Literature Review

Empassion, Karoo Health partner on cardiac-to-hospice transitions Hospice News; by James Warda; 4/28/26 Empassion Health and Karoo Health have unveiled a strategic partnership designed to provide a more seamless transition for patients from cardiac management to specialized serious illness care. This transition point, often referred to as “the gap,” is the period when traditional care cannot typically sustain the patient long-term, but they are not yet considered ready by insurance standards for hospice or palliative care, according to Empassion. Patients with advanced heart disease often drop into this gap. By bringing together Karoo’s cardiovascular care and Empassion’s palliative and hospice services, both organizations are working to eliminate that gap. 

CMS educational video: Hospice levels of care and how to bill for service intensity add-on (SIA) payments CMSHHSgov YouTube and CMS MLN Connects Newsletter; posted on CMS's YouTube channel 4/17/26, posted in CMS MLN Connects Newsletter 4/23/26 This video is intended to educate hospices on a service opportunity called a service intensity add-on payment. Hospice agencies are paid a daily rate for each patient enrolled in hospice regardless of the number of services provided on a given day, including days when hospice provides no services. Hospice benefits allow hospices to bill an additional payment on an hourly basis for registered nurse and social worker visits during the last seven days of a patient’s life in addition to their standard daily reimbursement.

Building empathy for dementia patients The Vindicator; by Susan Wojnar; 4/24/26 As dementia rates continue to climb across Ohio — particularly in the Mahoning Valley — a new hands-on training is helping caregivers and community members better understand what it’s like to live with the condition. ... Mahoning County ranks fourth in the state for the highest percentage of seniors living with Alzheimer’s or dementia. Approximately 6,000 residents age 65 and older — about 12.1% of that population — are affected. ... In response to the growing need for caregiver support and education, Ohio Living Home Health & Hospice has introduced a new training program called Dementia Live. ...

Second-generation antipsychotics for depression in serious illness: A first-line augmentation strategyJournal of Pain & Symptom Management; by Gregg Robbins-Welty, Mia Pattillo, Danielle Chammas, Karolina Sadowska, Cara L McDermott, Nneka Ufere, Jason A Webb, Daniel Shalev; 3/26Depression in serious illness is common, disabling, and often requires rapid improvement. In the psychiatric literature, SGA [second-generation antipsychotics] augmentation improves response and remission rates ... , with onset of improvement within 1-2 weeks. Monotherapy is less well tolerated and not guideline-recommended. No RCTs have evaluated SGAs specifically for depression in serious illness, but numerous cancer trials support their safety for nausea, appetite, and other symptoms. Despite the absence of serious illness-specific psychiatric trials, SGAs have the strongest evidence base among augmentation options and may offer meaningful benefits when prognosis or symptom severity necessitates rapid improvement. Low-dose augmentation should be considered early, rather than only after multiple failed antidepressants, particularly when SGAs can also target co-occurring physical symptoms relevant to palliative care.

[Greece] Tele-palliative care in rural areas, implementation and patient experiences: A systematic reviewAmerican Journal of Hospice & Palliative Medicine; by Athanasios Pitis, Maria Nikoloudi, Kyriaki Mystakidou; 3/26Specialist palliative care remains highly uneven in rural and remote settings for patients with life-limiting illness and their families. This review aimed to examine the implementation characteristics, clinical and service-level outcomes, and patient experiences of tele-palliative care interventions for individuals living in rural or remote settings with limited access to specialist palliative care. Conclusions: Tele-palliative care can extend specialist palliative care to rural and remote communities by reducing travel burden and supporting continuity, particularly when delivered through hybrid models embedded in local care pathways. 

Chapters Health System launches new pediatric program PR Newswire, Temple Terrace, FL; Press Release; 4/23/26 Chapters Health System announced the launch of Chapters Kids, a system‑wide pediatric hospice and palliative care program. Chapters Kids will expand resources for pediatric patients and families throughout the Chapters Health System service area and unite existing pediatric programs from several affiliates. "The launch of Chapters Kids is another critical step forward as we work toward fulfilling our mission of taking care of patients, or taking care of those who do," said Andrew Molosky, President and CEO, Chapters Health System.

Kelly, DelBene introduce Concurrent Care for Comfort Act U.S. Representative Mike Kelly, Washington, DC; Press Release; 4/20/26 Today, U.S. Representatives Mike Kelly (R-PA), a member of the Ways & Means Subcommittee on Health, and Suzan DelBene (D-WA) introduced the Concurrent Care for Comfort Act, legislation that seeks to improve patient care and outcomes for Americans on Medicare who receive dialysis treatment. Currently, Americans living with end stage renal disease (ESRD) are not permitted to continue their dialysis treatment under Medicare to enter palliative hospice care. This legislation would amend Medicare policy to allow for Americans to continue their treatment, enter hospice, and be with their family pain-free.

3 Wishes Program humanizes end-of-life care University of Washington Department of Medicine; by Vishva Nalamalapu; 4/15/26 In hospitals, healthcare teams tend to zero in on patients’ conditions and treatments. When patients are nearing the end of their lives, however, it’s important for them to feel like their whole selves. Matthew Smith, a physician assistant at UW Medical Center – Montlake in Seattle, founded the hospital’s 3 Wishes Program to create experiences and keepsakes that recognize the patient’s personality. Wishes commonly fall into one of three categories: humanizing the room, connecting with loved ones and creating keepsakes for them. Costs for attaining these wishes tend to be minimal and covered by donations. Since it began in 2022, the program has fulfilled about 1,500 wishes for more than 600 patients. 

Sovereign Hospice: addressing late-stage renal condition care gaps in Fort Worth MyCarrollCountyNews.com, Dallas, TX; by Sovereign Hospice; 4/16/26 End-stage kidney disease affects hundreds of thousands of Americans each year. When kidneys can no longer sustain life without dialysis or a transplant, families are left to make decisions that few feel prepared for. Sovereign Hospice ... is drawing attention to a gap many families face: not knowing that hospice care services exist as a legitimate, fully supported option at this stage of illness. ... For patients with end-stage kidney disease, the shift away from aggressive treatment means that symptom management becomes the priority. Common symptoms at this stage include fatigue, pain, restlessness, and fluid retention. The interdisciplinary team is trained to address all of these through individualized care plans.