Literature Review

Health disparities across states: 6 new findings Becker's Clinical Leadership, by Kelly Gooch; 4/18/24 The Commonwealth Fund released a new report April 18 examining racial and ethnic disparities in healthcare access, quality and outcomes across the U.S. The report, titled "Advancing Racial Equity in U.S. Health Care: The Commonwealth Fund 2024 State Health Disparities Report," examined state health system performance for five racial and ethnic groups — (non-Hispanic) Black; white; American Indian and Alaska Native; Asian American, Native Hawaiian and Pacific Islander; and Hispanic (any race). [Click on the title's link for (1) Six summary findings, and (2) To download the report. 

Md. health dept. processed 1.5 million Medicaid enrollees in 12 months; one month left in ‘unwinding’Maryland Matters, by Danielle J. Brown; 4/19/24... Prior to the pandemic people with Medicaid insurance had to reapply annually. Medicaid terminations were paused over the COVID pandemic in order to ensure people were covered during a global health crisis. But starting in 2023, Medicaid re-enrollments were no longer automatic, and people had to reenroll in the program to continue coverage in a period often referred to as the ‘Medicaid unwind.’ ... At the start of the unwinding period, the data show that there were about 1,787,000 people enrolled in Medicaid in March 2023. A year later, there are 1,690,000 people covered by the program. ... But most of the terminations are due to what are called “procedural terminations,” which means that someone either did not start or did not complete their Medicaid reapplication. ... People with procedural terminations have short window after losing coverage when they can reapply to Medicaid and get covered again if they are still eligible.  

Hospice of the Red River Valley celebrates milestone in Heather's House constructionInforum, Fargo, ND; by Michael McGurran; 4/19/24An important milestone for a first-of-its-kind Hospice facility in North Dakota, a dream project literally decades in the making. It was just two years ago that staff broke ground on the ambitious project. Heather's House will serve as a "hospital in disguise," a place with 18 beds where family and loved ones can spend their final time together in comfort, rather than in a hospital. It's all fully funded by donors. "You brought to life, a 25-year dream for this community," Hospice of the Red River Valley Executive Director Tracee Caprol told a crowd of donors on Friday, April 19. "Twenty-five years. You have the hearts, that compassion, the empathy, and a deep seated understanding of the needs of others."

Black patients with ovarian cancer had lower-quality end-of-life care, study says American Journal of Managed Care (AJMC), by Brooke McCormick; 4/21/24 Non-Hispanic Black (NHB) patients with ovarian cancer (OC) received lower-quality end-of-life (EOL) care than non-Hispanic White (NHW) patients, according to a study published in Cancer Research Communications. ... Although trends and disparities in EOL care among patients with OC are well documented, the researchers noted that the role of health care access (HCA) in quality EOL care has not been well characterized; HCA is comprised of 5 distinct, interrelated care access dimensions, namely affordability, availability, accessibility, accommodation, and acceptability. 

Season Hospice is expanding beyond Rochester KIMT 3 News, Rochester, MN; by Saral Khare; 4/18/24Earlier this April Seasons Hospice has already begun to provide at home hospice care to one patient in Owatonna. Seasons Hospice Executive Director, Kristina Wright-Peterson says it’s important to go out to rural communities and give hospice to those who need it. Wright-Peterson says residents who get hospice can focus on what truly matters. 

What home health providers can learn from CMS’ other proposed rules for 2025Home Health Care News, by Joyce Famakinwa; 4/19/24... CMS released the 2025 proposed payment rules for hospice and skilled nursing facilities (SNFs) in March. On the hospice side, the proposed rule included a 2.6% increase in the per diem base rate. Aside from the pay raise for hospices, the proposal also included a market basket index update, and notable changes to some of the geographic areas subject to particular indices. “There are rural areas that became urban and urban areas that became rural in the new CBSs — core based statistical areas,” William A. Dombi, president of the National Association for Home Care & Hospice (NAHC), told Home Health Care News.

LGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says ONS Voice [Oncology Nursing Society]; by Magdalen Millman; 4/18/24 About 7% of the U.S. population identifies as LGBTQ+, but understanding cancer in this population is difficult because surveillance data are limited to national surveys on risk factors and screening, the American Cancer Society (ACS) observed in a special section of its Cancer Facts and Figures 2024 report on cancer in the LGBTQ+ community. More than 50% of LGBTQ+ individuals have experienced harassment such as slurs, violence, microaggressions, and sexual harassment, even in healthcare settings. “One in 6 LGBTQ+ adults, and 1 in 5 transgender adults specifically, avoid health care due to previous discrimination,” ACS reported. It’s one factor implicated for the disparities affecting LGBTQ+ individuals’ access to cancer care, including prevention, screening, diagnosis, treatment, and palliative care. Editor's Note: Click here for this site's Cancer Facts and Figures 2024 report on cancer in the LGBTQ+ community.

Hospice choices: VITAS® Healthcare opens in Alabama, expands in Florida Panhandle Investors Observer, GlobeNewswire via QuoteMedia; 4/17/24 Hospice patients and their families in the Florida Panhandle and areas in Southern Alabama can now access quality end-of-life services with VITAS Healthcare. Starting today, the nation’s largest and leading provider of end-of-life care begins accepting referrals and admitting seriously ill patients throughout Tallahassee in Florida and Daphne-Mobile and Dothan in Alabama. ... In March 2024, VITAS entered into an agreement to acquire all hospice operations and an assisted living facility from Covenant Care. 

Mississippi Capitol sees second day of hundreds rallying for ‘full Medicaid expansion now’Mississippi Today - Legislature; by Bobby Harrison and Geoff Pender; 4/17/24Hundreds of people rallied at the Mississippi Capitol for a second day Wednesday, urging lawmakers to expand Medicaid to provide health coverage for an estimated 200,000 Mississippians. ... Speakers recounted their struggles with access to affordable health care in Mississippi and chanted for the Legislature to, “Close the coverage gap now,” and for “Full Medicaid expansion now.” ... [Dr. Randy] Easterling recounted a story of two of his friends diagnosed with similar cancers. One was uninsured and self-employed, and did not get early diagnosis or treatment. He’s now in hospice and on death’s door. The other friend, with insurance, received an early diagnosis and treatment and is now cancer free.

Valley Health and Blue Ridge Hospice collaborate to offer hospice in the hospital program at Shenandoah Memorial Hospital in Woodstock, VA Valley Health Press Release; 4/15/24 Valley Health and Blue Ridge Hospice have expanded their collaborative Hospice in the Hospital program to Shenandoah Memorial Hospital in Woodstock, VA. On April 1, the two signed an agreement for Blue Ridge Hospice to work alongside the hospital’s care team to provide supplemental comfort care services to ensure eligible patients and families receive the most complete and comprehensive care during and after their stay at the hospital.

New hospice care facility set to open its doors in Virginia Beach13NewsNow, Virginia Beach; 4/16/24, updated 4/17/24 ... The growing need for hospice care was addressed in Old Dominion University's "The State of the Region" report, which noted that Hampton Roads needs 45 beds to care for thousands of residents with life-limiting illnesses every year. ... Dozoretz [Hospice House of Hampton Roads] will provide 12 beds, as well as a bereavement center and grief support groups for families. ... The City of Virginia Beach donated 2.5 acres of land on Upton Drive for the $10,930,000 project. ... Construction on the facility began in March 2023. A ribbon-cutting ceremony is scheduled for next week. ... The senior living community Westminster-Canterbury on Chesapeake Bay is partnering with Beth Sholom Village to operate and manage the hospice house.

After death of nurses, CT lawmakers look for solutions: 'We just cannot ignore that risk' CT Insider, by Ken Dixon, 3/19/24 Home health agencies would have to find out more background information about their patients, and would be reimbursed for providing visiting nurses with escorts to certain homes and neighborhoods under legislation pushed Monday by Senate President Pro Tempore Martin Looney. ... It was inspired in part by the murder last year of Joyce Grayson of Brooklyn, Connecticut who was killed in a halfway house for sex offenders in Willimantic, as well as the January death of Ototegile Morulane, a live-in caregiver and citizen of the Republican of Botswana who died in an East Lyme house fire. Editor's Note: Though this article was appeared in the CT Insider 3/19/24, we are posting it today for context of our next article, "CT Hospice says it can't provide home care under bill to protect healthcare workers," published 4/16/24.

Medi Home Health and Hospice comes to CulpeperCulpeper Star-Exponent, by Richard Horner; 4/13/24Medi Home Health and Hospice held a grand opening celebration for its new Culpeper (VA) location on Tuesday. Sponsored by the Culpeper County Chamber of Commerce, Medi is an arm of Medical Services of America, which offers home health and hospice care. It had several locations throughout the mid-Atlantic region of the United States, including Virginia. According to Ashley McDonald, director of marketing for Medi, the business offers in-home care, including various forms of therapy and nursing care. Medi also offers hospice and palliative care.