Literature Review

AMA ‘disappointed’ in MedPAC for backing off deeper Medicare pay reform Becker's Hospital Review; by Alan Condon; 1/15/26 The American Medical Association expressed disappointment after the Medicare Payment Advisory Commission voted Jan. 15 to recommend only a modest update to Medicare physician payments for 2027, backing away from more robust reforms it had previously supported. ... “The AMA appreciates that last year’s reconciliation bill provided a temporary 2.5 percent update for 2026; however, that increase expires in 2027,” David Aizuss, MD, chair of the AMA Board of Trustees,” said in a news release shared with Becker’s. Editor's Note: Pair this with another post in today's newsletter, Alliance responds to MedPAC vote on home health and hospice payment recommendations.

[Spain] Why primary care is central to better end-of-life care Medscape; by Eva Farina; 1/9/26 Primary care professionals should play a proactive role in caring for patients at the end of life, according to family medicine specialists at the National Congress of the Spanish Society of Family and Community Medicine (semFYC) held in Madrid, Spain. ... According to the SUPPORT study, dying in a hospital is often associated with avoidable suffering, excessive use of technology, limited communication, and insufficient care planning. 

Finding solutions: Augusta nurse opens new end-of-life care facility WRDW/WAGT News Stations, Augusta, GA; by Zayna Haliburton; 1/12/26 A hospice nurse is opening Augusta’s first inpatient hospice home, giving families a new option for end-of-life care. Stacia Sirull, a hospice nurse, is opening the Augusta Inpatient Hospice Home. The facility will feature hummingbird decorations throughout. “My sister passed away a couple of years ago. She died in a hospice house in Kentucky and loved humming birds. When I decided to do this I was like we are just going to put humming birds everywhere,” Sirull said. ... The Augusta Inpatient Hospice Home will have six rooms added to the existing building. Sirull said there will always be one bed available for someone who doesn’t have the finances or insurance to cover the stay.

Updated Information Gathering Report for Hospice Quality Reporting Program Centers for Medicare & Medicaid Services; by Abt Global; 1/9/26 CMS has released the Hospice Quality Reporting Program 2025 Information Gathering Report.  This report provides information from literature reviews and supports an understanding of current trends in hospice care. It includes findings related to hospice use, hospice care delivery, and caregiver support. 

How to build an AI-augmented workforce: The CIO's guide TechTarget; by Kinza Yasar; 1/5/26 As artificial intelligence (AI) reshapes industries, forward-thinking CIOs are shifting their strategies from automation-first to augmentation-first. Their goal is to equip employees with AI tools that strengthen their judgment, spark creativity and boost productivity. In an AI-augmented workforce, humans and AI systems work collaboratively, not competitively. Rather than replacing employees, AI is used to enhance human capabilities, automate routine tasks and provide insights that help people make more informed decisions and focus on higher-value work. 

Alliance joins Dr. Oz, CMS leadership, to strengthen program integrity in home health and hospice National Alliance for Care at Home; Press Release; 1/9/26 On January 9, the National Alliance for Care at Home (the Alliance) continued its collaboration with CMS by attending a listening session in Los Angeles, CA, with Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (CMS), Kim Brandt, Deputy Administrator Chief Operating Officer, and Director of the Center for Program Integrity for CMS, and Chris Klomp, Deputy Administrator for CMS and Director of the Center for Medicare, to discuss fraud, waste, and abuse in home health and hospice. ... View the full letter for a detailed list of recommendations. 

Baptist Health and Hosparus Health expand hospice and palliative care partnership to Southern Indiana Hosparus Health, Louisville, KY; Press Release; 1/14/26 Hosparus Health and its palliative care affiliate, Pallitus Health Partners, in collaboration with Baptist Health, announce the expansion of their innovative partnership to Southern Indiana. As of January 2, 2026, Pallitus Health Partners is offering palliative care consultations for patients at Baptist Health Floyd in New Albany. The program focuses on supporting patients and families facing serious illness by providing expert symptom management, helping them plan for the future, and connecting them with broader care options, including hospice when appropriate. 

CMS expands PPEO and EPR to Georgia and Ohio JD Supra; by Bryan Nowicki; 1/8/2026 CMS has extended its Provisional Period of Enhanced Oversight (PPEO) and its Expanded Prepayment Review (EPR) enforcement efforts to Georgia and Ohio. The enhanced enforcement efforts can lead to the revocation of a hospice’s Medicare billing privileges, termination of Medicare/Medicaid enrollment, and/or the prepayment review of 100% of a hospice’s claims. VERY Brief PPEO/EPR Overview: CMS’s process relating to these efforts is quite inconsistent, but generally . . .

NPHI welcomes CMS leaders Dr. Mehmet Oz, Kimberly Brandt, and Chris Klomp for on-the-ground listening tour at Nathan Adelson HospiceNational Partnership for Healthcare and Hospice Innnovation (NPHI), Washington, DC; Press Release; 1/9/26 The National Partnership for Healthcare and Hospice Innovation (NPHI) welcomed leadership from the Centers for Medicare & Medicaid Services (CMS) on Thursday to Nathan Adelson Hospice, Las Vegas, as part of an on-the-ground listening tour focused on hospice program integrity and the real-world challenges facing patients, families, and nonprofit providers. As part of the visit, Dr. Mehmet Oz, Administrator of CMS, Kimberly Brandt, CMS Chief Operating Officer, and Chris Klomp, Director of the Center for Medicare met with hospice clinicians, staff, community stakeholders, and NPHI leadership to hear local patient and provider stories that illustrate broader national concerns related to fraud, waste, and abuse in hospice care.

'I want to carry on mum's legacy after her death' BBC News; by Lynette Horsburgh; 1/3/26 A man whose mother spent her final days in a hospice has described how it has inspired a decade of fundraising challenges with the latest his "toughest yet" - to climb Mount Kilimanjaro. David Clarke's mother, Margaret, of Blackburn, died aged 69 in East Lancashire Hospice in 2014. The next year he started challenges to raise funds for the hospice which provided "incredible" care to his mother who was known for her charity work and "carry on her legacy". ... "It costs £10,000 a day to run the hospice and that was my original target. "But my mum spent three days there so now I really want to raise £30,000."

Creating and sustaining a culture of excellence American Nurse; by Aileen Cassada, DNP, RN, NEA-BC, NRP, and Holly Puckett, DNP, RN, CNE, CMSRN; 1/5/26 Takeaways:

Community-dwelling older adults with dementia more likely to be bedbound in final year of life McKnights Long-Term Care News; by Foster Stubbs; 1/2/26 Community-dwelling older adults with dementia were nearly five times more likely to be bedbound in the last year of their lives compared with those without dementia, according to a December study published in JAMA Network Open. ... “Our findings reflect the need for in-home support to older adults who are bedbound,” authors said. 

Malnutrition deaths are soaring in the US – especially among seniors Independent; by Brendan Rascius; 1/5/26 Malnutrition deaths are soaring in the United States — particularly among seniors — and the reasons are unclear, according to a new report. In roughly the last 10 years, deaths linked to malnutrition have skyrocketed by a factor of six, making it the fastest-growing killer in the country, The Washington Post reported, citing data from the Centers for Disease Control and Prevention.