Literature Review

False Claims Act - 2023 Year in ReviewJD Supra; by William Athanas, A. Lee Bentley III, Gene Besen, Ryan Dean, Jonathan Ferry, Daniel Fortune, Giovanni Giarratana, Ty Howard, Elisha Kobre, Anna Lashley, Gregory Marshall, Lyndsay Medlin, Stephen Moulton, Ocasha Musah, Scarlett Singleton Nokes, Cara Rice, Brad Robertson, Tara Sarosiek, Jack Selden, Erin Sullivan, Courtlyn Ward, Virginia Wright; 2/28/24As we do every year, this issue revisits the key cases and other developments from the year gone by. And by most metrics, 2023 was a notable year for the False Claims Act (FCA).

Surgeon shares biggest lesson: ‘Never underestimate the power of hope Mofitt Cancer Center, by Corrie Pellegrino; 2/27/24An Interview with Dr. Monica Avila. ...[Question] What is the biggest lesson you’ve learned from a patient?[Response] I think the biggest lesson is to never underestimate the power of hope and the power of the patients’ will to live. I’ve had patients literally placed on hospice care who I have taken to the operating room, had successful optimal debulking for ovarian cancer and who are living life right now after chemotherapy. So I never underestimate patients’ ability to keep going and keep living.

The best changes 32 healthcare leaders made this year Becker's Payer Issues, by Rylee Wilson; 2/27/24Question: What is one change you made in the last two years that had great results?Leaders in the payer space are making changes to simplify members' experiences, improve equity and level-up the way their teams work together. The 32 leaders featured in this article, part of an ongoing series, [answered this question].

Communicating with patients with hearing loss or deafness—Can you hear me? JAMA Intern Med, by Dianne P. O'Leary, PhD and Timothy J. O'Leary, PhD, MD... Virtually all health care professionals want to provide the best possible care and to communicate as effectively as possible. However, ... frequent communication failures are leading to inferior care for the hearing impaired. Effective communication might require some or all of the approaches listed in [this article].

Value-based care now driving home-based primary care growth, experts sayMcKnights Home Care, by Adam Healy; 2/27/24When Independence at Home (IAH), the Centers for Medicare & Medicaid Services’ home-based primary care initiative, concluded at the end of 2023, after more than a decade, it marked the end of an era. Over the period of the model, the rise of value-based care has given providers a wealth of opportunities to bring primary care into patients’ homes.

What to expect from your language services provider during CMS test call seasonMedCity News, by Kristin Quinlan; 2/26/24 Part of the CMS Star Ratings program, the Accuracy & Accessibility Study includes test calls designed to measure the accuracy of the information provided to a prospective beneficiary as well as the accessibility of interpreters in French, Spanish, Vietnamese, Cantonese, Mandarin, and Tagalog. The test callers ask a series of questions related to the plan’s policy; success depends, in part, on accuracy of the information provided and availability of interpreters.

The employment outlook for hospice aidesHospice News, by Holly Vossel; 2/23/24Rising wages, reimbursement pressures and immigration policies are fueling high turnover rates for hospice and personal care aides. Similar trends are proliferating among hospitals and health systems that provide these services. Current reimbursement structures for aide services represent the most significant challenge in maintaining a sufficient workforce, according to Kenneth Albert, president and CEO of Maine-based Androscoggin Home Healthcare + Hospice. 

New outlook report shows home-based care providers bullish on near-term revenue opportunities in the year aheadWTWH Media LLC, by Marshall Matheson; 2/20/24Home Health Care News, a WTWH Media publication, has released the results of its 2024 Home-Based Care Outlook Survey, identifying the top challenges and opportunities for home-based care providers in the year ahead.

Hospice vs. Palliative Care in Tucson: Which One Is Right for You and Your Loved Ones?AzFoothills.com, 2/20/24  ... Choosing between hospice and palliative care can seem overwhelming, especially when you're trying to make the best decision for someone you love. There are some distinctions between these two types of care. Here, we discuss some of those differences to guide you in choosing the proper care for a loved one. 

Redefining end-of-life care: Stories of compassion and innovationBNN, by Waqas Arain; 2/18/24In the heart of compassionate care and the challenging journey of end-of-life situations, two remarkable healthcare professionals stand out for their dedication and innovative approaches to palliative support. Teresa Hovatter, a Community Liaison with Grane Hospice, and Kirsty Lazenby, an organ donation nurse at Royal Stoke's Critical Care Unit, have each been recognized for their exceptional efforts in providing comfort, dignity, and support to terminally ill patients and their families. Their stories, though distinct, converge on a singular mission: to transform the end-of-life experience into one of peace, understanding, and meaningful closure.

Health system C-suites' buzzword for 2024Becker's Hospital Review, by Laura Dyrda; 2/15/24The last year, 2023, was the year of artificial intelligence in healthcare. Top executives from hospitals and health systems large and small dove deep into ways AI could make their organizations more efficient and elevate patient care. While AI will stay a top priority over the next year, a new buzz word is on the tip of health system C-suite executives' tongues: partnerships. But not just any partnerships. Unique, innovative and outside-the-box partnerships will be essential for hospitals to thrive.

Reduced federal share may force state Medicaid programs to cut services, HCBS expert saysMcKnights Home Care, by Adam Healy; 2/15/24The Congressional Budget Office this month released its “Budget and Economic Outlook” report for the coming decade. In its report, CBO predicted a roughly $58 billion drop in federal Medicaid outlays for 2024 compared to 2023 — a 9% decrease in federal Medicaid spending, due in part to fewer beneficiaries on states’ Medicaid rolls. Reduced Medicaid outlays ... has placed an even greater strain on states to pay for these Medicaid programs, according to Damon Terzaghi, director of Medicaid HCBS for the National Association for Home Care & Hospice.