Literature Review

What CMS's CY2027 home health proposal means for palliative care JD Supra; by Edo Banach and Lauren Carboni; 8/25/26  The Centers for Medicare & Medicaid Services’ (“CMS”) CY 2027 Home Health Prospective Payment System proposed rule (“HH PPS Proposed Rule”) confirms that community-based palliative care may be covered under the existing Medicare home health benefit-creating near-term operational questions, and longer-term strategic opportunities, for home health agencies, hospices, and other health care providers serving a frail and declining population.Key Takeaways:

Who should palliative care see? Diane Meier, Bob Arnold, and Justin Sanders GeriPal; by Alex Smith; 8/13/26 As Diane Meier remarks to start today’s podcast, palliative care has come a long way from the days when we were the “brink of death” consult. We’re seeing patients earlier and earlier in the course of illness.  In fact, the evidence base for specialist palliative care is arguably stronger in the outpatient setting than the inpatient setting.  In some ways, as Eric remarked, we are a victim of our own success. We’ve pushed on the boundaries of seeing patients earlier in the course of illness, we’ve demonstrated remarkable value to our colleagues and health systems: now they want us to see more and more patients, with conditions we would not have previously considered core to palliative care practice. Our guests modeled respectful disagreement, and we were somewhat surprised that there was more agreement than we expected.  

Why the proposed palliative care benefit comes up short for home care advocatesMcKnight's Homecare; by John Roszkowski; 8/3/26Palliative care providers are encouraged by a new provision in the federal home health payment rule that would expand community-based palliative care for some Medicare beneficiaries, but many questions remain on whether the proposed change would have a significant impact... Providers have long advocated for an expansion of community-based palliative care under the home health benefit in original Medicare and the fact CMS is finally recognizing its potential value is “an encouraging signal,” according to Fred Bentley, managing principal for Bentley Health Strategies, which provides strategic consulting and analytics and post-acute care provider organizations. Still, he said the proposed change CMS is considering would be limited to a relatively small subset of seriously ill fee-for-service Medicare beneficiaries that are homebound and need skilled care.

Only one in five U.S. young adults with advanced cancer receive palliative care as part of treatment, study shows American Cancer Society, Atlanta, GA; Press Release; 7/23/26 Young adults with advanced cancer face unique challenges that make palliative care especially important. This population often experiences physical, emotional, and social needs while undergoing treatment, related to their developmental and life-stage transitions. However, a new study by researchers at the American Cancer Society (ACS) reveals that despite a small increase in use over time, only 18.3% of young adults in the United States with advanced cancer received palliative care as part of treatment in 2023. The study is published today in the Journal of the American Medical Association (JAMA) Network Open. 

The impact of environment on palliative care practices and needs Europe Says | Environment; 7/19/26 Climate change is now recognised as one of the greatest public health threats globally. Rising temperatures, extreme weather events, floods, droughts, air pollution affect people living with chronic, serious, and life-limiting illnesses. Patients requiring palliative care are among the most vulnerable during environmental crises. Many depend on:

The Duke Endowment grant award supports first coordinated palliative care program in Robeson County The Robesonian, Lumberton, NC; by Amanda Crabtree; 7/15/26 UNC Health Southeastern was awarded $575,000 from The Duke Endowment to establish Robeson County’s first coordinated hospital-to-community palliative care program in partnership with Lower Cape Fear LifeCare. The investment represents a significant step forward in expanding access to compassionate, patient-centered care for an estimated 400 patients with serious illness while strengthening the healthcare continuum across Robeson County. By creating a seamless connection between hospital care and community-based services, the initiative will ensure that patients receive the right care, at the right time, in the setting that best meets their needs.

Hospice of New York revamps hospital-based Hospice IPU, Palliative Program Hospice News; by Jim Parker; 7/8/26 Hospice of New York has reinvigorated its inpatient unit at Wyckoff Heights Medical Center, as well as developed an inpatient palliative care program. The program begins with one nurse practitioner and one social worker. Today it not only includes those disciplines, but also an attending physician and two nurses, according to founding nurse practitioner Simon Ubabov of Hospice of New York. Ubabov manages the palliative care service while the attending physician oversees the hospice inpatient unit. “Palliative care, hospice IPUs increase not just objectively the patient’s experience, not just the monetary remuneration that the facility gets, but more importantly the overall care that these patients get at the end of life,” Ubabov told Hospice News.

Referral and utilization patterns for home-based palliative care services among older adults BMC Palliative Care; by Joohyun Chung, Aaron Langlois, TylaAnn Burger, David L Chin; 6/11/26 Background: Home-based palliative care (HPC) improves quality of life for individuals with serious illness but remains underutilized in the United States, with persistent disparities in access. HPC is also frequently misconceived as appropriate only at the end of life. ... Results: ... Patients who received HPC were more likely to be older, female, insured through Medicare Part B, and referred from larger hospitals. Conclusion: These findings underscore ongoing structural disparities in access to home-based palliative care and highlight the need for targeted strategies to improve equitable access to HPC services.

Palliative care: ‘This part of medicine gives me the most meaning’ UCLA Health; by Mary-Rose Abraham; 6/16/26 Second annual summit gathers interdisciplinary team of providers ... UCLA Health’s second annual palliative care summit highlighted the specialty’s role in improving quality of life for patients living with serious illness and their families, supporting healthcare teams and advancing patient-centered care. The summit also addressed the importance of a culture of wellness as a hedge to workplace burnout.

How Mayo Clinic adopted an innovative AI tool for palliative care utilization HealthLeaders; by Christopher Cheney; 6/10/26 The AI tool not only identifies hospitalized patients with serious illnesses who could benefit from palliative care services but also targets these patients faster than the health system could in the past. ... To address underutilization of palliative care services, Mayo Clinic and Bayesian Health developed an AI tool to boost palliative care in the hospital setting.

Nurse and provider perceptions of palliative care Nursing Management; by Eydie Tipton, Tracy Viers, and Chelsea Wilson; 5/1/26 Conclusions: Findings suggest that knowledge gaps may not be the primary barrier to palliative care (PC) utilization. Instead, systemic and cultural factors likely contribute to under-referral. Leadership-driven strategies, including standardized referral processes, enhanced interprofessional education, and supportive clinical environments, may help translate knowledge into consistent practice.Editor's Note: Yes, real persons are behind each research article we post. Read this community's pride in the palliative care nurses of Quincy, IL behind this study. Eydie, Tracy and Chelsea saw a need, developed a research project, and saw it through to publication: National journal publishes palliative care research by area nurses.

Geographic distance between perinatal and pediatric palliative care services and implications for practice standards American Journal of Hospice and Palliative Medicine; by Radion Svynarenko, PhD, Meaghann S. Weaver, MD, PhD, MPH, HEC-C, Ambria Williams, BA,Ashley Kiefer Autrey, MD, DonnaMaria E. Cortezzo, MD, Abigail B. Wilpers, PhD, Abagail D. Cohen, MA, HEC-C,  Lisa C. Lindley, PhD, RN, FPCN, FAAN; 5/14/26 Background: Practice standards recommend early integration of perinatal and pediatric palliative care (PC) with seamless transitions across settings. Little is known about the proximity between these services nationally. Results: 418 pediatric PC physicians and 296 perinatal PC programs were included. Five states (CA, TX, NY, FL, OH) had the highest concentrations of pediatric PC physicians. ... Median drive times to the nearest pediatric PC physician for programs lacking on-site expertise reached approximately 5 hours in NM and SD; 3 hours in ND and MT; and 2 hours in AL, CO, WV, and TN.

Research spotlight: characterizing patient perceptions of palliative care in surgical settings Mass General Brigham | Patient Care; by Claire Morton, MD and Zara Cooper, MD, MSc; 5/19/26 ... Question: What did you find? Generally, patients were not familiar with palliative care. If they had heard of it, they often equated it with hospice or end-of-life care, leading to misconceptions about its scope and purpose. However, our observations revealed that patients frequently initiated discussions about concerns relevant to palliative care, such as social or psychological burdens they were experiencing during their visits with surgeons. This indicated an underlying interest in these domains, even if they were not explicitly aware of how palliative care could address them. ...Question: What are the real-world implications, particularly for patients? ...