Literature Review

DEA unveils long-overdue special registration for telemedicine in proposed ruleThe National Law Review; by Marika Miller, Nathan A. Beaver of Foley & Lardner LLP; 1/21/25 In the final days of the Biden administration, the Drug Enforcement Administration (DEA) released a proposed rule that would allow practitioners with a Special Registration to prescribe Schedule III-V, and in limited circumstances Schedule II, controlled substances via telemedicine. Practitioners with a Special Registration would still need to obtain a DEA registration in each state where they prescribe or dispense controlled substances. However, the proposed rule establishes a limited, less expensive State Telemedicine Registration as an alternative to the traditional DEA registration. The proposed rule imposes several obligations on practitioners with Special Registrations when they prescribe controlled substances via telemedicine.  [Click on the title's link to continue reading.]

The 'paradigm shift’ of hospice service diversification Hospice News; by Holly Vossel; 1/17/25 Some hospices have delved deeper into service diversification to improve timely access and expand their patient reach, while others remain focused on end-of-life care delivery. The decision to launch into new service realms can come with a range of operational and reimbursement questions. Among the keys to diversifying services is establishing a business infrastructure that allows for innovative growth based on communities’ needs, according to Leslie Campbell, COO of Touchstone Communities. The San Antonio, Texas-headquartered company provides hospice, home health, veterans services, assisted living and skilled nursing services. ... Hospice leaders need to ensure that both back-office administrative and interdisciplinary teams are educated on how business growth impacts them, particularly when it comes to quality and compliance across the care continuum, Campbell stated.

Partnership for Quality Home Healthcare to merge with National Alliance for Care at Home Home Health Care News; by Audrie Martin; 1/17/25 The Partnership for Quality Home Healthcare (PQHH) will shut down effective March 1. The PQHH board of directors will join efforts with the National Alliance for Care at Home (the Alliance) to create a stronger and unified voice for the industry. By collaborating with the Alliance, the PQHH board aims to enhance advocacy on public policy and regulatory issues impacting the home health community. Their goal is to promote a health care system that acknowledges home health’s vital role in providing compassionate, value-driven care. ... Since its founding in 2010, PQHH has represented community — and hospital-based home health care agencies, working in partnership with government officials to ensure access to high-quality home health care. This mission was at the forefront of their decision to close.

ASTP Rule codifies requirements for TEFCA-Qualified health information networks McDermott Will & Emery, Washington, DC; by James A. Cannatti III, Jennifer S. Geetter, and Nathan Gray; 1/15/25 On December 16, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the NationaTl Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA) final rule in the Federal Register as part of its continued focus on improving information sharing among healthcare stakeholders. Rather than codifying comprehensive substantive and procedural requirements for entities participating in TEFCA, the final rule provides a flexible framework establishing how such decisions will be made in current and future subregulatory documents. 

New inpatient centers unveiled as other hospice programs consider closure Hospice News; by Holly Vossel; 1/9/25 Hospice providers across the country have recently launched new inpatient facilities as 2025 unfolds. The new year may also bring closures of certain hospice programs

Health systems: It's time to break up with short-termism Becker's Hospital Review; by Molly Gamble; 1/10/25Health systems begin 2025 emerging from a half-decade of crisis management. Now is the time for executive teams to lift their heads from quarterly survival and make bets on their long-term future. ... In recent years, a number of leaders, including those within health systems, openly declared their departure from 10-year strategic plans. Even five-year outlooks are considered ambitious, some argued. Agility and short-term performance is sometimes hailed as the hallmark of savvy leaders, while long-term vision risks being dismissed as impractical or naive. This mindset may have served its purpose during the stop-and-go nature of the pandemic, but risks leaving organizations flat-footed and without a defined strategy for what could come next. Teams may feel the shift. The return of competitive, distinct and long-term plans will require systems' executive teams and boards to revive organizational muscles that may have lain dormant through years of crisis response. 

Hospice CEO’s top predictions for 2025 Hospice News; by Jim Parker; 1/10/25Hospice News spoke with a group of industry leaders about the most pressing market forces and trends that will shape the space during 2025. Their comments carried some common threads, including rising demand for care in the home, continued labor pressures, industry consolidation and intensifying regulatory scrutiny. They also spoke about the need for greater integration of hospice into the larger health care continuum and the benefits of operators broadening their scope of services. During these conversations, four key themes rose to the forefront for the coming year.

Kirva Hospice CEO: Quality begins with staff education, engagement Hospice News; by Jim Parker; 1/7/25 Long-time hospice CEO Cheryl Hamilton Fried has taken the helm at Kirva Hospice, a new, standalone nonprofit established by the public service organizations Jewish Family Services and Beth Shalom. Kirva serves the Richmond, Virginia, region with plans to expand into contiguous markets. ... About 16% of their patients are of the Jewish faith.Q: What are your top priorities as you take the helm at Kirva? Developing culture, that’s always been big for me. I’ve done that everywhere I’ve gone. A: Developing people, so I’ve already tapped a couple of managers to elevate to directors, as we are growing our census pretty rapidly and really identifying areas that are unmet in the community. That’s what Kirva and Jewish Family Services want to do, is look at where the gaps are in senior care.

Seven trends in senior living that will define 2025 and beyond McKnights Senior Living; by Michele Hollerand, PhD, MBA; 1/6/25 Senior living is in the midst of a major transformation, and seven major trends have emerged as key drivers of the strategic plans adopted by boards across the country. Those trends will shape the way organizations position themselves for the future to capture a new customer base in 2025 and beyond.

CDC weekly US map: Influenza summary update U.S. Centers for Disease Control and Prevention (CDC) - HHS.gov; retrieved from the internet 1/2/25, with most current data from 12/21/24 A Weekly Influenza Surveillance Report Prepared by the Influenza Division: Outpatient Respiratory Illness Activity Map Determined by Data Reported to ILINet. This system monitors visits for respiratory illness that includes fever plus a cough or sore throat, also referred to as ILI, not laboratory confirmed influenza and may capture patient visits due to other respiratory pathogens that cause similar symptoms. Editor's note: Click here for the map and bookmark it to regularly monitor your service areas through this flu season.

What’s the most impactful thing you learned this year? Harvard Business Review (HBR); by Kelsey Hansen; 12/31/24 What’s one thing you learned this year that changed the way you lead? We asked HBR’s global social media community this question to get a sense of the lessons our readers are taking into the new year. We’ve collected some highlights here so that we can all reflect and learn from one another. Our readers shared lessons learned around the importance of (truly) listening; leading with vulnerability and humility; and why we should all prioritize reflection and lifelong education. In the spirit of continuous learning, we’ve also included some resources to dig deeper in HBR articles and podcasts. ...

In Memoriam: Jimmy Carter helped build the hospice community Hospice News; by Jim Parker; 12/30/24 ... During his tenure as president, Carter was essential to the establishment of the Medicare Hospice Benefit. His administration launched the U.S. Centers for Medicare & Medicaid Services’ demonstration project to test the model, leading to passage of a law establishing the benefit during the subsequent Reagan presidency. Prior to these efforts, hospice care was delivered predominantly by volunteers who relied on philanthropy to operate. The scale of these early providers was very limited due to lack of payment, as was access to their services. “For decades, the Carter family has championed open dialogue about the needs of patients at the end of life,” Dr. Vicki Jackson, board president of the American Academy of Hospice and Palliative Medicine (AAHPM), told Hospice News in an email. “Their vocal support for hospice care over the past year has made an immeasurable impact and brought information about this essential subspeciality of medical care to a national audience.”

Hospice News’ top 10 stories of 2024 Hospice News; by Holly Vossel; 12/13/24 Fraud and program integrity concerns dominated the news in 2024, along with large acquisitions, payment rules and regulatory changes. This year saw regulatory evolutions spurred by program integrity concerns, as well as the introduction of landmark legislation, shifts in reimbursement trends and a change in presidential administration with unknown impacts across the care continuum. The U.S. Centers for Medicare & Medicaid Services (CMS) ramped up auditing activity in the space while also sunsetting the hospice component of its value-based insurance design (VBID) model demonstration ahead of its initial expiration. Meanwhile, lawmakers unveiled a bill with some of the most significant reforms proposed to date for hospice payment and oversight. Dubbed as the Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act, the bill has ignited conversations across the industry about future sustainability, growth and program integrity. [Click on the title's link to continue reading.]