Literature Review

Geographic and sociodemographic disparities in access to hospice in Pennsylvania American Journal of Hospice and Palliative Medicine; by Jacob Whitman, PhD, Dylan Nagy, MS, Harsheni Sudakar, BSPH, Coleman Drake, PhD, Lindsay Sabik, PhD, and Yael Schenker; 2/14/26 online ahead of print Results: In total, 2.3 million Pennsylvanians, or 17% of the state population, reside in census tracts classified as cold spots. Cold spots were concentrated in rural and socioeconomically disadvantaged regions. Compared with other tracts, cold spot tracts were lower income, less educated, older, more reliant on public insurance, and less racially diverse. Patterns were consistent when restricting to high quality hospice and nonprofit hospices. Conclusion: Geographic disparities in hospice access compound existing sociodemographic inequities. Addressing these inequities will require efforts to expand high-quality hospice availability in underserved communities.

Sociodemographic disparities and impact of palliative care utilization during end-of-life hospitalizations in patients with gastric cancerJournal of Palliative Medicine; by James Lee, Jasmine Lee, Rahul Tripathi, David Stein, Ballakur Rao, Daniel Jamorabo, Lisa Fisher; 1/26Gastric cancer is frequently diagnosed at an advanced stage and is associated with high symptom burden. Among 13,435 weighted hospitalizations [among gastric cancer patients who died during hospitalization] ..., 57.6% received palliative care. Black patients had 32% lower odds of receiving palliative care than White patients ... Higher palliative care use was associated with greater income, large hospitals, urban teaching hospitals, and private/other insurance. In adjusted analyses, palliative care was linked to a $36,240 reduction in hospital charges ..., with no significant difference in LOS [length of stay]. Palliative care was associated with higher odds of DNR status ... and lower odds of CPR, mechanical ventilation, transfusion, and vasopressor use.

[Global] UCLA report reveals a significant global palliative care gap among children  UCLA Health, Los Angeles, CA; by University of California, Los Angeles (UCLA) - Health Sciences; 2/10/26 Nearly all the world’s 10.6 million children experiencing serious health-related suffering (SHS) live in low- and middle-income countries with little to no access to palliative care specialized care for their illness, according to a comprehensive new report published in The Lancet Child & Adolescent Health. ... The findings reveal a dramatic shift: most children in need of palliative care now live longer with severe, chronic illness, fundamentally changing the type of services needed and extending the duration of these services. ...

New Jersey's new Community-Based Palliative Care Medicaid (CBPC)  State of New Jersey - Department of Human Services - Division of Medical Assistance & Health Services; email and website notifications; 2/9/26 Community-Based Palliative Care is a benefit available to NJ Family Care members, starting April 1, 2026. The benefit was signed into the law by Governor Murphy on December 21, 2023, underscoring the state's commitment to supporting residents facing serious illness. Community-Based Palliative Care (CBPC) is designed to support people living with serious health conditions by helping manage symptoms, coordinating care, and making the healthcare system easier to navigate. You can receive CBPC while continuing your current treatments. CBPC is not hospice; a terminal diagnosis is not required. It is designed to give you extra support alongside the care you already receive.

Tell us more: Episode 3-Shirley Otis-GreenJournal of Palliative Medicine; by Shirley Otis-Green, MSW, MA, ACSW, LCSW, OSW-CE, FNAP, FAOSW, Yilong Peng, MD, William E. Rosa, PhD, MBE, APRN, and Richard E. Leiter, MD, MA; 2/9/26 The Journal of Palliative Medicine’s “Tell Us More: The Palliative Care Oral History Project,” seeks to tell the story of Hospice and Palliative Care through informal interviews with pivotal leaders in the field. In each episode, hosts Drs. Ricky Leiter and Billy Rosa, along with research assistant Dr. Yilong Peng, sit down with an HAPC luminary and do what our field does best—ask questions, listen, and reflect. In the third episode, Drs. Leiter and Rosa interviewed Ms. Shirley Otis-Green, founder of Collaborative Caring and a pioneer in palliative social work. What follows is a transcript of their conversation, edited lightly for clarity.

Why patient flow will decide hospital performance in 2026 Healthcare Business Today | Clinical Care | Patient Experience; by Russel Graney, 2/7/26 ... Why 2026? Health systems are entering a period where demand accelerates, reimbursement pressure tightens, and building new capacity becomes a distant solution. That’s why the next phase of performance will not be decided by who hires faster or cuts deeper, but by who moves patients through the system better. ...

[Canada] The quiet web of care: Hospitals, hospice, paramedics and community working as one The Millstone; Mississippi Mills area, Canada; 1/25/26 When we think about care, most of us picture the hospital: rooms, nurses, doctors, the moment a life changes. But real care in North Lanark is not anchored to a single building. It’s a living web the Mississippi River Health Alliance — Almonte General Hospital, Carleton Place & District Memorial Hospital, Fairview Manor, and Lanark County Paramedic Service — working alongside Home Hospice North Lanark and Houle Healthcare so neighbors can get the right help at the right time, in the place that matters most. ... They are parts of the same journey, passing the baton back and forth so patients, families and neighbors are not left to navigate alone.Editor's Note: Pair this with today's post, "Why patient flow will decide hospital performance in 2026."

Effectiveness and impact of telehealth-integrated palliative care for persons living with dementia and their caregiversTelemedicine & e-Health; by Brooke Worster, Lizabeth Kaminoff, Amina Mason, Laura Pontiggia, Kayla Madden, Mackenzie Kemp, Amanda Guth, Nina Diamond, Allison Herens, Kristin Rising, Jeannette Kates; 12/25 In 2024, an estimated 6.9 million Americans aged 65 and older were living with Alzheimer’s disease (AD), the most common form of dementia. Palliative care (PC) can improve quality of life (QOL) and reduce nonbeneficial care, yet persons living with dementia (PLWD) remain underserved. The intervention group [in this study] received up to two telehealth visits with a PC specialist, the patient (if able), and a caregiver (if participating). The intervention group had significantly fewer emergency department visits and hospitalizations but no differences in QOL or caregiver burden.

“This is what loneliness looks like”: A description of a high-risk population of palliative and oncology patients American Journal of Hospice and Palliative Medicine; by Tamia Ross, MSPH, Ruwanthi Ekanayake, BA, Lucy Rabinowitz Bailey, MPH, Kain Kim, MD, and Emily Pinto Taylor, MD; 1/9/26 Background: Loneliness exacerbates symptom burden and reduces quality of life in serious illness. Social prescribing–linking patients to non-clinical community activities–offers a novel approach to address loneliness in palliative care. Results: Most patients were older, non-Hispanic Black women experiencing financial strain, food insecurity, and transportation barriers. Anxiety exceeded depression severity; mood disorders, loneliness, and social isolation were leading referral reasons.

Congress passes spending bill, extends telehealth flexibilities American Academy of Professional Coders (AAPC); by Renee Dustman; 2/4/26 ... Congress has extended the expiration dates for certain telehealth flexibilities from Jan. 30, 2026, to Dec. 31, 2027 (unless otherwise stated), as follows: ...

Can AI hear when patients are ready for palliative care? Researchers use AI to analyze patient phone calls for vocal cues predicting palliative care acceptance Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 2/24/26 A new study suggests artificial intelligence (AI) may help clinicians identify which seriously ill patients are ready for palliative care — by analyzing the energy, pitch, and other subtle vocal cues in recorded group phone conversations among patients, caregivers, and health care providers. The new work by a team led by LDI Senior Fellow and Penn Nursing School Assistant Professor Jiyoun Song, PhD, APRN, is the first to use speech processing to identify palliative care preferences during discussions and decision-making in managed long-term care (MLTC), a type of Medicaid-managed care for community-dwelling patients that need home and community-based services.

National policy framework for Pediatric Palliative Care Homes National Center for Pediatric Palliative Care Homes; email and webpage; 2/3/26The NCPPCH recently formally released its National Policy Framework for Pediatric Palliative Care Homes, and has begun early engagement with key national partners. This framework is intended to help policymakers at the state and federal level better understand the structural, licensing, and reimbursement pathways needed to support Pediatric Palliative Care Centers nationwide. Review the Policy Framework and Executive Summary here: https://www.ncppch.org/national-policy-framework.

Los Angeles County hospice industry under scrutiny for suspected Medicare fraud Santa Monica Observer, Santa Monica, CA; by Chet McSnark; 2/1/26 With 2,000 hospice agencies, Los Angeles County has more than 36 states combined and 30x more than Florida and New York. ... Recent reports indicate that the county accounts for approximately 18% of the nation's total Medicare billing for these services, despite representing only about 2.5% of the U.S. population. According to statements from CMS Administrator Dr. Mehmet Oz ... has estimated that fraudulent activity in Los Angeles County hospice and home health care could amount to roughly $3.5 billion annually. Federal data shows the county hosts nearly 1,923 hospice providers, a number that exceeds the total in many other states combined.