be instructive. For hospice and palliative leaders, it invites a sober question: how well does your organization acknowledge grief as enduring—and provide timely, meaningful support beyond death?