Literature Review

Free webinar today by CHAP, 3-4pm ET: The National Hospice and Home Health Enrollment Moratorium | what we know so far Community Health Accreditation Partner; webinar will be presented by Kim Skehan, Jennifer Kennedy, and Teresa Harbour; posted 5/14/26 with webinar 5/15/26 Join CHAP and Kim Skehan for a timely discussion focused on what we currently know, what remains unclear, and how providers should be thinking about readiness, compliance, and next steps. Anyone can view and join online. During the webinar, we will cover:

NPHI commends CMS action to implement temporary nationwide hospice moratorium to strengthen hospice program integrity National Partnership for Healthcare and Hospice Innovation | NPHI, Washington, DC; Press Release; 5/13/26 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit hospice and advanced illness care, applauds the Centers for Medicare & Medicaid Services’ (CMS) announcement of a temporary six-month nationwide moratorium on new Medicare hospice enrollments that will help stop fraudulent operators from exploiting the Medicare hospice benefit. NPHI was the first organization in the nation to publicly call for a temporary nationwide moratorium, formally urging CMS to take this action in a March 25, 2026 letter sent to CMS Administrator Dr. Mehmet Oz and Deputy Administrator and COO Kim Brandt.

NPHI and C-TAC launch work on a federal community-based model to expand earlier, in-home support for patients nationwideNational Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 5/7/26The National Partnership for Healthcare and Hospice Innovation (NPHI) and the Coalition to Transform Advanced Care (C-TAC), publicly announced today (5/7) their commitment to developing a federal fee-for-service community-based palliative care model aimed at expanding access to care across the United States. This initiative builds on longstanding work across the field to expand access to palliative care, particularly as its use has grown in hospital settings over time. ... Gaps in consistent data and evidence have also made it more difficult to fully demonstrate the impact of earlier, community-based interventions. Through this partnership, NPHI and C-TAC are working to address these challenges by advancing a more sustainable, evidence-driven model for care delivery.

Opinion: Restoring trust in hospice begins with ending Medicare fraud The Hill, Washington, DC; Opinion Contributor, Jennifer Sheets, CEO of the National Alliance for Care at Home; 4/28/26 ... While losing someone you love is excruciating, many families — including my own — feel a sense of relief by the comfort and improved quality of life that hospice offers. As a mother, nurse, and full-time caregiver for my own mom during her end-of-life journey, I am forever grateful for the providers who supported our family during our most difficult moments. So, when I hear instances of malicious hospice fraud, I am outraged — not just for the taxpayer who becomes the victim of waste, but ultimately for the individuals who could be deprived of this important care option because of the harmful actions of others. ... A recent study revealed that, understandably, older adults consider trustworthiness as extremely or very important when choosing a provider. It’s not lost on hospice professionals that trust is essential to our relationships with patients. We must give them every reason to believe in us — and most providers do by delivering compliant, patient-centered, and clinically appropriate care to patients with complex needs. 

[Canada] Palliative Care Coalition of Canada (PCCC) Blueprint for Action 2025-2030 Palliative Care Coalition of Canada (PCCC); 4/24/26 The Palliative Care Coalition of Canada (PCCC) released the Blueprint for Action 2025–2030, a national roadmap that identifies key priorities needed to ensure that more people in Canada have access to high-quality, culturally safer, and affordable palliative care. 

New research shows earlier hospice election could save Medicare over $1 billion annually National Alliance for Care at Home, Alexandria, VA; Press Release; 4/23/26 A new analysis commissioned by the Research Institute for Home Care (the Institute) reveals that if Medicare beneficiaries elected hospice care just five days earlier, the program could save between $1.19 billion and $1.5 billion annually.  The analysis, conducted by ATI Advisory, demonstrates how modest, clinically appropriate changes in hospice timing could generate significant Medicare savings while improving patient outcomes. These findings are particularly relevant as Medicare spending on hospice services increases by nearly 10% annually, and overall enrollment of Medicare beneficiaries using hospice continues to grow.

NPHI statement on “Protecting Patients and Taxpayers: Cracking Down on Medicare Fraud” hearingNational Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 4/22/26 The National Partnership for Healthcare and Hospice Innovation (NPHI) supports the continued focus by Congress and the Administration on addressing fraud, waste, and abuse within the Medicare hospice benefit. NPHI’s policy team, led by Ethan McChesney and joined by Quin Lyons, attended the House Ways & Means Full Committee hearing titled “Protecting Patients and Taxpayers: Cracking Down on Medicare Fraud,” on April 21, reinforcing NPHI’s active engagement on this issue. ... “Fraud in hospice is not a theoretical concern – it is happening in real time, and patients and families are paying the price,” said Tom Koutsoumpas, Founder and CEO of NPHI. “We are seeing entire markets impacted by actors who have no connection to the communities they claim to serve. These fraudulent actors must be rooted out of the system — at once.

National Alliance for Care at Home | Strategic Plan (2026-2029)National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release / email; 4/20/26 The National Alliance for Care at Home has finalized its Strategic Plan for 2026–2029. This plan is the result of deep reflection on the challenges facing care at home providers today, the opportunities we believe are ahead, and the role the Alliance must play to help you navigate both. It is organized around four commitments:

State associations urge CMS to forgo potential national hospice enrollment moratorium Hospice News; by Holly Vossel; 4/10/26 A group of state hospice associations have expressed mounting concerns that a rumored national moratorium prohibiting new provider enrollments could adversely affect access. A letter to the U.S. Centers for Medicare & Medicaid Services (CMS) was recently penned by the Florida Hospice & Palliative Care Association (FHPCA), the Association for Home & Hospice Care of North Carolina (AHHC of NC) and the South Carolina Home Care & Hospice Association (SCHCHA). A national moratorium, if enacted, would impact the ability for legitimate hospices to provide quality care during a time of rising demand, said FHPCA President and CEO Paul Ledford and Tim Rogers, president and CEO of SCHCHA and AHHC of NC. 

TNMHPO Announcing Veteran Initiative Partnership (VIP)Texas ~ New Mexico Hospice & Palliative Care Organization; email; 4/1/26 If your organization supports veterans in hospice or palliative care, we’d love to invite you to be part of something meaningful. Introducing the Veterans Initiative Partnership (VIP) — a new, no-cost program designed to bring together providers, partners, and professionals committed to improving care for veterans. ...

Free webinars: Pediatric concurrent hospice care miniseries, guidance for clinicians: A compassionate, coordinated, and compliant approach National Allliance for Care at Home; Press Release; 3/23/26 This Virtual Training will provide a practical, relevant, and comprehensive overview of Pediatric Concurrent Hospice Care as an approach that allows children and adolescents to receive ongoing disease-directed therapies alongside hospice services. Participants will learn the foundations of Concurrent Hospice Care under Section 2302 of the Affordable Care Act including eligibility criteria, planning and coordination requirements, and interdisciplinary collaborative strategies.

NPHI calls on CMS to enact temporary nationwide moratorium on new hospice provider enrollments to stop fraudulent operators National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 3/25/26 The National Partnership for Healthcare and Hospice Innovation (NPHI), representing the nation’s leading nonprofit, mission-driven, safety-net, hospice and advanced illness care providers, is calling on the Centers for Medicare & Medicaid Services (CMS) to implement a temporary, nationwide moratorium on new hospice provider enrollments in response to the continued growth of fraudulent providers exploiting the Medicare hospice benefit. In a letter sent today to CMS Administrator Dr. Mehmet Oz and Deputy Administrator Kimberly Brandt, NPHI outlines concerns regarding the unchecked expansion of fraudulent hospice providers and the impact on patients, families, and the integrity of the Medicare program.

Official statement from NPHI on recent hospice fraud media coverage and ongoing federal enforcement efforts National Partnership for Healthcare and Hospice Innovation (NPHI); Press Release; 3/20/26 ... NPHI is actively engaged with federal leaders to advance targeted solutions that root out bad actors while safeguarding the integrity of the hospice benefit. It is important to underscore that these issues are not representative of the majority of hospice providers, who are focused every day on delivering high-quality, compassionate care to patients and families. Official Statement by Tom Koutsoumpas, Founder & CEO of NPHI: "... It’s important to be clear — this is not a failure of the hospice model of care. It is the result of a subset of providers exploiting the healthcare system, and that must stop. ..."Carole Fisher, President of NPHI, added: "“At its core, hospice care is about trust — trust from patients and families during some of the most vulnerable moments in their lives. That’s why NPHI is committed to supporting decisive action to address bad actors, while continuing to uphold and protect the high standards that define this field.”