Literature Review

Medicare plan switching and hospice care among decedents with advanced cancer JAMA Network Open; by Xin Hu, Changchuan Jiang, Youngmin Kwon, Fangli Geng, Qinjin Fan, Kewei Sylvia Shi, Zhiyuan Zheng, Jingxuan Zhao, Joan L Warren, K Robin Yabroff, Xuesong Han; 3/2/16Importance: Hospice ... is an excluded benefit under Medicare Advantage (MA), with coverage instead provided by traditional Medicare (TM). With growing MA penetration, more beneficiaries also switch between MA and TM for financial protection and physician access considerations, although less is known about how different Medicare programs and plan switching behaviors affect EOL care for patients with advanced cancers.Conclusions and relevance: In this cohort study of Medicare decedents with advanced cancers, continuous MA enrollees were most likely to receive hospice at home, while those who switched from MA to TM more frequently received hospice care in nursing homes. Plan switching near the EOL may reflect access barriers, highlighting the importance of addressing care coordination to improve EOL care.

3 potential policy options for high-acuity palliative services Hospice News; by Jim Parker; 3/24/26 The Medicare Payment Advisory Commission (MedPAC) is considering new policy options to expand access to high-acuity palliative services for hospice patients. The treatments under exploration include palliative radiation, chemotherapy, dialysis and blood transfusions. Though these treatments can aid in palliation, patients often do not receive them due to high costs and questions as to whether they fall within the scope of the Medicare Hospice Benefit. To identify potential approaches, MedPAC conducted a literature review, stakeholder interviews, site visits and data analyses. 

Hearing on “Improving kidney health through better prevention and innovative treatment” U.S. House Committee on Ways and Means Subcommittee on Health; written testimony fo Dr. Robert Taylor; 3/18/26

Identifying key components of neuropalliative care fellowship using nominal group techniqueJournal of Pain & Symptom Management; by Sachi Y Gianchandani, Jocelyn M Jiao, Kwame O Adjepong, Yaowaree L Leavell, Jessica M Besbris, Neha M Kramer, Joel N Phillips, Paul M Vermilion; 2/26There is no standardized curriculum for neurology-focused palliative care training. An adapted nominal group technique (NGT) was used to collect and rank responses to 2 key questions: "In designing the ideal dedicated neuropalliative care clinician training experience, what core components should be included?" and "When a general palliative care fellowship has a neurologist in their program, how could the program/program director potentially tailor the year to their unique needs?" For both key questions, the top-ranked responses included: dedicated outpatient neuropalliative care experience, mentorship from faculty with expertise in neuropalliative care, and a core didactic curriculum that includes neurology-specific content. Additionally, appropriateness for certification in hospice and palliative medicine was identified as crucial.

Palliative care in rural, remote, and northern communities: a scoping review BMC Palliative Care | Springer Nature; by Natasha Magyar, Katherine Kortes-Miller & Lynn Martin; 3/19/26 ... This scoping review provides an analysis of the current literature addressing palliative care in rural, remote and Northern regions globally and identifies themes in existing literature to determine areas of need for future research. ... Identified barriers include travel and cost of accessing care, policy issues, lack of communication, lack of knowledge/education. On the other hand, the identified facilitators include collaboration, advanced care planning, specialized education and training of care partners, utilization of telemedicine, and the use of volunteers.

[Spain] Queen Letizia supports universal access to palliative care Aragon Health Research Institute | Biomedical Research Center; Press Release; 3/16/26 Her Majesty Queen Letizia received a delegation from the Spanish Society of Palliative Care (SECPAL) with representatives from all essential professional profiles in palliative care. During the meeting, they conveyed to Queen Letizia the current situation of palliative care in Spain as well as the important challenges that persist ... Queen Letizia showed her sensitivity and commitment towards ... those facing advanced illnesses or who are at the end of their lives, and conveyed to SECPAL her support for initiatives aimed at strengthening the development of palliative care in Spain. ... Faced with this reality, SECPAL handed the queen over a decalogue [ten-point plan] which outlines the priorities for the development of palliative care in our country, such as ensuring that there are sufficient resources and appropriately trained teams at all levels of care.

Translating palliative care narratives into art: An arts-based knowledge translation pilot with young adult artists Palliative Care and Social Practice; by Kristina A. Smith, Philippe Blanchard, Susan Law, and Kelli Stajduhar; 2/25/26 Objectives: This knowledge translation project explored arts-based approaches for translating palliative care narrative data into creative forms, examining the feasibility of converting research narratives into accessible art forms that could facilitate engagement with death-related topics. Results: Over 25 artistic works illustrating death and dying experiences were created. The collaborative translation process revealed that undergraduate artists could effectively interpret and visualize complex palliative care narratives through diverse artistic approaches. Course evaluations and informal feedback indicated that artists found the experience meaningful and challenging, and expressed interest in further exploration of death-related topics. Editor's Note: Go to this article and scroll down past "Results" to see photos of these artworks and their descriptions.

A narrative review of attitudes and beliefs toward hospice and palliative care in South Asian Muslim communitiesJournal of Palliative Medicine; by Adeela Mushtaq, Mona Tareen, Renato V Samala, Susan B LeGrand; 2/26This article presents two case narratives illustrating reservations toward HPC [hospice and palliative care] in South Asian Muslim (SAM) communities, highlighting challenges and proposing strategies for culturally sensitive care. The first case demonstrates that, even with evidence-based and empathetic approaches, hesitancy toward HPC may persist. This underscores the need for (1) community-level initiatives leveraging religious and cultural platforms to educate and engage communities, and (2) greater awareness among healthcare professionals of these values to minimize conflict and reduce provider distress. In the second case, Islamic scholars were consulted regarding the use of sedative medicines at the end of life. They agreed such use is permissible under the principle of medical necessity, emphasized deference to medical expertise, and stressed preserving the patient's ability to recite the Shahadah (testimony of faith) in their final moments.

Sovereign Hospice guides Dallas-Fort Worth families through hospital discharge The Malone Telegram, Aubrey, TX; by Baaba Sampson; 3/12/26 Families facing hospital discharge for a loved one with a terminal illness often feel overwhelmed by the sudden shift in care responsibilities. Sovereign Hospice addresses this challenge by providing seamless coordination between hospital teams and home-based hospice services. The organization serves all counties within the Dallas-Fort Worth Metroplex, offering same-day admission and round-the-clock support.

Why Florida’s certificate of need program works for hospice | Opinion The Florida Times-Union; by Susan Ponder-Stansel; 3/11/26 Since the introduction of hospice care in the U.S. during the 1970s, Florida has been a leader in establishing high standards for licensing of hospice organizations who provide care in our state. This includes a certificate of need program that has a competitive process that is intentional, effective and disciplined. Through a competitive batching process under the program, hospice licenses are awarded only when providers can demonstrate unmet community need and prove they have the resources, staffing, infrastructure and expertise to meet that need reliably and over time. [Full access may be limited by paywall] 

Palliative care and its importance on Block Island The Block Island Times, Block Island, RI; by Laurie Anderson, APRN-C, CDOE; 3/6/26 ... On Block Island, [Rhode Island,] palliative care is a cornerstone of a plan to allow residents to age in place. ... On Block Island, the importance of palliative care is magnified by geography. With no inpatient hospital and limited access to specialty services, island residents often rely on local care combined with strong coordination to meet complex health needs. ... One of the most meaningful local commitments to palliative and end-of-life care on Block Island is the Livesey Endowment for Palliative and End of Life Care, established through Block Island Health Services. ... In our small, close-knit island community, palliative care also serves a broader social purpose. It helps preserve independence, reduces unnecessary hospital transfers, and honors patients’ wishes to remain connected to their homes, families, and community. 

Thyme Care launches Integrated Social Support model, bringing proactive oncology social work to 8 million Americans upon diagnosis PR Newswire, Nashville, TN; by Thyme Care; 3/5/26 Thyme Care today announced the public launch of its Integrated Social Support (ISS) model, a redesigned approach to oncology navigation that positions licensed master's-level social workers as the first to intervene when members experience barriers to navigating their cancer. The announcement coincides with National Social Work Month in March, recognizing the essential role social workers play in improving health outcomes. An estimated 44% of individuals affected by cancer experience psychosocial burdens, which are associated with poorer health, clinical, and economic outcomes for patients and caregivers. Thyme Care's ISS model flips the approach by making licensed social workers one of the first points of contact for social, emotional, and practical needs, assessing members from day one and throughout their journey ...

C-TAC report: From metrics to momentum - accelerating the spread of community-based palliative care The John A. Hartford Foundation, Washginton, DC; 3/4/26 The Coalition to Transform Advanced Care (C-TAC) and and The John A. Hartford Foundation (JAHF) have released a report, "From Metrics to Momentum: Accelerating the Spread of Community-Based Palliative Care." The report summarizes discussion from a September 2025 C-TAC national convening of clinical, policy, payer, and delivery system leaders that was focused on accelerating the spread of community-based palliative care and identifying meaningful approaches to measuring access.