Literature Review

What a CMS fraud chief learned by caring for her parents in hospice Forbes; by Wes Kilgore; 6/11/26  The realization came to Dara Corrigan in late August, when she and her younger sister had to place both of their parents into hospice care within days of each other. Corrigan was not a typical stressed relative, navigating end-of-life care. She'd worked for decades in senior federal service, serving as the Acting Inspector General for the Department of Health and Human Services (HHS) and directing the Center for Program Integrity at the Centers for Medicare & Medicaid Services (CMS). Her career was built on protecting Medicare from fraud. Yet, sitting by the bedside as a daughter, the benefit looked entirely different from how it appeared on a regulatory spreadsheet. ...A New Model for Dignity: Corrigan thinks a completely different approach could be the solution: a new, dedicated federal palliative care benefit tailored to the reality of long, slow neurodegenerative declines. She envisions a system built from day one with modern anti-fraud controls. 

Medicare hospice: action needed to pay more efficiently for routine home care GAO - U.S. Government Accountability Office; GAO-26-107585; publicly released 6/9/26 Fast Facts

National Alliance for Care at Home voices concerns to CMS in response to the FY 2027 Hospice Proposed Rule National Alliance for Care at Home, Alexandria, VA; Press Release; 6/2/26 The National Alliance for Care at Home (the Alliance) submitted comments in response to the Centers for Medicare & Medicaid Services’ (CMS) Fiscal Year (FY) 2027 Hospice Wage Index proposed rule, which proposes payment and regulatory updates under the Medicare hospice benefit. The letter states that the proposed 2.4% hospice payment update for FY 2027 will not adequately account for the cost pressures hospice providers face in today’s healthcare delivery market. ... The Alliance also raised serious concerns about the appropriateness and data accuracy related to the hospice Service and Spending Variation Index (SSVI), and recommends that CMS pause any use of the SSVI indefinitely and undertake a transparent, collaborative approach with the provider community to better target its efforts to address hospice fraud, waste, and abuse. 

NPHI submits comments on FY 2027 Hospice Proposed Rule, urges CMS to strengthen transparency, support access, and advance meaningful reform  National Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 6/2/26The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit hospice and advanced illness care, has submitted formal comments to the Centers for Medicare & Medicaid Services (CMS) regarding the Fiscal Year (FY) 2027 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements proposed rule. In the letter, NPHI welcomed CMS’s continued engagement with hospice stakeholders and offered detailed recommendations designed to strengthen patient access, improve transparency, reduce unnecessary administrative burden, and support high-quality, community-based hospice and palliative care. 

Compassion fatigue and spiritual care competence amongst palliative care nurses: a moderated mediation model of care quality and job satisfaction Journal of Clinical Nursing / Early View; by Enise Sürücü, Funda Veren, Hülya Kulakçı Altıntaş, Büşra Baş, and Zeynep Acar Demir; 5/30/26 Impact:

Making a health system merger succeed: Michigan Medicine’s journey toward a high-quality, coordinated statewide system of careNEJM Catalyst; by Scott A. Flanders, Margaret Dimond, David C. Miller; 4/26After its April 2023 acquisition of Sparrow Health, Michigan Medicine and its five-hospital system, University of Michigan Health, launched a major effort to advance business, clinical, and cultural integration across the new 11-hospital enterprise. The goal was to achieve a coordinated, integrated statewide system of care that delivered improved quality and better experience, while providing academic hospital-caliber care closer to home for patients across the state. Those efforts have led to improved financial performance, [increased employee satisfaction and reduced RN annual turnover]. Clinical integration, driven by the development of local clinical programs, initiatives to coordinate statewide care, and innovative technology solutions, has resulted in a higher quality of care delivered closer to home. For cultural integration, the keys to success have been leadership alignment, a clear vision and goals, a supportive infrastructure, strong systemwide communication, and achieving and celebrating early wins.

Get ready to access the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER)CMS Center for Program Integrity; 5/28/26 CPI is getting really close to releasing the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER). The Hospice PEPPER will be available through the PEPPER Portal in early June 2026. To ensure hospice providers can successfully access their reports, we ask that you distribute the following instructions to your members.

Repost: Modern Healthcare Awards, "Best Places to Work in Healthcare 2026"Modern Healthcare; Press Release behind a paywall; 5/11/26Editor's Note: We are pleased to add several "Best Places to Work 2026"--as honored by Modern Healthcare--to our "Awards and Recognitions May 2026" from 6/2/26. The more complete list of hospice organizations is below. If we have inadvertently omitted an organization, please email jberger@hospicepalliativecaretoday.com.

NPHI submits comments on FY 2027 Hospice Proposed Rule, urges CMS to strengthen transparency, support access, and advance meaningful reform  National Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 6/2/26The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit hospice and advanced illness care, has submitted formal comments to the Centers for Medicare & Medicaid Services (CMS) regarding the Fiscal Year (FY) 2027 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements proposed rule. In the letter, NPHI welcomed CMS’s continued engagement with hospice stakeholders and offered detailed recommendations designed to strengthen patient access, improve transparency, reduce unnecessary administrative burden, and support high-quality, community-based hospice and palliative care. 

National Alliance for Care at Home voices concerns to CMS in response to the FY 2027 Hospice Proposed Rule National Alliance for Care at Home, Alexandria, VA; Press Release; 6/2/26 The National Alliance for Care at Home (the Alliance) submitted comments in response to the Centers for Medicare & Medicaid Services’ (CMS) Fiscal Year (FY) 2027 Hospice Wage Index proposed rule, which proposes payment and regulatory updates under the Medicare hospice benefit. The letter states that the proposed 2.4% hospice payment update for FY 2027 will not adequately account for the cost pressures hospice providers face in today’s healthcare delivery market.

CMS reportedly unresponsive to hospice payment suspension rebuttals Hospice News; by Jim Parker; 5/29/26 The U.S. Centers for Medicare & Medicaid Services (CMS) has been largely unresponsive to hospices’ rebuttals to payment suspensions due to suspicion of fraud. Legitimate hospice providers are being swept into CMS’ broader fraud crackdown, with some agencies reportedly facing payment suspensions severe enough to force closures. ... Hospice News has spoken with 10 hospices that have received suspension letters; each indicated that the block on their payments was based on a single metric — live discharges. Suspended hospices have the ability to file a rebuttal seeking to have the payment freeze reversed. However, to date, few hospices have received any response from CMS or its Unified Program Integrity Contractors (UPIC).

How to transform a health system’s organizational culture and hardwire it for the futureNEJM Catalyst; by Brian Carlson, Nancy M. Lorenzi, Paul Sternberg, Jr., Cassandra Hennessy, Dandan Liu; 4/26Organizational culture is a critical driver of workforce and patient experience, yet health care institutions often struggle to sustain their desired culture over time. In 2017, Vanderbilt Health identified inconsistencies in expected workforce behaviors through patient feedback, prompting the creation of a strategic cultural renewal initiative. The resulting program, Defining Personalized Care, had a 4-year road map of seven e-learning modules designed to reinforce core values and improve interpersonal behaviors across the workforce. This single-center pre–post study revealed statistically significant improvements in patient experience scores, particularly in the communication and courtesy domains. The initiative demonstrated that engaging, relevant content combined with visible support from leadership can drive voluntary participation and generate measurable outcomes. This case study offers a replicable framework for health care organizations seeking to hardwire their cultural expectations and align workforce behaviors with patient-centered care goals.

Potential adjunctive role of osteopathic manipulative medicine in the management of cancer-related bone pain: A narrative reviewCureus; by Ambrose Loc T. Ngo, Niki Gharavi Alkhansari, Chi Pham, Hong Nguyen, Monica Rubi, David Tanner; 4/26Osteopathic manipulative medicine (OMM) is known for its therapeutic potential on the musculoskeletal system, and its emerging role and potential benefits in oncology care are gaining attention. Patients with primary and metastatic bone cancer tend to experience pain, restricted movement, and lower quality of life due to the pathology and its treatment. This narrative review examines the mechanistic rationale and available clinical evidence supporting the use of OMM in the management of pain and functional impairment among patients with bone malignancies. Limited clinical studies suggest that select OMM techniques, including myofascial release (MFR), gentle soft tissue methods, and lymphatic approaches, may contribute to improvements in pain perception, mobility, and fatigue in oncology populations.