Literature Review

The future of hospice: how HOPE will transform reimbursement & care | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Andrea Hale and Raianne Melton; 5/20/26 In this Part One episode of The Future of Hospice: How HOPE Will Transform Reimbursement & Care, healthcare leaders and hospice professionals, Andrea Hale, CEO of Valley Hospice and Raianne Melton, Director of Clinical Services of Professional Services for Axxess, explore how CMS hospice changes will impact hospice operations, compliance, documentation, and outcomes-based reimbursement models. We take a deep dive into one of the most significant changes facing hospice providers in decades—the implementation of the Hospice Outcomes & Patient Evaluation (HOPE) tool.  

Development of the revised CAHPS Hospice Survey Journal of Pain and Symptom Management; by Danielle Schlang, MA, Melissa A. Bradley, BA, and Rebecca Anhang Price, PhD; 5/18/26 ... Methods: We conducted a plain language review and environmental scan, refined existing survey instrument wording, drafted candidate survey items addressing new topics of interest, and conducted 7 rounds of cognitive interviews with a total of 59 family caregivers of hospice decedents. Results: Cognitive interview respondents consistently interpreted “respecting [the patient’s] wishes,” and “listening to the things that matter most” and found these concepts relevant to their family members’ hospice care experiences; in contrast, they found the phrases “cultural practices” and “choosing what to do next” confusing or unclear. ... Conclusion:  The revised CAHPS Hospice Survey simultaneously adds new topics prioritized by stakeholders and reduces survey complexity and length. Editor's Note: This journal article includes a downloadable "Journal Pre-proof" PDF. Its Appendix B (at pp. 27-33) provides a helpful table, "Comparison between Original and Revised CAHPS Hospice Survey Items, with Rationale."

Background on CMS’s anti-fraud efforts in hospice careAEI - The American Enterprise Institute; by James C. Capretta; 5/21/26 ... For broader context, Congress added hospice coverage to Medicare in the 1980s to provide lower-cost and more patient-centered settings for terminally ill beneficiaries. ... Like home health, the hospice benefit is vulnerable to abuse because the barriers to entering the market are lower than in more regulated settings. The capital investment to get started is minimal in comparison with building a new hospital, outpatient clinic, or nursing home. Further, the potential profit margins are high if a service provider is confident that the per diem is above what is needed to provide the required services.Although CMS’s focus on fraud in hospice care is warranted, stronger oversight by itself may not produce large program savings. In theory, more use of hospice care could lead to lower overall costs if the sponsoring agencies are competent and can help their patients avoid costly hospital or nursing home admissions. CMS’s investigations need to be subtle enough to weed out the bad actors without making it overly difficult for vulnerable patients to get the care they need in their own homes or in other low-cost community settings.

Home health & hospice M&A in 2026: how compliance and clinical risk affect valuation and deal structure JD Supra; by Arnall Golden Gregory, LLP; 5/15/26 Key Takeaways:

JD Supra: CMS Nationwide Moratoria for new hospice and home health enrollments JD Supra; by Andrew Brenton, Zaina Niles, Bryan Nowicki, Adam Royal, Husch Blackwell LLP; 5/14/26 ... The Husch Blackwell Hospice & Palliative Care team is continuing to evaluate the full implications, scope, and effect of the moratoria, but here are a few key takeaways for providers:

Free webinar today by CHAP, 3-4pm ET: The National Hospice and Home Health Enrollment Moratorium | what we know so far Community Health Accreditation Partner; webinar will be presented by Kim Skehan, Jennifer Kennedy, and Teresa Harbour; posted 5/14/26 with webinar 5/15/26 Join CHAP and Kim Skehan for a timely discussion focused on what we currently know, what remains unclear, and how providers should be thinking about readiness, compliance, and next steps. Anyone can view and join online. During the webinar, we will cover:

We can fight fraud without threatening access to care RealClear Health; by Peter Pitts; 5/8/26 ... In recent months, the Trump administration has identified a small but significant number of bad actors that have cheated the system. These fraudsters aren’t just stealing taxpayer dollars — their actions are threatening access to quality care and undermining patients and families’ trust in Medicare. Those criminals should be removed from federal programs and prosecuted. ... But that’s not the full story. Not even close. ... This doesn’t have to be a choice between fighting fraud and protecting access to care. We can and must do both: root out fraud and protect access to high-quality hospice and home health care at the same time.

HOPE is raising the stakes for hospice compliance HealthIT Answers; by Michelle Barlow, RN, BSN; 5/11/26 Hospice providers are entering a tougher regulatory environment. ... At the center of these changes is the Hospice Outcomes and Patient Evaluation (HOPE) tool, which replaced the Hospice Item Set in October 2025. ...

Where do unhoused people go to die? The Denver Clarion, Denver, CO; by Hawke Baldwin; 5/4/26 ... On April 29th 9News presented its documentary “Refuge” in DU’s Anderson Academic Commons, giving viewers a glimpse into the reality of death. “Refuge” is a sad yet inspiring story that delves into end-of-life care for those both terminally ill and unhoused in Denver. ... A person featured in the film is James Patrick Hall, a Gregorian Frier and former engineer who founded Rocky Mountain Refuge, a haven for those in need of end-of-life care. The refuge is a hospice center providing home-style care for free. ... The documentary follows four unhoused and terminally ill individuals: Jennifer, Renne, James and Jose. All of whom were unable to find appropriate care anywhere else, so they turned to Rocky Mountain Refuge.

CMS trains its program integrity sights on Texas Hospices JD Supra; by B. Scott McBride and Howard Young; 5/5/26 California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services (CMS) proclaims are a multitude of fraudulent hospices, particularly in LA County. Now, based on recent public statements of CMS Administrator Dr. Mehmet Oz, it appears CMS is poised to train its sights on fraud, waste, and abuse among Texas hospice agencies.

Healthcare leaders break down hospice reform, Medicare & quality care | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Tom Koutsoumpas and Carole Fisher; 5/6/26 In Part One of Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care, Chris Comeaux sits down with nationally respected healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI to explore the evolving future of hospice, palliative care, Medicare oversight, and the growing demand for quality-driven, compassionate healthcare leadership. Together, they unpack the growing challenges facing end-of-life care — from fraud and benefit manipulation to the urgent need for quality transparency and authentic patient-centered care.

A new light for Community Hospice The Daily Independent, Ashland, KY; by Staff; 5/1/26 Ashland Community Hospice announced Thursday it has rebranded, with a focus on a new logo. The new design is meant to reflect the organization’s deep roots in the community and its continued commitment to compassionate, high-quality care. Community Hospice CEO Rod Hieneman said the rebrand is not a reinvention, but an evolution. ... Hieneman said, “Our goal was to honor our legacy while introducing a more modern, approachable look that reflects who we are today and where we are going. With new projects on the horizon, this transition is coming at just the right time.”

The Fraud Division launches West Coast Strike Force to target health care fraud schemes across Arizona, Nevada, and Northern California Office of Public Affairs; U.S. Department of Justice; Press Release; 4/20/26 The Justice Department’s National Fraud Enforcement Division (Fraud Division) today announced the formation of the West Coast Health Care Fraud Strike Force, a multi-district enforcement initiative uniting the Division’s Health Care Fraud Section with the U.S. Attorney’s Offices for the District of Arizona, District of Nevada, and Northern District of California.  The Health Care Strike Force model has proven to be one of the most powerful tools in the federal enforcement arsenal, responsible nationally for the prosecution of over 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion.