Literature Review

U.S. House Committee on Ways & Means - Full committee hearing on protecting patients and taxpayers: cracking down on Medicare fraud United State House Committee on Ways & Means, Chairman Jason Smith; content below is from the US House Committee Ways & Means website, with descriptions (below) by Judi Lund Person; 4/21/26 The House Committee on Ways and Means, chaired by Jason Smith (MO-08), held a hearing today [4/21] examining the prevalence of fraud, waste, and abuse in Medicare and efforts to combat fraud to protect patients and taxpayers. Readers have the opportunity to watch the full committee hearing on YouTube. Links are provided below.

National Alliance for Care at Home | Strategic Plan (2026-2029)National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release / email; 4/20/26 The National Alliance for Care at Home has finalized its Strategic Plan for 2026–2029. This plan is the result of deep reflection on the challenges facing care at home providers today, the opportunities we believe are ahead, and the role the Alliance must play to help you navigate both. It is organized around four commitments:

CMS issues guidance to implement new limits on federal Medicaid and CHIP funding for certain noncitizens CMS Newsroom; Press Release; 4/8/26 CMS is preparing states for an upcoming change that will limit the ability to claim federal matching funds for Medicaid and the Children’s Health Insurance Program (CHIP) for individuals who are not U.S. citizens or U.S. nationals, or who fall into specific noncitizen categories identified in statute. New guidance issued today will ensure states understand their responsibility in implementing this statutory change beginning October 1, 2026. ... To view the State Health Official (SHO) letter, visit: https://www.medicaid.gov/federal-policy-guidance/downloads/sho26001.pdf.

Stakeholders fear ‘chilling effect’ of heightened hospice scrutiny McKnights Home Care; by Liza Berger; 4/9/26 Advocates and experts, by and large, are supportive of the federal government’s intense efforts to root out fraudulent hospice providers. But they are also concerned that the laserlike focus on fraud could have unintended consequences for high-quality providers. “We’re certainly hearing from members that they want to know whether policymakers and lawmakers truly see the value of hospice and that, yes, there are bad things going on in California and it’s getting a lot of publicity, but people are concerned that this could have a chilling effect,” Scott Levy, chief government affairs officer for the National Alliance for Care at Home, told McKnight’s Home Care Daily Pulse. “Hospices around the country at large are good people doing incredible work for meaningful periods of time for meaningful periods in their beneficiaries’ lives. And we want to make sure that that doesn’t go backwards.”

Reminder: National Healthcare Decisions Day, April 16, 2026 Compilation by Hospice & Palliative Care Today; 4/10/26 National Healthcare Decisions Day (April 16, 2026) is a nationwide initiative that encourages individuals to reflect on and communicate their healthcare preferences—especially for times when they may not be able to speak for themselves. It promotes meaningful conversations, advance care planning, and the completion of documents like advance directives to ensure care aligns with what matters most. Multiple resources are below:

Avow expands hospice services into Glades, Hendry and Lee countiesLake Okeechobee News, Naples, FL; 4/13/26On Monday, April 13 , Avow, a leading nonprofit health care provider based in Southwest Florida, announced its expansion into Glades, Hendry and Lee counties. This expansion extends Avow’s high-quality hospice and comprehensive bereavement support, increasing access and impact for families across the region. ... Over the past year, Avow has expanded its reach and deepened its impact, caring for more than 2,900 hospice patients annually and providing more than 4,000 palliative care visits through its Naples clinic and satellite locations. 

New measure likely to relax antipsychotic prescribing for certain hospice patients McKnights Home Care; by John Roszkowski; 4/8/26 Appropriate prescribing of antipsychotic medications to hospice patients no longer will negatively affect skilled nursing facilities’ quality ratings under a new federal rule change, potentially opening the door for SNFs to accept more hospice patients. The Centers for Medicare and Medicaid Services recently revised its Long-Stay Antipsychotic Quality measure to exclude residents receiving hospice services from the measure denominator for quality reporting. As a result, antipsychotic use for hospice residents will not influence a SNF’s Five-Star Quality Measure score.

Oregon governor signs Ryan’s Law, requiring care facilities to allow medical marijuana The Marijuana Herald; by Anthony Martinelli; 4/10/26 Oregon’s governor has signed House Bill 4142, known as Ryan’s Law, establishing new requirements for certain care facilities to allow qualified patients to use medical marijuana while also setting statewide standards for safety, storage and staff training. The measure was approved by the House in a 39 to 3 vote and by the Senate 20 to 8 before being sent to the governor. With the governor’s signature, the legislation now moves toward implementation, with most provisions taking effect in 2027. 

Reminder: National Healthcare Decisions Day, April 16, 2026 Compilation by Hospice & Palliative Care Today; 4/10/26 National Healthcare Decisions Day (April 16, 2026) is a nationwide initiative that encourages individuals to reflect on and communicate their healthcare preferences—especially for times when they may not be able to speak for themselves. It promotes meaningful conversations, advance care planning, and the completion of documents like advance directives to ensure care aligns with what matters most. Multiple resources are below:

The human thread: Weaving human-centered leadership in health care into culture transformationNurse Leader; by Stephanie Lonzo, Lindsey Colangelo, Kay Kennedy, Lucy Lecler, Susan Campis; 3/26A large community hospital embraced implementation of Human-Centered Leadership in Health Care by including leaders from every discipline in a hybrid-style leadership development program. After completing the program, the leaders participated in the development of a hospital-wide brand statement which served as a collective WHY for the organization. This statement, which included human-centered principles, provided alignment, connection, and accountability across the organization. Leaders led differently, prioritizing care for self, and leading others in a relational approach. The culture transformation resulted in improved staff engagement, retention, patient experience, and quality outcomes. The senior nurse leaders share their culture transformation experience.

Empath Health completes Trustbridge integration, creating Florida's largest non-profit hospice network and expanding home-based care vision Empath Health, Lakewood Ranch, FL; Press Release; 4/6/26 Empath Health today announced the completion of Trustbridge's integration into its statewide network, finalizing a two-year affiliation that makes Empath Florida's largest non-profit hospice network and positions the organization to serve one in five hospice patients in Florida. ... Both will carry forward under the name Empath Trustbridge Hospice. ... Empath Trustbridge Hospice joins Empath Health's One Hospice Model alongside Empath Suncoast Hospice in the Tampa Bay region, Empath Tidewell Hospice on the Southwest Florida coast, and Empath Hospice of Marion County in Ocala, four legacy non-profit organizations with 40 to 50 years of community roots ...

Hospice where staggering 97% of terminal patients survive is accused of defrauding Medicare for $7.45 million CBS News Bay Area; by Adam Yamaguchi, Laura Geller, Rachel Gold; 4/2/26 The FBI arrested a married couple Thursday accused of fraudulently billing Medicare for $7.45 million while running a hospice with a survival rate reported to be more than 97% after five years. They were the first in a series of arrests planned Thursday, federal officials told CBS News. A high survival rate at a hospice provider is one of a series of red flags identified by state auditors for fraud because most people enter hospice care in the final stages of a terminal illness. In past cases of fraud, operators were found to be using false or stolen identities to collect federal reimbursements for palliative care. The targets of the early-morning operation were Gladwin and Amelou Gill, a doctor and psychologist who co-own 626 Hospice, which does business as St. Francis Palliative Care, according to the FBI. Editor's Note: For more arrests that occurred later on 4/2, read our post "Feds charge 15 in SoCal hospice fraud crackdown."