Literature Review

Person who makes a difference: Dubuque volunteer brings personal, professional experience to service Telegraph Herald, Dubuque, IA; by reade Snelling; 7/19/26 After a lifetime of caring for people in the community, one might find that some time off was in order. Allen Meurer didn't, though. During and after his long career of serving Dubuque as a physician, Meurer has also been a caregiver and resource for older adults throughout the city. Now, as a volunteer at Bethany Home, Hospice of Dubuque, Hawkeye Care Center and Harmony Healthcare, plus serving on the board of directors of the first two organizations, he doesn't seem to be slowing down anytime soon. "That's my passion, end-of-life care," Meurer said. "Since I retired about four years ago, I just continued on visiting the nursing homes like I did for my career."

Mount Sinai South Nassau partners with MJHS to launch inpatient hospice program LI Herald Oceanside, Island Park, NY; by Abigail Grieco; 7/17/26 Mount Sinai South Nassau has expanded its continuum of care services by launching an inpatient hospice program through a new clinical partnership with MJHS Hospice and Palliative Care, providing specialized end-of-life care for patients whose needs cannot be met at home. The hospital announced that the new service will offer around-the-clock hospice care for patients facing life-limiting illnesses, while also providing support for their families during one of life’s most difficult transitions. ... The program combines the expertise of Mount Sinai South Nassau's clinical staff with MJHS Hospice's specialized team of hospice professionals.

VITAS medical director: improve hospice referrals for cancer patients Hospice News; by Jim Parker; 7/16/26 Hospice utilization among some cancer patients is leveling off and slowing growth, but healthcare providers and medical educators can adopt certain strategies to move the needle. This is according to Dr. Ileana Leyva, regional medical director for VITAS Healthcare. ... Neuro-degenerative, lung and cardiac diseases are gaining more prominence among hospice diagnoses. In 2024, senile degeneration of the brain was the most common terminal diagnosis among Medicare decedents at 9%, followed by Alzheimer’s at 6%, according to the National Alliance for Care at Home. Chronic obstructive pulmonary disease rounded out the top three at 4.2%. Lung cancer was the 11th most common diagnosis that year, at 2.1%, the highest rate for any form of cancer. Hospice News spoke with Leyva about the barriers that prevent cancer patients from accessing hospice sooner and what stakeholders can do to drive improvement.

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule CMS Newsroom; Fact Sheet; 7/14/26 paired with U.S. Department of Health and Human Services, CMS CY 2027 Payment Policies under the Physician Fee Schedule, 7/16/26; summary by guest editor Judi Lund Person On July 14, 2026, the Federal Register posted the CY 2027 Medicare Physician Fee Schedule proposed rule – CMS-1848-P. The CMS Fact Sheet on the proposed rule can be found here. While the proposed rule is 1,592 pages, there are two items of note to hospice and palliative care readers: 1) Supporting Beneficiaries Planning for Future Medical Decisions.CMS is proposing to create two new HCPCS codes to describe advance care planning (ACP) services furnished by clinical staff under the direct supervision of the billing physician or other practitioner. These new codes will more accurately distinguish and value the work done by billing practitioners from time spent by their clinical staff providing ACP services. We are further proposing that the existing ACP CPT codes 99497 and 99498 would only be used to report time personally spent by the billing practitioner. 2) RFI on Community-based Palliative Care, asking questions on eligibility for serious illness care and palliative care, the future of care management services and advanced primary care management.   

Cardiologists treating increasingly complex patients as America ages Medscape; by Sarah Amandolare; 7/14/26 ... Heart failure (HF) affects 15%-20% of adults over 80, according to the American Heart Association/American College of Cardiology/Heart Failure Society of America Guideline for the Management of Heart Failure. HF with preserved ejection fraction (HFpEF), which becomes more likely after age 80, is related to other common conditions of aging, including hypertension, chronic kidney disease, diabetes, and obesity. “Almost by definition, most people that have HFpEF have multiple comorbidities,” Hummel said. “You have to account for a lot of them when you’re thinking about how to help the patient best.” This population also has higher chances of developing dementia and frailty, which affect 35% of adults age 90 and older and 31% of octogenarians, respectively. Older adults hospitalized for HF also have a high likelihood of polypharmacy; 68% take 10 or more medicines.

A new way to prepare doctors for difficult conversations University of Rochester; by Bob Marcotte; 7/10/26 [This post was originally published on July 15, 2021. It has been updated and republished to include a video about using SOPHIE for dentist-patient communication training.] As many as 68 percent of late-stage cancer patients leave their doctor’s offices either underestimating the severity of their disease, overestimating their life expectancy—or both. These misunderstandings can hinder the ability of patients and their families to make realistic decisions about whether to continue aggressive treatments or instead turn to palliative care. To address the problem, University of Rochester computer scientists, palliative care specialists, and practicing oncologists are perfecting SOPHIE (Standardized Online Patient for Healthcare Interaction Education)—an online virtual “patient” that helps physicians practice how to communicate effectively with late-stage cancer patients about their disease.

Hospice should offer dignity, not deception | Your turn VC Star, Ventura County, CA; by Molly Corbett; 7/11/26 Not long ago, a Ventura County family called Livingston for help. Their loved one was enrolled with another hospice but had not received a visit from one of its nurses in more than three weeks. Consider what those weeks must have felt like. The family had made one of the most difficult decisions it would ever face. Instead of focusing on their loved one, they were left wondering when help would come and whether anyone was paying attention. That’s the human cost of hospice fraud and neglect. It’s not only money improperly billed to Medicare. It’s pain that may go unmanaged, calls that go unanswered and precious time consumed by fear and frustration.

Qualitative evaluation of an Accreditation Council for Graduate Medical Education-approved online hospice and palliative medicine fellowship program Oxford Academic | Academic Medicine - A Journal of the AAMC; by Katherine T Morrison, MD, Regina M Fink, PhD, APRN, CHPN, Kelly Arora, PhD, David Nowels, MD, Melissa C Palmer, JD, LCSW, ACHP-SW, APHSW-C, Tai Lockspeiser, MD, MHPE, Hareklia Brackett, APRN, MS, CNS, ACHPN , Darcy Campbell, AGNP-C, ACHPN, Maurice Scott, MD, Frank Amos Bailey, MD; July 2026 In 2020, the University of Colorado School of Medicine launched the Community Hospice and Palliative Medicine (CHPM) Fellowship, a part-time, innovative, online fellowship for midcareer physicians. The 3- to 4-year specialty training program, which includes completing a master of science in palliative care, was created to address the increasing need for palliative care physicians in communities with underdeveloped hospice and palliative medicine resources. This model enables fellows to remain in their communities and clinical practices while completing training leading to board certification. Guided by the Kirkpatrick Model, this program evaluation examined the fellows’ perceptions of the program’s effectiveness as a training model.

Dignity therapy: What matters most in end-of-life care? Medscape; by Irene Salvetti, MD; 7/7/26 ... Many patients, especially in advanced stages of illness, express the fear of no longer being themselves, of becoming a burden, or of losing their sense of meaning, role, and memory. In these experiences, suffering is not merely physical but also related to identity, relationships, and spirituality. The way patients perceive themselves as viewed by others is an important determinant of their sense of dignity. Dignity therapy was developed to give voice to this often-overlooked aspect of the experience of illness. ...  Harvey Max Chochinov introduced dignity therapy as a brief psychotherapeutic intervention for individuals with advanced or terminal illness, with the goal of preserving a sense of personal dignity during times of frailty, dependence, and the approach of death.

After Nebraska sanctions and federal charges, Iowa nurse surrenders license Iowa Capital Dispatch; by Clark Kauffman; 7/7/26 Almost two years after the State of Nebraska revoked a nurse’s ability to practice there for posing a “significant risk to public safety,” Iowa’s Board of Nursing has agreed to accept the nurse’s surrender of her license to practice in Iowa. The decision by the Iowa board comes after Brandy Wicks, a registered nurse from Treynor, was accused of stealing patient medications from a hospital, a home-hospice program and at least two nursing homes, and after her indictment on 11 federal criminal charges.

As AI listens to patients, physicians face new questions Medscape; by Michael Waldholz; 6/22/26 Like much of modern life, medicine is rapidly being reshaped by AI. The fastest-growing — and potentially most consequential — application in healthcare is a technology known as “ambient intelligence.” ... According to a new report from the Peterson Health Technology’s AI Taskforce, “There is no technology in recent memory that has been adopted more enthusiastically by clinicians or has scaled up so uncharacteristically fast, absent a regulatory mandate.” But with the enthusiasm comes concern. The AI scribe field is unregulated, so an application’s accuracy isn’t being independently monitored. In one recent study, researchers reported scribes produced inaccuracies that the authors say will require “vigilance.” 

'A big win' | Georgia expands medical cannabis access with new law, boosting patient treatment options WMAZ-13 CBS; Macon, GA; by Maggie Fitzgerald; 7/3/26 Georgia’s medical cannabis program is expanding under the newly enacted Putting Georgia’s Patients First Act, a law that supporters say significantly broadens patient access while reshaping how medical cannabis is produced, distributed and dispensed across the state. The law, which took effect July 1, overhauls several core parts of Georgia’s medical cannabis framework. It eliminates the state’s previous 5% THC concentration cap and instead regulates products by the total amount of THC they contain and how much a registered patient can purchase over a given period.