Literature Review

An open letter on stopping fraud before it starts Community Health Accreditation Partners (CHAP); by Teresa Harbour and Nathan J. DeGodt; 4/22/26 Recent testimony before the House Ways and Means Committee underscored a truth that many in healthcare have long understood. Preventing fraud requires stopping bad actors before they enter the system. We agree. At CHAP, that principle has guided our decisions for decades. Accreditation integrity is maintained at the front end of the process through disciplined, patient‑centered safeguards. ... CHAP did not accredit any hospice or home health organizations operating from the notorious Friar Street address highlighted in recent media coverage and congressional hearing. ... Before any organization advances in our accreditation process, CHAP conducts address validation and ownership verification. These steps are designed to surface red flags early, ...

Cyberattack: A Path of Care Home Health and Hospice, Oklahoma HIPAA Journal (scroll down for this article); by Steve Alder; 4/22/26 [Scroll down to "A Path of Care Home Health and Hospice"] A Path of Care Home Health and Hospice in Oklahoma has notified 3,849 individuals about a data breach at its business associate, Doctor Alliance. Doctor Alliance notified A Path of Care Home Health and Hospice on January 12, 2026, that it had been affected by the incident. 

Future-proofing care: the challenges we face in hospice and palliative care | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Cordt Kassner; 4/22/26In this special reverse-role episode, Chris Comeaux steps into the guest seat as Cordt Kassner leads a deep dive into one of the most comprehensive strategic frameworks developed for hospice and palliative care organizations which was developed by TCN and it’s members. In Part One of this forward-looking series, Chris unpacks the foundational challenges shaping the future of hospice and palliative care.  Drawing from nearly a decade of strategic research and collaboration with healthcare leaders, he introduces a powerful framework built around eight core challenges that every organization must navigate. From intensifying competition to shifting reimbursement models, this conversation equips leaders with a clearer lens to anticipate disruption and respond with intention.

“This is the beginning”: DOJ signals intensifying health care fraud enforcement in California Pillsbury; by Christopher Lee, Dylan M. Aste, Fank Kalinski; 4/16/26 Recent U.S. Department of Justice (DOJ) and California Attorney General enforcement activity sends a clear signal that California health care entities that interact with government programs—in particular the hospice and home health industries—are now under intense scrutiny. Companies in these sectors should prepare for subpoenas, Civil Investigative Demands, and searches as a result of federal and state agencies conducting independent and parallel investigations. This uptick in government enforcement is sure to spur qui tam relators and whistleblowers. Unprepared California hospice and home health companies may face significant civil, and even criminal, exposure.

Hospices’ top questions about AI Hospice News; by Jim Parker; 4/17/26 ... Hospices nationwide are implementing AI solutions to build efficiency and improve workflows, as well as aid in clinical decision making and documentation. ... AI is leading the pack in terms of hospice technology investments in 2026. About 36% of hospice leader respondents to Hospice News’ 2026 Outlook Survey indicated that predictive analytics and AI systems will be their top tech investments this year. This was followed by electronic health records at 30% and patient engagement tools at 11%.

Hospices to face increased scrutiny under new scoring system Harris Beach Murtha Attorneys at Law; by Glenn M. Jones and Roy W. Breitenbach; 4/15/26 The Centers for Medicare & Medicaid Services (CMS) plans a new hospice scoring system in fiscal year 2027 . ... CMS announced the service and spending variation index (SSVI) is part of its ongoing efforts to combat fraud and strengthen program integrity. CMS said the system will increase transparency for families, ensure proper care, protect beneficiaries and support providers delivering quality end-of-life care. Details of the proposed rule can be found on the Federal Register. The agency has also published a fact sheet on the proposed rule. The SSVI score will be based on a variety of metrics CMS gathers from hospice claims, including:

Google.org and Johnson & Johnson Foundation launch $10 million AI training program for rural U.S. healthcare workers Complete AI Training; Press Release; 4/14/26 Google.org and the Johnson & Johnson Foundation are launching a $10 million program to train rural U.S. healthcare workers to use AI tools for administrative tasks. The initiative targets operational efficiency in clinics facing chronic staffing shortages and administrative overload. ... According to the National Rural Health Association, over 130 rural hospitals have shut down since 2010, with administrative burden cited as a major factor. The new program addresses this directly by teaching healthcare workers to use AI for scheduling, patient documentation, and clinic operations. 

Build a real workplace violence committee. Not just a checkbox. Download 9 ready-to-use templates to launch your program.pomsafe - Compliance Resource; by pomsafe; 4/15/26 Built for the filed, not the facility. Most WPV resources are designed for hospitals, buildings, and fixed locations. This kit was built from the ground up for organizations whose staff work in homes, communities, and the field, where the risk environment looks completely different. Built for teams in home health and hospice; ... any organization sending caregivers into patient homes or the community.

Inside California’s hospice gold rush: the state’s IHSS program is losing between 20%-40% of its entire budget to fraudDeseret News; by Eva Terry; 4/14/26 An investigative report details large-scale hospice and in-home care fraud in California, where transnational criminal networks have billed the state for over $267 million in non-existent services. The state’s In-Home Supportive Services (IHSS) program is estimated to be losing 20–40% of its entire budget to fraud, prompting Governor Newsom’s administration to revoke hundreds of hospice licenses and make arrests. Despite state actions, over 700 active hospices in Los Angeles alone have triggered multiple red flags for fraud.Guest Editor's Note, by Judi Lund Person: Today's biggest developing thread remains the rumored national moratorium on new hospice Medicare enrollment. Hospice News reported on April 13 that questions are circulating in the industry about whether CMS is preparing a nationwide enrollment freeze for hospice providers, following a public push by state associations urging the agency not to do so. That story, combined with the ongoing California fraud crackdown and the FY 2027 proposed rule's new SSVI scoring system, paints a picture of an hospice care under enormous regulatory pressure on multiple fronts. 

Avow expands hospice services into Glades, Hendry and Lee countiesLake Okeechobee News, Naples, FL; 4/13/26On Monday, April 13 , Avow, a leading nonprofit health care provider based in Southwest Florida, announced its expansion into Glades, Hendry and Lee counties. This expansion extends Avow’s high-quality hospice and comprehensive bereavement support, increasing access and impact for families across the region. ... Over the past year, Avow has expanded its reach and deepened its impact, caring for more than 2,900 hospice patients annually and providing more than 4,000 palliative care visits through its Naples clinic and satellite locations. 

A Phoenix-area hospice provider seeks Chapter 11 protection WhatNow; by Twinkle Jha; 4/10/26 Supportive Hands Hospice Inc., based in Phoenix, AZ has filed for bankruptcy as it works to restructure its finances. Proceedings officially began on April 9, 2026, with a voluntary petition filed in the U.S. Bankruptcy Court for the District of Arizona. The healthcare business’ case is now expected to move through standard bankruptcy procedures, which include required filings and creditor actions.

81,000 people shared their dreams for AI. Here’s what HR leaders owe them HR Executive; by Jill Barth; 4/7/26 Over one week, 80,508 people across 159 countries and 70 languages described what they actually want from this technology. The result is what Anthropic is calling the largest qualitative study ever conducted, and the picture it paints of how workers experience AI is both more personal and more urgent than most HR leaders have been led to believe. ... One healthcare worker described receiving 100 to 150 messages a day from doctors and nurses, most of which required documentation. “Since implementing AI, the pressure of documentation has been lifted,” the respondent said. “I have more patience with nurses, more time to explain things to family members.”

LACo Board presses for stepped-up enforcement of hospice, home care fraud MyNewsLA.com; by Contributing Editor; 4/7/26 The county Board of Supervisors directed its staff Tuesday to develop recommendations aimed at improving coordination with other agencies to crack down on home health and hospice fraud. “Fraud in home health and hospice care is not just a financial crime — it is a direct threat to the health and safety of some of our most vulnerable residents,” Supervisor Lindsey P. Horvath said in a statement after the board’s unanimous vote.