Literature Review

What to expect in US healthcare in 2026 and beyond McKinsey & Company; by Neha Patel and Shubham Singhal with Ankit Jain; 1/12/26The healthcare industry faces successive waves of challenging trends, with glimmers of opportunity in select segments. US healthcare system continues to face considerable financial strain, although there are pockets of opportunity. ... Payers and providers have borne the brunt of the decline to date and will continue to feel financial pressure in the immediate future. ... Meanwhile, providers could experience an increase in uncompensated care and loss of reimbursement. ... Post-acute care is positioned for stronger performance over the next several years, with continued growth in home health and hospice but stagnation in skilled nursing facilities. ...

Inside America’s first pediatric palliative care facility, a life-changing model that remains strikingly rare Make It Better Foundation; by Susan Yem; 1/9/26 ... George Mark Children’s House, a Make It Better Foundation 2026 Philanthropy Award winner, is the first pediatric palliative care facility to open in the U.S., and 1250 patients have received respite and end-of-life care there since its founding in 2004. “Facing a child’s death is the worst thing imaginable. There’s no way to take that pain away,” says GMCH Child Life Coordinator Kyle Amsler.  “We try to walk alongside families as best we can and make each day the best possible, however that looks for each family.”

“Can We Talk?” A community-based training to improve serious illness communication Home Healthcare Now; by Ashley Kaminski Petkis, DNP, APRN, AGACNP-BC and Eric Hackenson, DPT; Jan/Feb 2026 Serious illness conversations (SICs) are often delayed or avoided in community-based healthcare due to clinician discomfort and lack of training. Given that many patients wish to die at home, yet often do not, there is a need for structured communication training in home care and hospice settings to ensure the care we provide aligns with patient and family preferences. ...  By embedding SIC training within a community-based organization, this work demonstrated how modest interventions can catalyze a change in practice, reinforcing the idea that SICs are a standard of quality care rather than an optional enhancement.

Kobacker program moves to Ohio’s Hospice in landmark partnership preserving future of quality nonprofit end-of-life care US National Times, Columbus, OH; Press Release; 1/7/26 The Kobacker family today announced that Kobacker House, central Ohio’s pioneering inpatient hospice facility founded in 1989, will move and continue its mission under Ohio’s Hospice, the state’s largest nonprofit hospice provider. As part of the announcement, the family published a guiding charter, The Kobacker Way, which details fundamental principles for quality nonprofit hospice care. The full document is available at www.TheKobackerWay.org. 

More services at Central Missouri hospital fall victim to economic pressures News Tribune, Kansas City, MO; by Meg Cunningham; 1/4/26 Fitzgibbon Hospital, a Central Missouri health care system, announced recently that it would shutter some services effective Dec. 31, citing mounting financial pressures. The nonprofit hospital said the closures will affect about 30 employees and hundreds of patients. Fitzgibbon, located in Marshall, operates several primary and specialty care clinics in Central Missouri. Services that are closing include the Grand River Medical Clinic in Brunswick, Fitzgibbon Family Health in Fayette, the hospital's inpatient behavioral health unit, a home health and hospice agency and a pain management clinic.  

Hospice: Care, commerce, and the cost of a separate category The Pine Belt News, Hattiesburg, MS; by Cathy Eaker; 1/5/26 Hospice care is often presented as a compassionate alternative to aggressive medicine—a gentler path that prioritizes comfort, dignity, and peace at the end of life. In theory, it is a humane model. In practice, hospice exists at the intersection of care and commerce, and that intersection deserves far more scrutiny than it receives. ... That does not mean hospice nurses, aides, social workers, or chaplains are unethical. Quite the opposite. Most of the people providing hands-on hospice care have good hearts. They care deeply. They show up. They bathe patients gently, sit at bedsides, hold hands, and witness grief with humanity. The problem is not the caregivers—it is the structure they work within. ...

'It’s comfort, dignity and time': Agrace receives CuddleCot donation from JackPack GazetteXtra, Janesville, WI; by Kylie Balk-Yaatenen; 1/4/26 For nearly a decade, a Janesville family has worked to ensure that parents facing the loss of a baby are given something they themselves never had: Time. Through The Jack Pack, a local nonprofit founded after the stillbirth of their son, Jack, in 2015, Jackie Harwick and her husband, Garrick, have donated 14 CuddleCots to hospitals and hospice providers across southern Wisconsin. Their most recent donation went to ... Agrace’s pediatric hospice program. A CuddleCot is a temperature-controlled bassinet insert that slows natural changes after death, allowing families to spend extended time with their baby; ... That time can allow parents to hold their child, invite loved ones to meet the baby, create memories and begin grieving in a more supported way.

Fourth temporary extension of COVID-19 telemedicine flexibilities for prescription of controlled medications Federal Register - The Daily Journal of the United States Government; A Rule by the Drug Enforcement Administration and the Health and Human Services Department on 12/31/2025 AGENCY: Drug Enforcement Administration, Department of Justice; Substance Abuse and Mental Health Services Administration, Department of Health and Human Services. ACTION: Temporary rule. SUMMARY: The Drug Enforcement Administration (DEA) jointly with the Department of Health and Human Services (HHS) is issuing a fourth extension of telemedicine flexibilities for the prescribing of controlled medications through December 31, 2026. DATES: This rule is effective January 1, 2026 through December 31, 2026.

Abstract 4364177: Underutilization of palliative care in peripheral artery disease: A state-of-the-art review across cardiovascular conditionsCirculation; by Odaly Balasquide-Odeh, Roberto Lapetina-Arroyo, Christiany Tapia, Alvaro Pinto-Rodriguez, Santiago Callegari, Mufti Rahman, Gaelle Romain, Kim Smolderen, Carlos Mena-Hurtado, Aseem Vashist, 11/25Peripheral artery disease (PAD) is associated with high morbidity and mortality, yet palliative care (PC), a supportive, team-based approach integrated remains underutilized. This review contrasted PC components, patient-level and program outcomes, and patient-reported outcomes across heart failure (HF), coronary artery disease (CAD), and peripheral artery disease (PAD). HF programs provide a transferable template for PAD, based on an early, structured and multidisciplinary PC. This could lead to a PAD-specific care model that integrates best practices from HF and that helps address underuse in a vulnerable and overlooked population.

ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model U.S. Centers for Medicare & Medicaid Services (CMS) The ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model tests an outcome-aligned payment approach in Original Medicare to expand access to new technology-supported care options that help people improve their health and prevent and manage chronic disease. The voluntary model focuses on conditions affecting more than two-thirds of people with Medicare, including high blood pressure, diabetes, chronic musculoskeletal pain, and depression. It will run for 10 years beginning July 5, 2026.

Alzheimer's: When is it time to consider hospice care? The Advocate, Baton Rouge, LA; by Dana Territo; 12/29/25 ... Since the span of Alzheimer's disease can run from seven to 20 years, it is often difficult to know when the person warrants hospice care. Generally, an individual with Alzheimer's is ready for a hospice referral when they become severely impaired in function, (no longer can walk or feed themselves); when the person has become incontinent; when they experience frequent choking episodes or have difficulty in breathing, are unable to speak or communicate meaningfully (limited to about a half dozen or fewer intelligible words), or have significant weight loss. ...Editor's Note: This local advocacy article provides important information for all hospices, with references to their state organization--Louisiana-Missisippi Hospice & Palliative Care Organization--for ongoing resources.