Literature Review

The importance of humanity in internal medicine I.M. Matters from the American College of Physicians; President's Message by Jason M. Goldman, MD, MACP; June 2025I recently attended the funeral of one of my long-time patients, who had required hospice care after a long battle with heart disease. Many of us have had the experience of telling a patient and their family that their disease has progressed and we have reached the limits of medical science. In training, we are taught to be compassionate but professional, maintaining a certain level of emotional detachment ... As internal medicine specialists, we have the awesome responsibility and privilege to be the doctor for our patients through decades of their life experiences and to offer them not just medical science, but also humanity and comfort. ... One of the greatest acts of charity a person can perform is to attend someone's funeral, as it is the only act of kindness that cannot be reciprocated. This patient had been in my practice for almost two decades, and I had the privilege of taking care of both her and her husband.Editor's note: Re-read this powerful statement, "One of the greatest acts of charity a person can perform is to attend someone's funeral, as it is the only act of kindness that cannot be reciprocated." 

Providers, advocates ask Senate to reject $700M in Medicaid cuts, Congress to save OAA programs McKnights Senior Living; by Kathleen Steele Gaivin; 5/27/25Providers and advocates for older adults are counting on the Senate to reject a portion of the proposed federal budget that would gut $700 million from the Medicaid program. Members of the House of Representatives passed their version of the bill late Wednesday. ... Home care advocates ANCOR and the National Alliance for Care at Home on Thursday also called on the Senate to reject the House-passed cuts to Medicaid.

Five Questions With: Diana FranchittoProvidence Business News, Providence, RI; by Katie Castellani; 2/14/25 Diana Franchitto | CEO, HopeHealth | Chair, National Partnership for Healthcare and Hospice Innovation 

National Alliance for Care at Home publishes CONNECT to Care Report National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 5/27/25 The National Alliance for Care at Home (the Alliance) published the results of new research conducted by Transcend Strategy Group exploring perceptions of hospice care among underserved communities. This research compiles findings from a series of surveys of 2,000 people and explores perceptions of hospice care among Black, Hispanic, Asian American, LGBTQ+, and rural communities. Using the CONNECT acronym – Communication, Outcomes, Network, Nurture, Engagement, Collaboration, and Transparency – the report aims to help providers support equitable, inclusive, and comprehensive access to care and is part of the Alliance’s ongoing commitment to increasing access to hospice and home care through knowledge sharing, data collection, and collaborative discussion.  Along with key research findings, CONNECT to Care offers recommendations for hospice providers to help increase understanding of hospice care and help overcome barriers to access.  

Alliance bolsters advocacy impact with two new strategic leadership appointments

AHA urges HHS to cut regulations that burden hospitals and staff OR Manager; by Matt Danford; 5/16/25 The American Hospital Association (AHA) has called on the Department of Health and Human Services (HHS) to eliminate or ease a variety of federal regulations, arguing that excessive administrative rules drive up costs, reduce patient access, and hinder innovation, Modern Healthcare reported May 13. According to the article, the AHA submitted more than 100 deregulatory suggestions to HHS, the Centers for Medicare and Medicaid Services (CMS), and the Office of Management and Budget. [Continue reading for descriptions specific to billing and payment, quality and safety regulations, and workforce-related recommendations.]

Congress offers new plan for Medicaid cuts, raising fresh concerns among HCBS advocates McKnights Home Care; by Adam Healy; 5/13/25 House Republicans on Sunday [5/11] introduced a new budget reconciliation that outlines exactly how Medicaid cuts could take shape. Home- and community-based services advocates quickly spoke out in opposition to the bill. [Various leaders responded.]

John Whyte, MD, MPH, selected as the AMA’s new CEO American Medical Association (AMA), Chicago, IL; by Staff News Writer; 5/9/25 The AMA Board of Trustees has chosen John Whyte, MD, MPH, a nationally renowned public health advocate, physician executive, corporate strategist and communication expert, as its next executive vice president and CEO. Dr. Whyte ushers in a new era of leadership for the 178-year-old institution amid strong membership growth and a renewed focus on solving challenges that affect physicians and patients. Dr. Whyte’s tenure will begin July 1. Dr. Whyte brings extensive corporate, governmental and clinical experience to his role leading the day-to-day operations of the AMA. A board-certified internal medicine physician for nearly 30 years, Dr. Whyte joins the AMA from WebMD, where he has served as chief medical officer (CMO) since 2018 and helped grow the media company’s strategic partnerships, influence and vision.

Addressing workforce challenges: Hospice in the news, April 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 5/7/25 What defines quality in end-of-life care?  How are Hospice organizations navigating workforce challenges?  And why has medical aid in dying become such a critical conversation?  These questions take center stage in this data-driven exploration of April's most impactful Hospice and Palliative Care news stories. In this episode of TCNtalks, Chris Comeaux and Cordt Kassner discuss the top news stories from April, focusing on Hospice and Palliative Care.  They explore personal aspirations, data insights, the impact of spiritual care, emerging categories in news reporting, and key themes such as reimbursement and workforce challenges.  The conversation also touches on mission moments, regulatory changes, technology innovations, and the evolving nature of leadership in healthcare, particularly in the context of AI and human skills. ... Cordt closes the show with a Master's Class reviewing the National Hospice Locator, a valuable tool for finding high-quality Hospice Care anywhere in the country.

Dombi: At-home care providers must overcome ‘self-inflicted challenge’ to flourish Home Health Care News; by Morgan Gonzales; 5/2/25 Despite operating on razor-thin margins and facing persistent reimbursement challenges, some home-based care providers are setting themselves apart by leaning into innovation. By embracing alternative payment models, virtual health and opportunities like hospital-at-home programs, providers can save themselves from home-based care’s “self-inflicted challenge” of not capitalizing on the industry’s evolving opportunities, according to Bill Dombi, senior counsel for Arnall Golden Gregory law firm. He also formerly led the National Association for Home Care & Hospice (NAHC), which following a merger is now the National Alliance for Care at Home. While workforce shortages, potential Medicaid cuts and unsustainable payment rates threaten the industry, opportunity awaits those willing to evolve, Dombi said.

NPHI opens 10th Annual Summit in Las Vegas, celebrating a decade of impact National Partnership for Healthcare and Hospice Innovation (NPHI)m Washington, DC; Press Release; 4/29/25The 10th Annual Summit of the National Partnership for Healthcare and Hospice Innovation (NPHI) officially kicks off this morning, April 29, at the Red Rock Resort in Las Vegas. This milestone Summit, themed “A Decade of Impact,” brings together hospice and palliative care leaders from across the nation to celebrate ten years of remarkable achievements and to explore the innovative strategies that will drive the future of high-quality, community-based care. ... Key topics include advancing policy solutions to prevent fraud and abuse in hospice, harnessing artificial intelligence to improve care, exploring international hospice, elevating outreach and communications, and strengthening the quality and consistency of services across the board. During the summit, NPHI will also debut a newly developed Cancer Clinical Provider Guide—designed to help members deliver the highest standards of cancer care. ... “As we mark a decade of impact, this summit is not only a time to reflect on the extraordinary progress we’ve made, but an opportunity to be forward thinking and anticipating what comes next,” said Tom Koutsoumpas, NPHI CEO. [NPHI is a sponsor of our newsletter.]

American Oncology Network achieves success in first performance period of CMMI’s enhancing oncology model Stock Titan, Globe Newswire, Fort Myers, FL; 4/22/25 American Oncology Network (AON), one of the nation’s fastest-growing community oncology networks, today announced strong results from the first performance period in the Centers for Medicare & Medicaid Innovation’s (CMMI) Enhancing Oncology Model (EOM). AON practices participating in the program—in collaboration with value-based cancer care enabler Thyme Care—achieved nearly $6M in cost savings for the Centers for Medicare & Medicaid Services (CMS). AON also earned a performance-based payment while improving patient experience and outcomes.

What healthcare leaders can learn from palliative medicine Becker's Hospital Review; by Elizabeth Gregerson; 4/18/25 The American Academy of Hospice and Palliative Medicine in March appointed Kristina Newport, MD, as chief medical officer for the organization.  Dr. Newport currently serves as chief of palliative care for Hershey, Pa.-based Penn State Health. She recently spoke with Becker’s about her priorities as AAHPM’s new CMO, as well as the role palliative care can play in oncology.Question: Congratulations on your appointment, what are your top priorities in this new role?Dr. Kristina Newport: Thank you. It’s really a privilege to be in this role and give back to the organization that raised me up. I’ve been a member of the Academy since 2007 when I was a medical resident, so the academy really has guided my career. One of my first priorities is to understand our members’ needs.  ... My second priority is developing and strengthening the relationships we have with other organizations who share our mission.  ... [The] foundations of palliative care are to prioritize what matters to patients and address the whole person through human connections and relationships. We have strong evidence in the literature that says when we do that well, we decrease non-beneficial treatment and improve the patient’s well-being, as well as the well-being of people that care for them. At the same time, we decrease unnecessary costs in the healthcare system while improving healthcare worker satisfaction.