Literature Review

MedPAC signals need to bolster Medicare physician payments AMA - American Medical Association; by Tanya Albert Henry; 1/27/26 Influential body backs added 0.5% Medicare pay update but backtracks on linking doctor payment to practice-cost inflation. ... The influential Medicare Payment Advisory Commission (MedPAC) voted in January to address inadequate payment for Medicare physician services under current law, once again underscoring a longstanding policy failure that is widely recognized but remains unresolved. MedPAC voted to recommend an additional 0.5% update on top of the updates specified in current law—0.25% and 0.75%—and will forward that recommendation to Congress. 

Winter weekend storms: Off the grid United States power outage tracker USAToday.com; real-time data map; updated every 15 minutes  USA Today provides a real-time U.S. Power Outage Tracker that aggregates data from more than 1,000 utility companies nationwide. This interactive map updates automatically every 15 minutes, offering near–real-time visibility into outages as severe weather and blizzard conditions unfold. Editor's Note: Share, save, and bookmark this resource. Use it to stay ahead of power disruptions in your service areas. For leaders in affected or high-risk regions, final preparations today can reduce harm this weekend. Assess and review with your leaders and teams (especially newer employees): 

Home care crisis drives innovation for aging in place HousingWire; by Jonathan Delozier; 1/14/26 A growing shortage of home care workers threatens older Americans’ ability to age in place. Low wages, high turnover and limited benefits leave families struggling. Worker-owned co-ops, digital registries and specialized training improve retention, pay and patient outcomes, offering promising solutions amid rapidly rising demand for home health and personal care aides.

7 hospice leaders’ predictions for 2026 Hospice News; by Jim Parker; 1/20/26 Hospice News interviewed several industry leaders to identify the most significant market forces and trends expected to shape the sector in 2026. Their insights revealed several shared themes, including growing demand for home-based care, ongoing workforce challenges, continued industry consolidation, heightened technology adoption and heightened regulatory oversight. Participants also emphasized the importance of better integrating hospice into the broader health care continuum. 

1 in 3 NPs and PAs switch specialties at least once in career AMA; by Kevin B. O'Reilly; 1/12/26 More than one-third of both nurse practitioners (NPs) and physician assistants (PAs) said in surveys conducted on behalf of the AMA that they have switched the specialty in which they provide care at some point during their career. While most nurse practitioners and physician assistants are trained to practice primary care, overwhelming majorities said additional formal training to gain the knowledge, acumen and skills needed to help provide care in the new specialty area was rarely pursued.

Employee experience trends: What the data says about 2026 Perceptyx; by Zachary Warman, MS, Oliver Lee Bateman, PhD & Bradley Wilson, PhD; 1/16/26 Perceptyx research across 20 million employee survey responses reveals the largest shift in engagement drivers ever recorded: change management and confidence in senior leadership now rank as top drivers, while belonging and feeling valued dropped from their consistent top-two positions. With 4.6% unemployment and a "low-hire-low-fire" market, stable retention numbers may mask a workforce too paralyzed to pursue growth rather than one that's thriving. 

15K Nurses strike, disrupting care at 5 NYC hospitals Patch, New York City, NY; by Miranda Levingston; 1/12/26 Five private hospitals are without nearly 15,000 nurses, who are striking for higher wages and health care benefits, starting Monday. According to the New York State Nurses Association, the contract for the union expired on Dec. 31, and hospitals had until Jan. 12 to reach an agreement with the union. The nurse union said that, in addition to higher wages and health care benefits, the union is striking for improved pension plans and protection from workplace violence, highlighting the recent active shooter situation at Mount Sinai on East 100th Street in November.

Top 10 leadership pivots for 2026 Forbes; by Julie Kratz; 1/4/26 ... “Psychological safety is the most powerful differentiator in building high-performing teams. Those who report feeling psychologically safe are 31% more likely than those who don’t to be a high performer,” as stated in a recent Wiley Workplace Intelligence study of high performing teams. When cultural factors like psychological safety are linked to performance, leaders pay attention. Consider these leadership pivots heading into 2026:

Home-based care type II workplace violence nurse provider experience a literature review Home Healthcare Now; by LaDawna Goering DNP, APRN, ANP-BC, BC-ADM, CDP and Tracy Ashby, MLIS; Jan/Feb 2026 Home-based healthcare workers are at risk of violence from patients or visitors, known as Type II workplace violence (WPV). A review of studies from 2014 to 2024 found that WPV in home care is often underreported, and current training programs are not tailored for home settings. This leaves workers vulnerable to physical and psychological harm. The review suggests the need for specialized training for home care providers, focusing on patient screening, situational awareness, and de-escalation techniques. Future efforts should aim to create specific WPV prevention and reporting protocols to enhance safety and accountability in home healthcare.

UVM hospice team holds “Honk and Wave” protest over contract negotiations NBC 5, Burlington, VT; by Yunier Martinez; 12/21/25 Nurses and supporters held a “Honk and Wave” protest Saturday along Shelburne Road to build community support for the hospice union’s ongoing contract negotiations. "We want the community to know the value of the work we do," says nurse practitioner Lindsay Gerdeman. ... A spokesperson for the hospital released the following statement: "... We value our hospice team and understand that negotiating for a first contract will take time. ..." Negotiations are set to resume in January.

‘Heart of cancer care’: Social workers can improve advance care planning documentation Healio; by Josh Friedman; 12/16/25 Empowering social workers to discuss advance care planning with older patients with cancer could improve documentation of goals, focus treatment decisions and reduce burdens on oncologists and the cancer care team. A pilot program at Penn Medicine Princeton Health showed embedding a social worker into routine oncology visits for patients aged 65 years and older doubled documentation in the electronic health record. Editor's Note: Read this result again, using social workers doubled documention in the EHR for patients 65 years and older, underscoring the clinical and ethical impact of relationship-centered conversations led by trained professionals. 

[South Korea] Factors influencing burnout among hospice and palliative care ward nursesJournal of Hospice & Palliative Nursing; by Young-Mi Kim, Chieun Song, Jeoungmin Park; 11/25This study aimed to identify the factors influencing burnout among nurses in hospice and palliative care units. This descriptive correlational study investigated the effects of nursing practice environment, resilience, and nurses' character on burnout among hospice and palliative care ward nurses. The participants were 217 nurses working in hospice wards of 20 institutions selected from the 88 inpatient hospice and palliative care institutions designated by the Ministry of Health and Welfare in South Korea, as of 2021. The results showed that a better nursing practice environment and higher resilience were positively associated with lower burnout. Among hospice and palliative care nurses, being in their 30s and having fewer than 5 years of total clinical experience were associated with higher burnout.

Hospice Savannah launches Certified Nursing Assistant Training Program Savannah Tribune, Savannah, GA; Press Release; 12/17/25 Hospice Savannah is proud to partner with Senior Citizens, Inc. and Savannah Technical College to launch the Edel Caregiver Institute’s Weekend Certified Nursing Assistant Training Program. ...  Open to all community members, the program provides full CNA accreditation through Savannah Tech and will include specialized dementia and elder-care skills training. For those who qualify, scholarships are available offering tuition assistance, CAT Bus vouchers, childcare support, discounted meals, and immediate employment opportunities with Hospice Savannah or Senior Citizens, Inc. upon successful completion and certification.Editor's Note: This innovative CNA Training Program was awarded a $50,000 grand from Savannah Philanthropic Partners, under the leadership of President/CEO Kathleen Benton.