Literature Review

Alliance submits comment letter on the Department of Education’s notice of proposed rulemaking, ‘Reimagining and Improving Student Education’ (RISE) National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 3/3/26 The National Alliance for Care at Home (the Alliance) has submitted a response to The Department of Education’s proposed rule, titled Reimagining and Improving Student Education (RISE).  While the Alliance appreciates the Department’s aim of promoting fiscally responsible spending, the comment letter expresses concern that the proposed rule’s narrow definition of professional degree, and the resulting exclusion of nursing, physical therapy, physician assistant, occupational therapy, and social work advanced degree programs, would have a unintended consequence for the healthcare workforce and the millions of Americans who depend on care delivered in the home.

California hospice fraud: What to know as blame game erupts Newsweek; by Jasmine Laws; 3/11/26, updated 3/12/26 The social media platform X has been awash with criticism targeted at California Governor Gavin Newsom as a CBS News report detailed the extent of the state's hospice fraud problem. Newsom's office has been hitting back at the comments, reminding users that the state "cracked down on hospice fraud years ago," and has been pointing the finger at President Donald Trump, as his administration paused a hospice oversight program at the start of 2025. ... Responding to Newsom's office's comments, White House spokeswoman Abigail Jackson told Newsweek: "No one cares about Newscum’s boring X posts ..." While California has been in the spotlight for its hospice fraud, it is not the only state experiencing the problem—it is a nationwide issue. ... A report by the U.S. Department of Health and Human Services Office of the Inspector General in 2023 found that suspected hospice fraud amounts totaled an estimated $198.1 million nationwide. However, some states in particular have seen a surge in new operators, namely California, Arizona, Nevada and Texas, meaning these states are considered hotspots for potential hospice fraud.Editor's Note: This article aptly names the deeply partisan “blame game” now playing out across many media outlets. Hospice fraud is not a partisan issue—it is a human one. When hospice is exploited, it erodes trust in a field built on compassion and dignity at life’s most vulnerable moments. Political finger-pointing may generate headlines, but it does little to solve the problem. Stopping hospice fraud requires accountability, strong oversight, and a shared commitment to protect patients—and the integrity of hospice care itself.

VNA of Texas to take over operations of Faith Presbyterian Hospice Hospice News; by Jim Parker; 3/11/26 Faith Presbyterian Hospice, a subsidiary of the nonprofit senior housing operator Forefront Living, is transferring its patients and most of its staff to the Visiting Nurse Association of Texas (VNA). VNA is expanding its census and its footprint through a deepened partnership with Forefront, with which the organization has had a longstanding relationship. Faith Presbyterian is currently winding down its operations, allowing VNA and Forefront to focus on their own core competencies while leveraging each other’s expertise.

AI in hospice: What every leader needs to know | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Ernesto Lopez; 3/11/26 Artificial intelligence is rapidly entering healthcare, but what does it really mean for Hospice leaders?  In this episode of TCN Talks/Anatomy of Leadership, host Chris Comeaux sits down with Ernesto Lopez—founder and CEO of 1520 AI and a longtime Hospice executive—to unpack the opportunities, risks, and realities of AI in Hospice. Drawing on his background as a registered nurse, healthcare executive, and Harvard Business School–trained data analyst, Ernesto explains how artificial intelligence is evolving and why Hospice organizations must approach it with both curiosity and caution. 

Oregon legislature passes bill Stop Bad Actors from Taking Advantage of Hospice Patients OregonLegislature.gov, Salem, OR; Press Release, Office of Senator Deb Patterson; 3/4/26 Hospice began as a movement to provide end-of-life care for terminally ill patients. However, corporate investors have started buying up hospice agencies and reducing services as they try to maximize profits. In some states, this has led to patterns of fraud, abuse, and neglect. Today, the Oregon Legislature passed the Protecting the Dying Act (SB 1575), which enhances state oversight of hospice agencies. ... Senator Patterson began work on this issue after it was brought to her by a local hospice provider in her community. Iria Nishimura, CEO of Willamette Vital Health in Salem, said, “Hospice serves patients and families during the most vulnerable time of life. The state has a responsibility to ensure that providers entering this field are qualified, ethical, and capable of deliver high-quality care.”

New Job Board Posting: Chief Executive Officer, Hildegard House, Louisville, KY Hildegard House | Ashley Rountree and Associates; Executive Job Posting; 3/9/26 Hildegard House (HH) is Kentucky's first and only Comfort Care Home. Through the support of our community and with the help of many volunteers, we provide a home and compassionate care for individuals at the end of life who have no home or loved ones to care for them, allowing each of them to die with dignity. ... The next CEO of Hildegard House (HH) will step into a pivotal leadership role at a moment of stability, growth, and meaningful transition. ... The retirement of the founding CEO creates a unique opening for a visionary leader to build upon a decade of mission driven success and to chart the organization's future direction.

Love hurts: Leadership, quality, and the future of hospice & palliative care | part one Teleios Collaborative Network (TCN Talks); podcast by Chris Comeaux with Dr. Alex Smith and Dr. Eric Widera; 3/4/26 TCNtalks / Anatomy of Leadership host Chris Comeaux and co-host Cordt Kassner join forces with Dr. Eric Widera and Dr. Alex Smith of the GeriPal Podcast, leaders in Palliative Care and Hospice innovation discuss emerging quality measures, data-driven hospice analytics, research challenges, and the leadership needed to guide healthcare organizations through change. For professionals working in healthcare leadership and serious illness care, the conversation offers valuable insight into the policies, research, and innovations shaping the future of Hospice and Palliative Medicine.

Cambia Health Foundation releases comprehensive evaluation of Sojourns Scholar Leadership Program Business Wire, Portland, OR; Press Release; 3/3/26 Cambia Health Foundation today released the results of a comprehensive evaluation of its Sojourns Scholar Leadership Program, demonstrating the significant impact of a 10-year, $25 million investment in developing the next generation of palliative care leaders.  ... The program’s goals were measured against more than 175 sources, as well as 18 individual interviews, 5 focus groups and a comprehensive written survey completed by 117 individuals, including program participants and industry experts. Notable findings include:

Our hospice system subverts the very point of hospice care The New York Times; Opinion | Guest Essay by Sandeep Jauhar; 3/2/26 When my siblings and I decided to put our father in hospice care at his home in the spring of 2021, his Alzheimer’s was near end-stage. He could barely get out of bed or dress or feed himself. Hospice care seemed to be the best way for him to end his life with dignity. ... We soon encountered a harsh reality, however. Dying at home isn’t easy, even with hospice care. ... The main problem was funding. In 2024, the average per-patient Medicare payment to hospice agencies was about $200 a day, with an annual cap of $33,500. That outlay would barely pay for a part-time aide, yet it is also needed to cover medications, medical equipment and nurse visits.

From digital transformation to intelligent transformation CIO; by Rakesh Bhardwaj; 2/25/26 Over the past decade, digital transformation has focused on converting manual processes to digital ones, migrating infrastructure to the cloud, updating applications and creating new channels for customer and employee engagement. These efforts have resulted in tangible benefits such as accelerated cycle times, increased transparency and reduced costs. However, these initiatives have also revealed limitations: Simply digitizing a flawed process does not resolve its underlying issues; it only makes the inefficiencies operate at a faster pace.

Husch Blackwell’s Meg Pekarske: Hospices facing ‘huge pendulum shift' Hospice News; by Holly Vossel; 2/27/26 The hospice space has seen waves of regulatory changes in recent years that are affecting sustainable access, according to Meg Pekarske, partner at the law firm Husch Blackwell. Ensuring program integrity and quality will take an overhaul of hospice regulation. Pekarske, a hospice and health care attorney, is retiring with more than 25 years of legal experience, effective March 31. She recently sat down with Hospice News to reflect on the most significant regulatory changes impacting the future scope of hospice care delivery. Greater consideration is needed around a potential revamp of the Medicare Hospice Benefit, Pekarske said.

Be where you are: Leadership, caregiving, and the courage to pause with Carla Davis | part one Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Carla Davis; 2/25/26 In this powerful episode on Hospice leadership and healthcare leadership development, Carla Davis, Executive in Residence at Cressey & Company, shares what she learned after taking an intentional executive sabbatical to care for her mother. This conversation explores the intersection of caregiver resilience, leadership and burnout, and rediscovering identity beyond professional titles. 

The trends—and traps—shaping 2026 JD Supra; by Morgan Lewis; 2/24/26 The global business landscape in 2026 is marked by accelerating political realignments, intensifying regulatory oversight, rapid technological maturation, and shifting market expectations. In this year’s report, our lawyers assess the trends and emerging risk areas that organizations across industries and regions are likely to encounter in 2026 and beyond. Drawing on insights from a dynamic array of developments—from the business repercussions of geopolitical recalibration to the continued expansion of transformative technologies—this compilation delivers a forward-looking perspective designed to support informed strategy and purposeful decision-making for businesses worldwide.