Literature Review

Best use of emerging tech in health systems from 50 leaders Becker's Hospital Review; by Scott King; 9/25/25 Emerging technologies have greatly improved efficiency at most health systems. Over 50 healthcare leaders spoke with Becker’s about their best uses of tech in the past year. ... As part of an ongoing series, Becker’s is connecting with healthcare leaders who will speak at the event to get their perspectives on key issues in the industry. ... Question: What’s your system’s best use of tech in the past year, and why?

Emergency Departments report more consults for hospice, palliative care Michigan State University, East Lansing, MI; by Michigan State University; 9/25/25 One-third of Americans will visit an emergency department, or ED, within a month of their death. While EDs are primarily purposed to provide emergent care, they’re increasingly becoming an initial touchpoint for hospice and palliative care, or HPC, referrals and consultations, according to a new study from several researchers at Henry Ford Health + Michigan State University Health Sciences.  Why this matters:

One year after Hurricane Helene: Lessons in resilience, recovery, and renewal Hospice & Palliative Care Today; Joy Berger and Cordt Kassner with Vern Grindstaff, Millicent Burke-Sinclair, and Chris Comeaux; 9/26/25 At this time last year, Hospice & Palliative Care Today brought you a series of articles reporting on the devastating impact of Hurricane Helene across the Southeast, focusing on hospices in the North Carolina mountains. We remain deeply grateful for the many ways you—our readers and colleagues—rallied in support of those hospice organizations and their communities during their time of urgent need. This Saturday, September 27, 2025, marks the one-year anniversary of that epic disaster. To reflect on what has been learned and how recovery has unfolded, Vern Grindstaff (CEO of Compassionate Care WNC, Burnsville, NC), Millicent Burke-Sinclair (President and CEO of Four Seasons, Flat Rock, NC), and Chris Comeaux (President and CEO of Teleios Collaborative Network, Flat Rock, NC) gathered in conversation with Cordt Kassner (publisher) and Joy Berger (editor-in-chief). The insights that follow honor the hospice employees who persevered to provide urgent patient care. We celebrate their spirit of compassionate community and courageous problem-solving from the onset one year ago through ongoing recovery.

Building blocks of hospice family caregiver support Hospice News; by Holly Vossel; 9/24/25 Untapped reimbursement opportunities exist when it comes to developing a sustainable family caregiving infrastructure in the face of rising demand for home-based hospice care. ... Among the payment avenues with potential to improve support for caregivers is the Medicaid-funded Structured Family Caregiving (SFC) program. SFC coverage includes a modest financial stipend to health care providers that offer home- and community-based services for caregivers. ... Roughly 63 million Americans are family caregivers, an increase of nearly 50% since 2015, according to a report from the National Alliance for Caregiving and AARP. About one-in-every-four adults is a caregiver to a family member, with 40% of these individuals providing high-intensity care, the report found. About half of the nation’s caregivers reported negative financial impacts, with one-in-five unable to afford basic needs such as food and 25% taking on debt. Additionally, one-in-five caregivers have poor health outcomes, the report found.Editor's Note: Are you aware that the 2008 CMS Hospice Conditions of Participation identify the "family" 423 times? (Yes, I've searched, counted, and categorized.) Click here for AARP's 2025 edition of Caregiving in the US.

Hospice home for veterans named after philanthropist in Nevada Audacy.com - Connecting Vets; by Julia DeDoux; 9/22/25 A Reno, Nevada-based nonprofit dedicated to ensuring veterans have access to the medical care they need has named its newly opened hospice home in honor of a philanthropist whose gifts have been critical to its efforts. Veterans Guest House said the facility, which opened in June, will be known as the Cynthia Lake House. Lake has been instrumental in expanding access to both medical and end-of-life care for veterans across northern Nevada. In 2022, she founded Veterans Guest House’s Patient Advocacy Program, which connects veterans with transportation, post-operative care, and personal support. The impact of the program inspired Lake to scale the vision to 24/7 personalized care, making the hospice house possible.

Study finds hospice providers “game” Medicare Payment Cap, but with modest impact on costs Penn LDI - Leonard Davis Institute of Health Economics; by Julia Hinkcley, JD; 9/16/25 ... Each year, about half of Medicare beneficiaries who die receive hospice services. A new study by LDI Senior Fellow and Director of Research Norma Coe and her colleague David Rosenkranz shows that some hospice agency decision-making may be intended to increase payments by undercutting the annual revenue cap that Medicare imposes. But this “gaming” of the payment rules creates only modest increases in both hospice enrollment and spending. The study’s findings also support MedPAC’s view that wage index-adjusting the cap could make it more equitable across hospice programs, but the authors caution that the MedPAC proposal to reduce the cap by 20 percent might lead some hospice providers to close, and therefore requires more analysis.

Transforming healthcare: A conversation with Rita E. Numerof Teleios Collaborative Network (TCN); pod/videocast by Chris Comeaux with Rita E. Numerof; 9/17/25 Are we headed for a healthcare train wreck?  The warning signs are flashing: skyrocketing premiums, looming Medicaid cuts, significant reductions in home health funding, and major insurers experiencing substantial stock losses.  These aren't isolated issues but symptoms of fundamental structural flaws in our healthcare system. Rita E. Numerof, co-founder and president of Numerof & Associates, returns to TCNtalks with a powerful analysis of the healthcare industry's trajectory and a bold vision for transformative change.  As an "equal opportunity critic" with over 30 years of experience spanning the entire healthcare ecosystem, Numerof offers a uniquely comprehensive perspective on why our current system is failing and what must change. 

How Tampa Bay is rethinking healthcare for long-term growth Capital Analytics Associates (CAA); by Andrea Teran; 9/16/25 Tampa Bay continues to attract tens of thousands of new residents each year, while Florida’s senior population is on pace to double by 2050. In response, healthcare leaders across the region are being pushed to rethink how care is delivered, expanded, and made more equitable. ... [A session titled] "Future-Proofing Health: What Tampa Bay’s Rise as a Global Healthcare Hub Means for Communities" ... brought together executives from Tampa General Hospital, Johns Hopkins All Children’s Hospital, Empath Health, and Gulfside Healthcare Services. Over the course of the discussion, panelists explored five central themes: collaboration, access, innovation, workforce development, and the region’s evolving healthcare identity.

Digital twins give cyber defenders a predictive edge siliconANGLE.com; by Isla Sibanda; 9/13/25 The front line of cybersecurity has always been uneven. Attackers innovate with speed, testing new exploits daily, while defenders struggle to keep up with outdated playbooks. What enterprises lack isn’t more tools — it’s foresight.  Digital twins, virtual replicas that learn and evolve in real time, are giving security teams a way to see threats before they strike. For the first time, organizations can stage tomorrow’s attacks today, turning defense from a reaction into a rehearsal. 

Over 240 advocates rally in DC for the future of care at home: National Alliance for Care at Home hosts Inaugural Advocacy Week on Capitol Hill National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/12/25 More than 240 care at home care advocates from across the country met with over 275 congressional offices this week to discuss key legislative and regulatory priorities for expanding access to home-based care services. The meetings were part of the 2025 National Alliance for Care at Home’s inaugural Advocacy Week. Alliance Advocacy Week brings together leaders, advocates, and supporters to unite as one voice for care at home, driving positive legislative change and shaping the future of care to ensure broader access to the life-changing home care services for all Americans. 

Caregiving under the Medicare Hospice Benefit JAMA Internal Medicine - Viewpoint Agind and Health; by Helen P. Knight, MD; Richard E. Leiter, MD, MA; Harry J. Han, MD; 9/8/25 As palliative care physicians, we frequently refer patients to hospice care. When we do so, we often worry about them. How will they and their families manage custodial care—the day in, day out, physical and financial demands of caregiving—on top of navigating the inherent challenges of end of life? We know that high-quality hospice agencies provide patients and their families with invaluable support for symptomatic, emotional, and spiritual needs. But in the US, due to constraints of Medicare reimbursement, hospice agencies provide only limited custodial care support; this lack of assistance often is an unwelcome surprise to our patients and families and profoundly shapes their end-of-life experience.

The keys to building solid disease-specific hospice programs Hospice News; by Holly Vossel; 9/8/25 Understanding the most prevalent medical conditions among aging patient populations is a significant part of developing disease-specific programs that better address physical, emotional and practical needs. ... Community needs assessments play a large role in steering the direction of a disease-specific program, said Evan Dressel, director of strategy, program development and innovation at Lower Cape Fear LifeCare.  ... Navigating service needs, strategic execution and establishing successful care collaborations are crucial components to consider when building a disease-specific program, according to Kelly Gadison, vice president of clinical practice, strategy and programs at Amedisys. ... 

Hospice Insights Podcast - Where’s the line: When does poor quality create false claims liability JDSupra; by Meg Pekarske and Jonathan Porter; 8/27/25 Substandard quality care is the subject of survey citations and lawsuits, but it has also been used by the Justice Department to support false claim liability. While historically these cases were rare, a recent multi-million dollar settlement puts “worthless services” on the radar. Join Husch Blackwell’s Meg Pekarske and Jonathan Porter as they explore what the “worthless services” theory of liability is, when it has been used, and whether the recent settlement could signal a resurgence of these types of cases.