Literature Review

Asbury Hospice House breaks ground on expansion in Hattiesburg WDAM-TV 7, Hattiesburg, MS; by Delaney Dukes; 4/1/26 The Forrest Health Foundation broke ground Wednesday afternoon on an expansion at the Asbury Hospice House that will add new spaces designed for comfort and connection. ... The expansion includes larger family areas, a children’s activity space, a larger on-site pharmacy and an outdoor pavilion. ... The Forrest Health Foundation raised more than $3 million to support the expansion.

CHS boosts performance-based exec pay Becker's Hospital Review; by Alan Condon; 4/6/26 Franklin, Tenn.-based Community Health Systems is doubling down on performance-based compensation for its top executives, tying the majority of pay to financial and operational results, according to a proxy report filed April 2 with the Securities and Exchange Commission.

Proposed Rule: FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements. CMS-1851-P DisplayRegulations.gov -  An official website of the United States Government | CMS; 4/6/26 This proposed rule would update the hospice wage index, payment rates, and aggregate cap for Fiscal Year 2027; include an analysis of Medicare non-hospice spending, and proposes requirements that hospices provide the hospice election statement addendum to all Medicare beneficiaries. Additionally, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes RFI on community palliative care services; hospice specific wage index construction; and the overlap between hospice and medical aid in dying. Finally, this rule proposes changes to the Hospice Quality Reporting Program. In commenting, please refer to file code. CMS-1851-P.

National Alliance for Care at Home Responds to the FY 2027 Hospice Proposed Rule National Alliance for Care at Home, Alexandria, VA; Press Release; 4/2/26 ... The proposed 2.4% payment update – largely prescribed by law – will still result in challenges for providers delivering care. Cost pressures continue to mount from factors like inflation, workforce shortages, and rising expenses for supplies and services. While the Alliance appreciates that CMS is recognizing hospice providers’ difficult operating environment, this update – after several years of inadequate payment adjustments – will still leave difficulties for providers delivering this vital benefit to the patients and families who depend on it. The Alliance also notes several proposals aimed at increasing oversight and transparency, ...

Live Oak Bank grant supports Lower Cape Fear LifeCare Hospice nurses, addresses growing care shortage in North Carolina Business Insider, Wilmington, NC; Press Release; 3/31/26 Live Oak Bank is highlighting the impact of a $300,000 grant to the Lower Cape Fear LifeCare Scholars program. LifeCare Scholars is designed to recruit, train, and retain registered nurses in hospice and palliative care, strengthening the essential healthcare workforce across southeastern North Carolina. LifeCare Scholars offers a six-month residency to new graduate nurses, blending classroom learning, mentorship, and hands-on clinical experience to help registered nurses transition into hospice and palliative care at no cost to participants. [Launched in 2021, read more for "Proven Impact an Measurable Outcomes"]

Mass AI job replacement? Not in healthcare, CIOs say Becker's Health IT; by Giles Bruce; 3/18/26 While some doomsayers predict that AI will replace human workers en masse, health system CIOs told Becker’s that healthcare, so reliant on the human touch, is safe. But that doesn’t mean duties won’t change dramatically. In late February, an investment analyst scenario outlining economic cataclysm caused by AI momentarily jolted the stock market. The authors, from Citrini Research, imagined white-collar job openings “collapsing” in late 2026, with blue-collar hiring staying “relatively stable.” While healthcare may be best described as “gray-collar,” the sector is still the nation’s largest employer, driving much of the country’s job growth over the past few decades. Could AI change that equation? ...

Medicare plan switching and hospice care among decedents with advanced cancer JAMA Network Open; by Xin Hu, Changchuan Jiang, Youngmin Kwon, Fangli Geng, Qinjin Fan, Kewei Sylvia Shi, Zhiyuan Zheng, Jingxuan Zhao, Joan L Warren, K Robin Yabroff, Xuesong Han; 3/2/16Importance: Hospice ... is an excluded benefit under Medicare Advantage (MA), with coverage instead provided by traditional Medicare (TM). With growing MA penetration, more beneficiaries also switch between MA and TM for financial protection and physician access considerations, although less is known about how different Medicare programs and plan switching behaviors affect EOL care for patients with advanced cancers.Conclusions and relevance: In this cohort study of Medicare decedents with advanced cancers, continuous MA enrollees were most likely to receive hospice at home, while those who switched from MA to TM more frequently received hospice care in nursing homes. Plan switching near the EOL may reflect access barriers, highlighting the importance of addressing care coordination to improve EOL care.

Larchmont woman sentenced to nearly 3 years in federal prison for her role in hospice and diagnostic testing fraud that conned Medicare United States Attorney's Office - Central District of California, Los Angeles, CA; Press Release; 3/24/26 A woman from the Larchmont area of Los Angeles was sentenced today to 35 months in federal prison for defrauding Medicare out of more than $14 million by submitting fraudulent claims for hospice care and diagnostic testing services that were either unnecessary or not provided at all. Sophia Shaklian, 38, was sentenced by United States District Judge Stanley Blumenfeld Jr., who also ordered her to pay $14,103,043 in restitution. Shaklian pleaded guilty in November 2025 to one count of health care fraud.

MedPAC debates hospice payment updates via outlier, add-on payments Inside Health Policy; by Sigi Ris; 3/17/26 When it comes to addressing hospice provider’s high-cost treatments for patients with end-stage renal disease or cancer, Congress’ Medicare advisors seemed to support updating the hospice payment system with outlier payments rather than an add-on payment and commissioners debated the merits of creating a transitional care model for those patients that would reduce barriers to these support services. [Full access requires subscription, with option for 30 days free access.]

Bedford Hospice House seeks new partners Bedford Bulletin, Bedford, VA; by John Barnhart; 3/11/26The Bedford Hospice House will close on April 15, but this may not be the end. The hospice house was built as a community endeavor with Tom and Connie Messier spearheading the effort. The community raised the money to build a free-standing residential-style hospice house. The four-bedroom facility provided a home-like place where terminal ill people, who could not stay in their homes, could spend there last days. ... According to Amy Merrill Willis, President of the Board of Directors for Friends of the Bedford Hospice House, Cemtra notified them on Feb. 26, that hospice house would close.  ... "We remain very committed to the hospice house," she said. She said they are exploring options and have been in communication with the Bedford County Board of Supervisors. She said the supervisors are interested in maintaining it as a hospice house and she said her board hopes to find a new partner.

Shanti Niketan Hospice Home Campaign reaches $3.5 million goal WGRK K-Country 105.7, Glasgow, KY; by Josh Mickinney; 3/10/26 The T.J. Community Mission Foundation (TJCMF) announced the successful completion of the $3.5 million capital campaign to build Shanti Niketan Hospice Home during a special ceremony celebrating the facility’s five-year anniversary. The campaign, titled “Love Makes This House a Home,” was launched in 2015 with the goal of creating a residential hospice facility to serve families throughout south central Kentucky. Since opening in 2021, Shanti Niketan Hospice Home has provided care and comfort for more than 275 patients and their families. “Shanti Niketan Hospice Home reflects the very best of compassionate healthcare,” said Neil Thornbury, CEO of T.J. Regional Health.

[United Kingdom] Specialist palliative care has the potential to reduce costs by up to £8,000 per person and improve quality of life, according to new research published in Palliative Medicine Innovation News Network; by Megan Traviss; 3/10/26 Led by researchers at King’s College London, the research considered two modes of palliative care for those living at home and for those in acute hospital settings. As well as significantly reducing the overall cost of care per person, specialist palliative care delivered at home and in the hospital was associated with improved quality of life for patients in their final months. Peter May, Senior Lecturer in Health Economics at King’s College London and lead author of the study, stated: “This is the first study to estimate the economic impact for England.