Literature Review

Study shows end-of-life cancer care lacking for Medicare patients Vanderbilt University Medical Center (VUMC) News; by Tom Wilemon; 2/21/25 The study involved patients of diverse ethnic backgrounds age 66 or older who died from breast, prostate, pancreatic or lung cancers. Many Medicare patients with advanced cancer receive potentially aggressive treatment at the expense of supportive care, according to a study that analyzed Medicare records. The study, published Feb. 21 in JAMA Health Forum, examined the quality of end-of-life care among 33,744 Medicare decedents. ... Overall, claims records showed that 45% of the patients experienced potentially aggressive care (such as multiple acute care visits within days of death), while there was a low receipt of supportive care, such as palliative, hospice and advanced care planning in the last six months of life. While hospice care spiked to more than 70% during the month that death occurred, over 16% of patients spent less than 3 days in hospices. Moreover, receipt of advanced care planning and palliative care remained below 25%. Editor's note: Click here for the research article, "Contemporary Patterns of End-of-Life Care Among Medicare Beneficiaries With Advanced Cancer." Though this research was published just this past Friday February 21, 2025, multiple newsletters are posting it, highlighting different elements. 

Ascension recoups $1B in advance payments Becker's Hospital CFO Report; by Alan Condon; 2/19/25 St. Louis-based Ascension has recouped about $1 billion in advance payments from Medicare and certain commercial payers related to disruptions from the May ransomware attack that affected the health system as well as the February 2024 Change Healthcare cyberattack. "The advance payments helped to mitigate the unfavorable cash flow impacts associated with the aforementioned cyber incidents as revenue cycle processes continue to ramp towards recovery," the health system said in financial documents published Feb. 17. "In accordance with the terms and conditions of the programs, recoupments began in FY24 with all payments being fully recouped at Dec. 31, 2024." 

Over a quarter of adolescents, young adults with cancer who want to die at home do not Healio; by Jennifer Byrne; 2/20/25 More than one-fourth of adolescents and young adults with cancer who wished to die at home did not attain this goal, according to research published in JAMA Network Open. Researchers conducted a retrospective cohort study that included adolescents and young adults (AYA; age range, 12 to 19 years) with cancer who died between 2003 and 2019. The cohort included patients treated at Dana-Farber Cancer Institute, Kaiser Permanente Northern California or Kaiser Permanente Southern California. ... Healio spoke with Odejide about the rationale for the study, the importance of the findings, and strategies oncologists can employ to ensure more goal-concordant end-of-life care for AYA patients with advanced cancers. [Click here for Helio's discussion with the lead researcher, Oreofe O. Odejide, MD, MPH, associate professor of medicine at Dana-Farber Cancer Institute.]  Editor's note: Examine this JAMA article, which we posted in our Saturday Research issue, 1/18/25: "Preferred and actual location of death in adolescents and young adults with cancer."

New Day Healthcare acquires Christian Senior Care Services  Hospice News; by Jim Parker; 2/20/25 New Day Healthcare has acquired the home-based care company Christian Senior Care Services in Houston for an undisclosed sum. The deal, New Day’s 13th to date, expands the company’s personal care services division into five additional counties in the Houston metro area. The operation will continue to operate under its current brand, and the entire staff will remain in place. ... The transaction adds personal care services to New Day’s hospice and home health operations in the Houston area, a key step in the provider’s efforts to build out a multi-faceted continuum of care. ... Similar to national demographic trends, a growing aging population is driving demand for hospice in Texas. Seniors 65 and older represent 13.8% of the Lone Star State’s overall population, according to the U.S. Census Bureau.

ViVE 2025: Improving clinical workflows amid workforce shortages HealthTech; by Teta Alim; 2/18/25 As the U.S. braces for a dearth of physicians and nurses, healthcare organizations are transforming processes to attract and retain talent. By 2034, experts have projected, there will be a shortage of between 17,800 to 48,000 primary care physicians. For full-time registered nurses, 2030 projections are even steeper. Healthcare organizations are well aware of these forecasts and have been testing and deploying solutions to improve employee satisfaction and retention and attract new talent. At ViVE 2025 in Nashville, Tenn., industry leaders discussed how improvements supported by artificial intelligence (AI) are offering promising results for streamlining workflows. [Click on the title's link to read this discussion.]

Part payer, part provider: VNS Health embraces the futureHome Health Care News; by Joyce Famakinwa; 2/18/25As one of the biggest home-based care organizations in New York, VNS Health is leaning into its size and capabilities. ... “Our real challenge is, how do we leverage the large number of programs and services we already offer to ensure a seamless journey through the most difficult times in a person’s life,” VNS Health CEO and President Dan Savitt told Home Health Care News. ... "Being both a payer and provider allows us an opportunity to work with people in our community throughout their health care journey." ... "We use analytics to identify home care patients with late stage conditions who can benefit from enrollment in our advanced illness management program. Then we use analytics to determine when it may be appropriate to consider moving this patient population into hospice care." 

20 high-performing healthcare website designs that get results Just Digital; by Just Digital Team; 2/17/25 As healthcare becomes more digital, a well-crafted healthcare website design is essential for serving patients, sharing information, and building trust. It’s often the first point of contact, making usability, clarity, and accessibility non-negotiable. ... The majority of visitors to healthcare websites are searching for information. As a result, these healthcare website designs must be appealing to the eye, user-friendly, and simple to navigate. Our team at Just Digital compiled a list of some of the best healthcare website design inspirations online. [Click on the title's link for website examples and descriptions of design elements "that get results."]

What's keeping CFOs up at night? Becker's Hospital CFO Report; by Alan Condon; 2/14/25 As health system CFOs chart their course for 2025, they face an increasingly complex financial landscape marked by mounting labor costs, tightening margins, shifting payer dynamics and an evolving regulatory environment. ... [Several] CFOs recently joined the “Becker's CFO and Revenue Cycle Podcast” to discuss the trends they're watching most closely — and the strategies they're deploying to stay ahead. [Key items include the following: labor shortages (key theme); major investments in ambulatory care facilities; AI to support operations and service; physician partnerships; shift from fee for service to value-based care; clinical labor; malpractice litigation; growth of Medicare Advantage programs; staffing shortages; inflation; reimbursements; providing care to undersinsured patients; Medicaid supplemental funding programs; "disruptors' by private equity and "other nontraditional players"; uncertainty of federal and state regulation changes.]

BrightStar, Compassus, Empath harness clinical, data and product power Home Health Care News; by Joyce Famakinwa; 2/10/25 Clinical power, data power and product power offer three ways of examining some of the top priorities for home-based care companies in 2025. Compassus, BrightStar Care and Empath Health all have a range of initiatives and achievements that are relevant to these areas, which leaders with the three organizations delved into during a panel discussion at the recent Home Care 100 conference. ...

It’s inoperable cancer. Should AI make call about what happens next? The Harvard Gazette - Harvard University; by Alvin Powell; 2/10/25AI is already being used in clinics to help analyze imaging data, such as X-rays and scans. But the recent arrival of sophisticated large-language AI models on the scene is forcing consideration of broadening the use of the technology into other areas of patient care. In this edited conversation with the Gazette, Rebecca Weintraub Brendel, director of Harvard Medical School’s Center for Bioethics, looks at end-of-life options and the importance of remembering that just because we can, doesn’t always mean we should. When we talk about artificial intelligence and end-of-life decision-making, what are the important questions at play? ...

What you need to know about the HOPE Tool HomeCare; by Jennifer Kennedy and Kimberly Skehan; 2/10/25 The Hospice Outcomes and Patient Evaluation (HOPE) assessment tool is scheduled to be implemented Oct. 1, 2025, meaning the clock is ticking for hospice providers to complete internal preparations. Providers can collect and submit hospice item set (HIS) data until Sept. 30, 2025, after which only HOPE data will be accepted for all patients admitted or discharged on or after Oct. 1, 2025. The HOPE tool is a standardized interdisciplinary assessment that aims to meet these goals from the Centers for Medicare & Medicaid Services (CMS): [click here for goals] ... CMS said it is important for providers to ensure their documentation software vendor maintains CoP content while building their HOPE content. The HOPE tool will replace the HIS content, but the core of the HIS data items will be captured in the HOPE tool. Additionally, CMS posted a change table that compares the HIS and HOPE data elements.

'We’re seeing these struggles.' Rainbow works to support end-of-life caregivers Daily Jefferson County Union, Jefferson, WI; by Hannah Brock; 2/10/25 Rainbow Community Care is facing a growing need in Dodge and Jefferson counties: the overwhelming burden placed on caregivers, both family members and healthcare workers, as they navigate end-of-life care. “There’s this need in the community to support caregivers, where whoever they are,” said Carol Brown, president and CEO of Rainbow Community Care. The backbone of the healthcare system isn’t just hospitals or insurance plans—it’s the unpaid, often invisible labor of family caregivers. ... The newest initiative, the respite care program, is being designed to give caregivers much-needed breaks. Many family caregivers go months—or even years—without a full night’s rest, a doctor’s visit for themselves, or even an afternoon off, according to Rainbow Community Care. To help address this, Rainbow Community Care secured the necessary funding for the program.