Literature Review

Will Scotland be the first [in the UK] to legalise assisted dying? BBC News; by James Cook, Scotland editor; 3/16/26 For more than a year, Scottish politicians have been grappling with matters of life and death as they debated one of the most contested bills in the history of devolution. Tuesday's (3/10) final Scottish Parliament vote on the Assisted Dying for Terminally Ill Adults (Scotland) Bill is seen as too close to call. But, if it passes, Scotland could become the first nation in the UK to legalise assisted dying. ... Critics of the bill have called it dangerous and say MSPs should focus instead on improving end-of-life care. ... [Supporters of the bill have] said the result was a "bulletproof" bill which amounted to "the toughest and most comprehensively-safeguarded" such legislation in the world.

Hospice fraud explodes in California after state ‘crackdown’: 742 flagged providers, $105 million overbilled, and ghost offices California Globe; by Megan Barth; 3/11/26 California investigative reporter Christian Hartsock, in collaboration with California State Assembly woman Alexandra Macedo for the California Courier, released a breaking undercover investigation just days ago, exposing dozens of suspicious hospice and home healthcare agencies in Los Angeles. Their on-site visits revealed hundreds of companies registered to crumbling buildings with no ramps, no handicap parking, disconnected phones, and signs reading “Out to Lunch.” Hartsock’s footage highlights how over $3.5 billion in Medi-Cal fraud has been identified in Los Angeles County alone, with 31% of all U.S. hospices registered there despite only 2% of the nation’s aging seniors residing in the area. 

Alliance concerned by MedPAC’s misguided 2026 home health and hospice payment recommendations National Alliance for Care at Home, Alexandira, VA and Washington, DC; Press Release; 3/13/26The National Alliance for Care at Home (the Alliance) is deeply concerned by the Medicare Payment Advisory Commission’s (MedPAC) March 2026 Report to Congress: Medicare Payment Policy. MedPAC’s congressionally mandated report provides analysis and recommendations on various Medicare programs, including home health and hospice. The Commission’s findings focus on payment adequacy, access to care, quality, financial performance, and projections for 2026 and beyond. The Alliance previously expressed concern in response to MedPAC’s vote in January 2026.

MedPAC: March 2026 Report to CongressMedPAC Reports; 3/12/26Medicare Benefit: National health care spending grew rapidly in 2023 and 2024, by 7 percent in each of these years. By 2024, national health care spending totaled $5.3 trillion. Health care spending has made up an increasing share of the country’s gross domestic product (GDP) over time, rising from about 13 percent of GDP in 2000 to 18 percent in 2024. Medicare spending grew more rapidly than national health care spending in 2023 and 2024 (by 9 percent and 8 percent, respectively), in part due to changes in Part D financing that shifted more of the cost of prescription drug coverage from beneficiaries to the federal government. By 2024, Medicare spending totaled $1.1 trillion—equivalent to 21 percent of national health care spending and 3.8 percent of GDP. (Please see the full report here for additional detail.)

Hospice News 50: Hospice News Provider Rankings and Annual Trends Report Hospice News; 3/10/26 Second Annual Hospice News Provider Rankings and Trends ReportThe hospice sector continues to evolve rapidly, driven by shifting ownership structures, demographic demand and new approaches to caring for seriously ill populations. For the second annual Hospice News 50 report, we partnered with Hospice Analytics to rank the largest hospice chains by 2024 Medicare claims. Drawing on proprietary data — including Medicare payments, corporate disclosures, acquisition activity and SEC filings — the report provides a detailed view of how consolidation, investment patterns and emerging players are reshaping the industry. Explore the latest data and analysis to understand the market forces driving hospice transformation — and what they mean for providers in 2026 and beyond.

Residential Home Health and Hospice acquires Covenant [Home Health in Pennsylvania] Hospice News; by Jim Parker; 3/10/26 Residential Home Health and Hospice has acquired Covenant Home Health in Pennsylvania for a confidential amount. Covenant provides home health, private duty and supportive services throughout nine counties in its home state. The transaction will bring Residential’s footprint to two new counties and add density in seven others. ... Residential provides skilled home health, palliative and hospice care in communities across Florida, Illinois, Kansas, Michigan, Missouri, Ohio and Pennsylvania.

Deprescribing at the End of Life: Jennifer Tjia, Jon Furuno, Simon MooijaartGeriPal podcast; by Eric Widera, Alex Smith, Jennifer Tjia, Jon Furuno, Simon Mooijaart; 2/26/26In this episode of the GeriPal Podcast, we tackle the pressing topic of deprescribing at the end of life with expert guests Jennifer Tjia, Jon Furuno, and Simon Mooijaart. The conversation focuses on identifying medications that should almost always be discontinued—such as statins, osteoporosis meds, finasteride, and vitamins, which offer minimal benefit for patients with limited life expectancy. We also delve into more nuanced cases, such as antithrombotics, which present complex decisions that challenge clinicians, particularly when prognosis spans the many weeks to months range. Finally, we explore practical strategies for engaging patients and families in deprescribing conversations.

Granite VNA names James Culhane President and CEO Granite VNA, Concord, NH; Press Release; 3/5/26 After a rigorous and comprehensive executive search, Granite VNA, New Hampshire’s largest not-for-profit home health and hospice agency, has named James Culhane as its next President and CEO. He will succeed Beth Slepian, who has served in that role since 2015, upon her retirement in June 2026. Culhane has served as President and CEO of Lake Sunapee Region VNA & Hospice in New London, New Hampshire, since 2015. 

Demystifying the end: Hospice care impact on the Black community Word In Black | Houston Defender; by Laura Onyeneho; 3/2/26 ... For African American, Afro-Caribbean and African immigrant families, generational trauma and a lack of trust in the healthcare system often lead to delayed decisions about hospice care. “There’s been a historical gap in access and trust,” said [Monica James, Community Engagement Coordinator for Houston Hospice]. “Our goal is to show up consistently, to listen and to let these communities know they have options and that they’re not alone.” ... “For communities of color, we have to meet people where they are. That means understanding family dynamics, faith and what dignity means to different people,” she said. 

C-TAC report: From metrics to momentum - accelerating the spread of community-based palliative care The John A. Hartford Foundation, Washginton, DC; 3/4/26 The Coalition to Transform Advanced Care (C-TAC) and and The John A. Hartford Foundation (JAHF) have released a report, "From Metrics to Momentum: Accelerating the Spread of Community-Based Palliative Care." The report summarizes discussion from a September 2025 C-TAC national convening of clinical, policy, payer, and delivery system leaders that was focused on accelerating the spread of community-based palliative care and identifying meaningful approaches to measuring access. 

Hospice News 50: Hospice News Provider Rankings and Annual Trends Report Hospice News; 3/10/26 Second Annual Hospice News Provider Rankings and Trends Report The hospice sector continues to evolve rapidly, driven by shifting ownership structures, demographic demand and new approaches to caring for seriously ill populations. For the second annual Hospice News 50 report, we partnered with Hospice Analytics to rank the largest hospice chains by 2024 Medicare claims. Drawing on proprietary data — including Medicare payments, corporate disclosures, acquisition activity and SEC filings — the report provides a detailed view of how consolidation, investment patterns and emerging players are reshaping the industry. Explore the latest data and analysis to understand the market forces driving hospice transformation — and what they mean for providers in 2026 and beyond.

BMI at diagnosis and pre-diagnosis weight loss as predictors of stage and survival in hepatocellular carcinomaJournal of Clinical Oncology; by Tatiana Ermi, Daniel Kiser, Gai Elhanan, Harry Menon, Joseph Grzymski, Katharine Thomas; 1/26Body mass index (BMI) is a recognized risk factor for hepatocellular carcinoma (HCC), but its relationship to stage at diagnosis, survival, and the “obesity paradox” remains uncertain. Obesity at the time of HCC diagnosis, but not years earlier, was associated with earlier stage and improved survival, while pre-diagnosis weight loss predicted worse outcomes, particularly within the first months after diagnosis. These findings may contribute to the “obesity paradox” discussion in cancer outcomes, in which obesity appears to increase cancer risk overall but paradoxically appears to offer survival protection after diagnosis. Additionally, further studies are needed to investigate this relationship. If validated, consideration should be made as to whether BMI at diagnosis could play a role in both prognostic discussions and risk stratification in HCC.

Palliative care physician explains living and dying with ALS Forbes; by Adaira Landry, MD, MEd; 2/26/26 Actor Eric Dane’s recent death from amyotrophic lateral sclerosis (ALS) has drawn national attention. ... Beyond the headlines lies a deeper and more urgent discussion: what life—and death—look like for patients living with ALS. To better understand both the clinical and scientific landscape, I spoke with Dr. Maria “Marissa” Mapa, an internal medicine and palliative care physician who treats patients with ALS, and Dr. Melanie Leitner, chief scientific officer of the ALS Investment Fund, about current and future research directions.