Literature Review

Carve-in or carve-out? The future of hospice under Medicare Advantage | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Robin Hefferman; 4/15/26In Part One of this thought-provoking conversation, Chris Comeaux and Robin Heffernan, PhD, Co-Founder and CEO of Empassion, explore the evolving intersection of private equity, artificial intelligence, and end-of-life care—raising critical questions about accountability, quality, and the future of hospice under Medicare Advantage. As the healthcare system shifts toward value-based models, the discussion challenges long-held assumptions about whether hospice should remain “carved out” or be fully integrated into payer responsibility.

The leadership bottleneck: why you’re slowing your team down Forbes; by Daisy Auger-Dominguez; 4/13/26 ... Two weeks into a new leadership role, a manager came to me with a familiar question: “I need help handling a performance issue with someone on my team.” It was a reasonable ask. Over the course of my career as a Chief People Officer, I’ve helped countless new and seasoned managers navigate that conversation. ... This time, I asked something different: “What would help you make this a better decision?” The manager paused. “Honestly? I’m not sure.” That moment told me something important, not about the manager, but about the system around them.

Attorney General Bonta dismantles Los Angeles hospice fraud ring responsible for $267 million in fraud, 21 charged Office of the Attorney General California Department of Justice - Rob Bonta, Los Angeles, CA; Press Release; 4/29/26 California Attorney General Rob Bonta, together with the California Department of Health Care Services (DHCS), today announced charges filed against 21 suspects and the dismantling of a major hospice fraud scheme that defrauded California of $267 million. Operation Skip Trace resulted in the arrest of five people after ten different locations were searched in Southern California. In addition, two handguns and over $757,000 in cash were seized. “This isn’t a political game for us. This is about protecting taxpayer dollars, protecting the programs that sick and vulnerable Californians rely on, and protecting our state,” said Attorney General Rob Bonta. 

State associations urge CMS to forgo potential national hospice enrollment moratorium Hospice News; by Holly Vossel; 4/10/26 A group of state hospice associations have expressed mounting concerns that a rumored national moratorium prohibiting new provider enrollments could adversely affect access. A letter to the U.S. Centers for Medicare & Medicaid Services (CMS) was recently penned by the Florida Hospice & Palliative Care Association (FHPCA), the Association for Home & Hospice Care of North Carolina (AHHC of NC) and the South Carolina Home Care & Hospice Association (SCHCHA). A national moratorium, if enacted, would impact the ability for legitimate hospices to provide quality care during a time of rising demand, said FHPCA President and CEO Paul Ledford and Tim Rogers, president and CEO of SCHCHA and AHHC of NC. 

Regional Home Health and Hospice facility to lay off 161 employees at Greenville site WhatNow; by Deepali Singla; 4/9/26 ECU Health Home Health and Hospice will lay off 161 employees at its facility in Greenville. The company filed a Worker Adjustment and Retraining Notification (WARN) notice with the state. The layoffs follow the shutdown of the Greenville facility. ECU Health Home Health and Hospice filed a WARN notice indicating the closure of its facility at 1005 WH Smith Blvd, Greenville, NC 27834. As a result of the closure, the layoffs are scheduled to take effect on May 1, 2026.

Hospice of the Prairie & Prairie Home Health announces leadership transition The Dodge City Daily Globe, Dodge City, KS; by Tammy Lawson; 4/3/26 Dodge City Hospice of the Prairie & Prairie Home Health ... announces an Executive Director leadership transition. After 25 years of service, Julie Pinkerton, BS RN CHPN, will step down as Executive Director. ... Under Julie's leadership, the organization experienced growth through increased usage of home health and hospice care throughout the service area while establishing organizational sustainability, working closely with frontline clinicians and community partners. The organization is pleased to welcome Jeremy Rabe, MBA, as the new Executive Director of Hospice of the Prairie & Prairie Home Health. Jeremy brings more than 20 years of experience in healthcare leadership. ... Jeremy will begin his role as Executive Director on June 1 with Julie leaving the organization later in the summer.

VNA Care names Salvatore Perla, DrPH, as President and Chief Executive Officer VNA Care, Worcester, MA; Press Release; 3/30/26 VNA Care, one of the Commonwealth’s largest independent nonprofit home health, hospice, palliative care, and private care providers, today announced the appointment of Salvatore (Sal) Perla, DrPH, as President and Chief Executive Officer. Perla will begin this role on April 6. ... Perla is a longtime resident of Leominster, Mass., who brings more than 25 years of experience leading multi-site healthcare organizations through growth, service line expansion, and integration of post-acute and home health services across the care continuum. 

Executive Personnel Changes - 4/3/26 

The corporate brand, culture, and the CISO: Why understanding the business is non-negotiable Halcyon; by Gary Hayslip; 3/30/26 Over the course of my career as a Chief Information Security Officer, I have come to a conclusion that many of my peers eventually reach, though sometimes the hard way: if you do not understand your company's brand and culture, you will never build a security program that is truly aligned to the business. ... This is not a soft topic. It is foundational. The relationship between corporate brand, internal business culture, and cybersecurity strategy is one of the most underappreciated dynamics in our profession, and I believe it deserves far more attention than it typically receives.

New hospice leaders emerge Hospice News; by Holly Vossel; 3/27/26 A host of new hospice executives have recently taken the helm at organizations across the country.

Official statement from NPHI on recent hospice fraud media coverage and ongoing federal enforcement efforts National Partnership for Healthcare and Hospice Innovation (NPHI); Press Release; 3/20/26 ... NPHI is actively engaged with federal leaders to advance targeted solutions that root out bad actors while safeguarding the integrity of the hospice benefit. It is important to underscore that these issues are not representative of the majority of hospice providers, who are focused every day on delivering high-quality, compassionate care to patients and families. Official Statement by Tom Koutsoumpas, Founder & CEO of NPHI: "... It’s important to be clear — this is not a failure of the hospice model of care. It is the result of a subset of providers exploiting the healthcare system, and that must stop. ..."Carole Fisher, President of NPHI, added: "“At its core, hospice care is about trust — trust from patients and families during some of the most vulnerable moments in their lives. That’s why NPHI is committed to supporting decisive action to address bad actors, while continuing to uphold and protect the high standards that define this field.”

AMGA calls for total-cost-of-care model for end-of-life care Healthcare Innovation; by David Raths; 3/20/26 Among the recommendations of a value-based care task force of the American Medical Group Association (AMGA) is that CMS should establish a total-cost-of-care model for end-of-life care. AMGA  is a trade association representing multispecialty medical groups and integrated systems of care. More than 175,000 physicians practice in its member organizations. Editor's Note: Download the AMGA's 44-page Task Force Recommendations. It details these six foundational pillars they identified:

The secure leader: How attachment styles shape leadership | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Jamie Goff; 3/18/26 What if the greatest barrier to effective leadership isn’t a lack of skills—but a lack of self-awareness?  What if the real challenge isn’t learning more tactics, but understanding the internal stories, beliefs, and patterns that shape how you lead every day? In Part One of this powerful conversation, Chris Comeaux sits down with Dr. Jamie Goff, executive coach and author of The Secure Leader, ... Dr. Goff challenges the traditional focus on technical leadership skills and instead shines a light on the internal mindset shifts that truly transform leaders.