Literature Review

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.

Summary digest for palliative care professionals: December 2025 ehospice; 12/28/25 December is a time to pause and reflect on the journey we have shared in 2025. You might have saved some of our digests or articles for later, simply because there wasn’t enough time or energy during the year. That’s why we’ve put together a year-end digest for you. It compiles all the recommended materials from 2025, neatly organised by topic for your convenience. Happy holidays, dear friends! ... May the coming year bring you more strength, warmth, and professional inspiration. 

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. 

Holistic hospice provider expands to Pinellas County Catalyst; by Mark Parker; 12/24/25 A national end-of-life care company with unique offerings, including pet visits, personal pampering and Memory Bears made from a patient’s clothing, has expanded to Pinellas County. VITAS Healthcare is a nearly 50-year-old mobile hospice provider that takes a holistic approach to providing support during a sensitive time in someone’s life. A new administrative office at 12425 28th St. N. in St. Petersburg serves as a home base for interdisciplinary care teams. Kathleen Coronado, vice president of operations, said VITAS plans to eventually open a local inpatient center “for patients who need a higher level of care.” However, the company’s primary goal is to provide comfort wherever patients call home.

[Saudi Arabia] Comparison of end-of-life care between patients with hematological malignancies versus solid tumors: A retrospective analysisJournal of Palliative Care; by Salma Almusaed, Kim Sadler, Walaa Abdulmutaali, Gassan Abudari, Steven Callaghan, Mahmoud Sroor, Muneerah Almutairi, Mohammed AlGhamdi, Muruf Zaid Alshalwah, Sameer Desai, Nessreen Abu Alsalhm, Khloud Alzain; 11/25While specialized palliative care (PC) is well-established for managing STs [solid tumors], its integration into HMs’ [hematological malignancies] care remains less common despite evidence of its benefits. The cohort consisted of 350 adult patients, of whom 86 (24.6%) had HMs and 264 (75.4%) had STs. Overall, HMs patients received more aggressive end-of-life care, including higher rates of Intensive Care Unit (ICU) admissions (81.4% vs 17.8%), intubation (36% vs 8.3%), disease-modifying treatments (23% vs 3.8%), as well as more enteral feeding, dialysis, blood transfusions, and antimicrobial use. Their resuscitation discussions occurred closer to death (3 vs 16 days ... ). Additionally, HMs patients had fewer referrals to PC services (43% vs 79.2% ... ), and most of them died in the ICU (59.3% vs 18.2% ... ).

Remembering the Holocaust with little-known story about a Jewish refugee and Cicely Saunders: Honoring the International Holocaust Remembrance Day - 80th Anniversary of the liberation of Auschwitz

Innovations in senior living  with Katie Smith Sloan Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Katie Smith; 12/17/25 What if aging services led the way in redesigning care—combining smart technology with deeper human connection?  That’s the challenge Katie Smith Sloan, President and CEO of LeadingAge, brings to the table as we unpack the data, the headwinds, and the promise across nonprofit senior living, home-based care, and hospice. ... Together, Chris and Katie explore how collaboration, innovation, and values-driven leadership can reshape aging services to better serve older adults—and those who care for them. 

Is moral adequacy possible in the face of structural disadvantage? The experiences of health and social care staff in supporting homeless people using substances at the end of life Palliative Care and Social Practice; by Gary Witham https, Gemma Anne Yarwood, Sarah Galvani, Lucy Webb, and Sam Wright; 11/26/25 Background: Homeless people using substances at the end-of-life face many challenges in accessing and receiving good care. These can relate to poor interdisciplinary working by health and social care practitioners, stigma and structural disadvantage. Results: The data analysis resulted in three key discourse positions relating to how practitioners position themselves in relation to the practice challenges of supporting homeless people using AODs and approaching end of life. These were as follows: (i) what constitutes a good death and where, (ii) the limitations of professional boundaries and (iii) maintaining moral adequacy in the face of traumatic death.

[Asia] Bridging paediatric palliative care across Asia ehospice; 12/16/25 Global Treehouse and Asia Pacific Hospice Palliative Care Network (APHN) partnered together for dramatic expansion of the Magnify Tool to make impacts for children’s palliative care providers during 2025. We culminated our work together at the International Children’s Palliative Care Network (ICPCN) conference in Manila, Philippines. Co-hosted by our organisations, we presented about the power of using the Magnify Tool, a resource designed for and by providers to use their own data to improve the quality of care they offer to children and families with palliative care needs. 

Countdown to 2026: New Year changes in telehealth impacting Medicare providersJD Supra; by Christopher Guthrie, Kenya Hagans, Shamika Mazyck, Aaron Sagedahl, Quarles & Brady LLP; 12/16/25 The manner in which services are provided via telehealth has the potential to look very different for healthcare providers—particularly those providing services to Medicare patients—in 2026. ...

[Europe] Muslims often don’t trust palliative care. A new charity aims to change that  Hyphen; by Weronika Stryzyzynska; 12/15/25 Al-Amal, founded by a doctor and a chaplain, is informed by the Muslim view of a good death — something they say is lacking in mainstream care. A new charity to support Muslims navigating palliative care is preparing to launch after Ramadan. As well as providing an emotional support telephone line, Al-Amal will also offer practical advice on accessing culturally and religiously appropriate care.  The Muslim view of what a good death looks like is informed by values beyond the medical. … This can affect the way Muslim patients include their families in the decision-making process or their approach to pain management.