Literature Review

Wound care fraud: key insights for healthcare providers in 2026 JD Supra; by Lynette Byrd; 8/21/26 The U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) are prioritizing wound care fraud enforcement in 2026. Healthcare providers are facing scrutiny under the False Claims Act and Anti-Kickback Statute, with audits and investigations leading to substantial liability (among other consequences) in many cases. ... Allegations of wound care-related health care fraud can take many different forms. ... While it is critical that elderly patients (including hospice patients and other terminally ill patients) receive appropriate care, there are limits to what is considered appropriate when billing Medicare or Medicaid for wound care. ...

Goal-concordant care for older adults with advanced heart failure: A retrospective cohort studyPalliative Medicine; by Sarah Godfrey, Maryjane Farr; 7/26Older adults with advanced heart failure experience significant morbidity and mortality and face higher complication rates from advanced therapies. Of 212 patients, 91 (42.9%) underwent evaluation for advanced therapies, though few received a heart transplant (16, 7.5%) or left ventricular assist device (32, 15.1%). Most (148, 69.8%) had only one palliative physician visit. One hundred thirty-nine (65.6%) died, often in the hospital (55, 40%) and with life-sustaining therapy in the last 24 h (73, 52.5%). Most (167, 78.8%) received goal-concordant care, with the main reasons for discordance being the desire for advanced therapy (33, 15.6%) and complications post-implantation affecting quality of life (9, 4.2%). Conclusions: Few older adults received advanced therapies, and palliative care was underutilized, with many patients seeing palliative care only once. Most received goal-concordant care, but decisions were often made late, highlighting the need for earlier, longitudinal palliative care for these vulnerable patients.

New York's Medical Aid in Dying Act takes effect: what clients and providers need to know JDSupra; by Dana Walsh Sivak; 8/18/26 ... Provider Obligations and Protections

Dad demands answers after daughter dies of rare cancer: why are so many kids getting sick in this community? (exclusive)People; by Wendy Grossman Kantor; 8/14/26Lilly Dalton grew up a few miles from Ladera Ranch, where at least a dozen young people and children have been diagnosed with Ewing sarcoma. Three days after graduating from college at Loyola University in New Orleans, Lilly Dalton told her parents her stomach hurt. Doctors found a tumor on the 21-year-old’s liver and she was diagnosed with a very rare, one-of-a-kind cancer. Lilly was raised in Laguna Niguel, a city in Orange County, Calif. — just six miles from Ladera Ranch, where 12 children and young adults have been diagnosed with another rare cancer, Ewing sarcoma. “That’s not a coincidence,” says her father, Brian Dalton, 49, who now lives in Meridian, Idaho, with Lilly’s mom, Nicole Dalton, 50. 

Palliative care consults for the oldest-old: A retrospective study of referral patterns, patient characteristics, and clinical outcomes Geriatric Nursing; by John Cameron, Kalli Stilos, Anita Chakraborty; 8/11/26Objective: This study describes the characteristics and outcomes of patients aged 90 and older (the oldest-old) receiving inpatient palliative care consultation at a tertiary care hospital, to identify gaps and opportunities to improve care. ... Conclusion: Referrals for specialist palliative care in the oldest-old occur late in hospitalization, predominantly among those with non-cancer illnesses and poor functional status. Systemic changes, including the use of prognostication tools and enhanced collaboration between geriatric and palliative care services, are needed. Nurses are pivotal in advocating for earlier advance care planning (ACP) and identifying patients who would benefit from timely palliative integration to ensure goal-concordant care.

Heart failure hospital-at-home program matches traditional hospital care on readmission Home Health News; by MK Manoylov; 7/28/26 At-home heart failure care can be a viable alternative for patients getting heart failure care, in terms of safety and quality. Patients with heart failure who received advanced medical care at home had similar post-discharge outcomes to the care found within brick-and-mortar hospitals, according to a new study published in JAMA Network Open. Researchers found that heart failure patients treated at home had no significant differences in hospital readmissions and mortality compared to patients treated in hospitals.

Mom, 35, spent years helping others as a doula. Then, lupus left her on deathbed worrying about her kids’ futurePeople; by Toria Sheffield and Nicholas Rice; 8/1/26

Who worked with Brian Rowan? Sales representatives and medical providers allegedly joined nationwide wound-graft networkBefore It's News, Phoenix, AZ; 8/4/26 Prosecutors describe Alexandra Gehrke, Jeffrey King, affiliated medical businesses, unnamed sales representatives, and healthcare providers as participants within an alleged kickback-driven network targeting elderly and terminally ill patients across the United States. ... Hospice enrollment does not make advanced wound care automatically inappropriate because terminally ill patients can require interventions reducing pain, drainage, infection, odor, exposed tissue, or other symptoms affecting comfort and dignity. Prosecutors nevertheless allege that representatives deliberately visited hospice facilities because elderly beneficiaries with insurance coverage and persistent wounds offered continuing opportunities for expensive applications, even when meaningful healing remained clinically improbable.

‘It felt like a home:’ Caring House hospice home, in Torrance, celebrates 10 years Daily Breeze, Torrance, CA; by Madeline Armstrong; 8/3/26 When Torrance resident Rick Willson, 65, learned his wife had Leukemia, he knew that her diagnosis was likely terminal. But three months later, when told she would require hospice care, Willson had no idea where to begin. ... That is when they found Caring House. Caring House is the only nonprofit hospice home in Los Angeles County and it just happened to be in the Willsons’ neighborhood. Caring House – an actual six bedroom, two-and-a-half bath home on El Dorado Street – is celebrating its 10th anniversary in Torrance this year.

Scans tell us about the cancer. Functional status tells us about the patient. South Florida Hospital News and Healthcare Report; by Dr. Ileana Leyva; 8/1/26 In an era of precision oncology, we closely track biomarkers, imaging findings and treatment response. Yet one of the strongest predictors of how a patient is truly doing often receives less attention: functional status. When patients experience progressive fatigue, need more assistance with daily activities or spend more time in bed, clinicians and families may normalize these changes as expected consequences of cancer or treatment. Yet progressive functional decline is frequently the clearest indication that an illness trajectory is changing. It is often a signal that warrants a broader conversation about prognosis, goals of care and whether the current treatment plan still aligns with what matters most to the patient. As physicians, we routinely rely on objective measures to assess disease progression. While scans tell us how a tumor is behaving, functional status tells us how the patient is living. Both are essential to understanding prognosis and making care decisions that align with patient goals.Editor's Note: Read this phrase again, "While scans tell us how a tumor is behaving, functional status tells us how the patient is living." Whule this article is for oncologist, your hospice interdisciplinary teams' interactions with patients and caregivers provide rich, relevant, time-sensitive conversations, observations, and supportive interventions. What kinds of team coordination exist between your physicians and team members who visit regularly in the patient's home setting (aka, home/ALF/LTC)?