Literature Review

More services at Central Missouri hospital fall victim to economic pressures News Tribune, Kansas City, MO; by Meg Cunningham; 1/4/26 Fitzgibbon Hospital, a Central Missouri health care system, announced recently that it would shutter some services effective Dec. 31, citing mounting financial pressures. The nonprofit hospital said the closures will affect about 30 employees and hundreds of patients. Fitzgibbon, located in Marshall, operates several primary and specialty care clinics in Central Missouri. Services that are closing include the Grand River Medical Clinic in Brunswick, Fitzgibbon Family Health in Fayette, the hospital's inpatient behavioral health unit, a home health and hospice agency and a pain management clinic.  

Carolina Caring Foundation receives $30,000 grant to help families in Burke CountyThe Paper, Morganton, NC; by The Paper Staff; 12/20/25 Burke County families caring for children with serious illnesses will see added support through a $30,000 grant awarded to Carolina Caring Foundation for Cardinal Kids, the region’s pediatric palliative and hospice care program. Carolina Caring Foundation announced it received the grant from Speedway Children’s Charities to help fund services provided through Cardinal Kids. The foundation said this is the third consecutive year Speedway Children’s Charities has selected Carolina Caring Foundation as a grant recipient.

Long-term hospice stay: New edit to prevent overpayment CMS - MLN Matters - Medicare Learning Network; by the U.S. Department of Health & Human Services; 12/5/25Related CR Release Date: December 5, 2025Effective Date: April 1, 2026Implementation Date: April 6, 2026Action Needed: Make sure your billing staff knows about a new edit that will help identify and prevent overpayments of long-term hospice care for claims submitted with matching “admission” and “from” dates.Key Updates: This new edit in the CWF will close the gap in the system that allows claims to pay at a higher rate when the “admission” and “from” dates match. MACs will reject hospice claims when the “admission” date doesn’t match the election period start date on the corresponding election period. ...

Perceived value of transfusion access and hospice services among patients with blood cancersJAMA Network Open; by Hari S. Raman, Angel M. Cronin, Scott F. Huntington, Hajime Uno, Caitlin Brennan, Susan Lysaght Hurley, Anna Tidswell, Richard M. Kaufman, Sarah M. Lanahan,  Kimberly S. Johnson, James A. Tulsky, Gregory A. Abel, Oreofe O. Odejide; 11/25In this survey study, our analysis suggests that for many patients with advanced hematologic cancers, the ability to maintain access to blood transfusions is the primary factor in deciding whether to enroll in hospice. Given that the majority of hospices in the US do not provide transfusion access, patients with blood cancers are faced with the impossible choice of preserving access to palliative transfusions vs accessing quality home-based hospice care. This dichotomy between transfusion access and hospice care may contribute to the low rate of hospice use in this population. Our findings underscore the need to develop and test novel hospice delivery models that combine palliative transfusions with routine hospice services to effectively alleviate discomfort and optimize the QOL [quality of life] of patients with blood cancers near the EOL [end of life].Assistant Editor's note: In the calendar year 2024 data from Medicare Hospice claims indicate that only 3.0% of beneficiaries had a blood cancer diagnosis, per Hospice Analytics. This article suggests some great ideas about how hospice can address the expense of blood transfusions with CMS. But until that happens, hospices could consider approaching their local transfusion center about a contract for a reduced price for blood transfusions for patients in need. Ultimately, this will benefit the hospice, the transfusion center (potentially more patients), and most importantly, the patient.

Hospice of South Texas announces full funding for new support services building PROLG Press Release Distribution, Victoria, TX; by Hospice of South Texas; 12/8/25 Hospice of South Texas (HOST) is grateful to announce that the Support Services Building is now fully funded. This milestone was reached through a remarkable $700,000 gift from the M. G. and Lillie A. Johnson Foundation and the generous support of many additional donors. Their partnership ensures continued access to nonprofit, compassionate hospice care for families across twelve South Texas counties. 

Data book: Beneficiaries dually eligible for Medicare and Medicaid MEDPAC (Medicare Payment Advisory Commision) and MACPAC (Medicaid and CHIP Payment and Access Commission); December 2025 This data book is a joint project of the Medicaid and CHIP Payment and Access Commission (MACPAC) and the Medicare Payment Advisory Commission (MedPAC). The data book presents information on the demographic and other personal characteristics, expenditures, and health care utilization of individuals who are dually eligible for Medicare and Medicaid coverage. Dually eligible beneficiaries receive both Medicare and Medicaid benefits by virtue of their age or disability and low income. This population is diverse and includes individuals with multiple chronic conditions, physical disabilities, and cognitive impairments such as dementia, developmental disabilities, and mental illness. It also includes some individuals who are relatively healthy.

Bipartisan senators: Keep hospice out of Medicare Advantage Hospice News; by Jim Parker; 11/21/25 Two U.S. Senators have penned a letter to congressional leadership urging them to oppose any measures to bring hospice reimbursement into Medicare Advantage. Sens. Dr. Roger Marshall (R-Kan.) and Sheldon Whitehouse (D-R.I.) circulated the letter on Thursday, addressed to Senate leaders from both major political parties, as well as the chair and ranking member of the Senate Finance Committee. 

'It has made my life a lot easier': New Ohio program pays people to care for their loved ones at homeWTOL-11, Columbus, OH; by Kevin Landers; 11/24/25 Mark Straub, of Delaware County, started caring for his 93-year-old mother about two years ago. As much as he loves to have his mother at home instead of a nursing home, caring for a loved one 24/7 brings with it stress, both emotional and financial. ... The average cost of in-home care in Ohio is $60,238, according to CareScout. The average cost of nursing home care is $108,500 a year, or about $9,000 per month. Thanks to a new program in Ohio, those who care for a loved one at home are about to get financially easier. It’s called Structured Family Caregiving, or SFC. Currently, at least 11 states have formal Medicaid SFC programs that pay family members. “I didn’t believe it at first, until I got that first paycheck and I really wanted to cry, “ said Tsavaris.

[United Kingdom] Warning issued as palliative care in England is ‘failing to meet people’s needs’ Independent; by Ella Pickover; 11/27/59 Palliative care services in England are "failing to meet people’s needs", a new parliamentary report has warned. Commissioned by MPs on the House of Commons Health and Social Care Committee, the findings attribute these shortcomings primarily to "insufficient funds" for services providing end-of-life and life-limiting condition care. The report highlighted that bereavement support for loved ones, while "valuable", is "frequently inaccessible". It also noted that palliative care patients and their families are "too rarely given the opportunity to plan effectively for the future". Painting a picture of services under "significant strain", the document cautions that health and care provisions are "ill-equipped" to address end-of-life needs, citing "insufficient" education and training.Editor's Note: Our ongoing distribution of posts from the United Kingdom report financial cuts from the UK government, resulting in insufficient funds to provide adequate staffing, facilities, supplies, and more. Want to learn more? Subscribers can login to your account and use the "Search Articles" field to find other posts, based on keywords you enter.

Calendar Year (CY) 2026 End-Stage Renal Disease (ESRD) Prospective Payment System Final Rule CMS Newsroom - Fact Sheets; by CMS; 11/20/25 Key points:

[United Kingdom] 'I lie awake wondering how we fund our hospice' BBC News, Manchester, England; by Paul Burnell; 11/18/25 The boss of a large hospice has told how its financial problems are giving her sleepless nights. Rachel McMillan, chief executive of Moya Cole Hospice in Manchester, said it needed £20,000 daily to run it. "It keeps me awake at night - every day it is always a challenge." "The funding model is archaic, it's not fit for purpose," Ms. McMillan said. "We have to raise £20,000 every single day of the year just to keep the doors open."Editor's Note: I trust that you--our readers--can relate. And yet, our US Medicare payments provide much more financial support than UK counterparts. Still, Moya Cole Hospice--in the midst of tough financial decisions--continues to focus on quality care, as demonstrated in their ongoing top quality scores of "Outstanding" for the pattient and family care they provide.

How CFOs can harness the power of their shifting role HealthLeaders - Analysis; by Marie Defreitas; 11/17/25 As turnover rises and expectations expand, CFOs are redefining their influence; from financial stewards to enterprise strategists and even future CEOs. The role's evolution demands new skills, deeper relationships, and a broader vision of what value means. ...