Literature Review

National Alliance for Care at Home responds to FY 2027 Hospice Final RuleNational Alliance for Care at Home, Alexandria, VA; Press Release; 7/30/26The National Alliance for Care at Home (the Alliance) today responded to the Centers for Medicare & Medicaid Services (CMS) fiscal year (FY) 2027 Hospice Wage Index and Payment Rate Update final rule, which finalizes payment and regulatory changes under the Medicare hospice benefit.CMS finalized a 2.3% payment update to the Medicare hospice benefit, which continues to fall short of the rising labor and supply costs required to deliver high-quality hospice care. As demand for hospice services continues to grow, payment updates must more accurately reflect providers’ costs so that access to these essential services does not decline. “CMS’s 2.3% payment update does not reflect the true cost of delivering hospice care and adds further strain to providers who are already stretched thin,” said Jennifer Sheets, CEO of the Alliance. “Compounding that pressure is a Service and Spending Variation Index built on a fundamentally flawed methodology that penalizes legitimate providers for non-hospice claims they have no visibility into nor control over, with no process to review or correct the data before it is made public. This is not a sound approach to program integrity. An inadequate payment update combined with an unreliable oversight tool creates a serious and growing burden for legitimate providers working to serve their communities.”

NY’s MAiD law: updates that medical providers and facilities should know JD Supra; by Rivkin Radler, LLD - Attorneys at Law; 7/31/26As discussed in our prior publication, Medical Aid in Dying Is Now Legal in NY, Gov. Kathy Hochul signed New York’s Medical Aid in Dying Act (MAID) on February 6, 2026. Since then, the New York State Department of Health (DOH) has issued a form (DOH-5847) for patients to request MAID, frequently asked questions (FAQs), educational materials, guidance, and proposed reporting regulations. Together, these materials provide important directions for providers and facilities as they prepare for the law’s August 5, 2026, effective date.

One clinician, every conversation: Palliative care delivery by solo APRN hospitalists in Critical Access HospitalsJournal of Hospice & Palliative Nursing; by Melissa Skoff; 7/26Advanced practice registered nurses (APRN) who practice as solo hospitalists in critical access hospitals are often underrecognized in their role in providing palliative and end-of-life care. This article describes the full scope of the solo APRN hospitalist in a critical access hospital setting with close attention to how complex patient demands contribute to the challenges in providing high-quality end-of-life communications. This article examines clinical, educational, and ethical dimensions of this work, and presents a case example that illustrates how these pressures present during a shift. Strategies to strengthen rural palliative care capacity are discussed, including tele-palliative care, remote ethics support, and APRN-centered education. As rural workforce shortages persist and continue to rise, alongside rising patient acuity, naming and addressing these structural gaps is essential in improving quality of care and protecting the well-being of a solo APRN hospitalist.

CMS Website: SSVI Index; FY 2027 Final SSVI Overview; FY 2027 Final Hospice Wage IndexCMS website; compiled by Judi Lund Person; retrieved from the Internet 8/3/26 Downloads on CMS website that provide additional information for the final rule; zip files [standard delivery format]

CMS Website: SSVI Index; FY 2027 Final SSVI Overview; FY 2027 Final Hospice Wage IndexCMS website; compiled by Judi Lund Person; retrieved from the Internet 8/3/26 Downloads on CMS website that provide additional information for the final rule; zip files [standard delivery format]

CMS Fact Sheet: Fiscal Year 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements Final Rule (CMS-1851-F) CMS Newsroom; Press Release; 7/30/26 On July 30, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1851-F) that would update Medicare hospice payments and the aggregate cap amount for fiscal year (FY) 2027 under existing statutory and regulatory requirements. This final rule also highlights Medicare non-hospice spending under a hospice election, using data from the hospice service and spending variation index (SSVI).

Opened floodgates: Why current M&A pressures favor home-based care consolidators Home Health Care News; by Morgan Gonzales; 7/28/26 High interest rates have slowed and complicated home-based care M&A, but they may also be creating a favorable buying opportunity for investors willing to enter the market now.  Buyers able to absorb higher borrowing costs may find a slower and more complex dealmaking landscape — one where compliance has become a critical screening tool, particularly in Medicaid-funded care, according to experts speaking at Home Health Care News’ Capital+Strategy conference in March. At the same time, speakers pointed to opportunities to build regional platforms through smaller acquisitions and to capitalize on potential long-term upside in skilled home health. ... While eyeing an attractive future for home-based care investment, buyers have to keep the heightened focus on fraud, waste and abuse in mind when shopping for a potential home-based care provider.

There are moments that remind you just how powerful music can be. YouTube; by Navacare; 6/27/26There are moments that remind you just how powerful music can be. Recently, I had the privilege of attending a ceremony honoring a veteran for his service to our country. During the ceremony, Grace from AccentCare Hospice sang "I Will Always Love You." It was beautiful. It was moving. And if I'm being honest, it brought a few tears to my eyes. Not only because we were honoring someone who had given so much, but because it was also my dad's favorite song. Music has a remarkable way of connecting us to people, memories, and emotions that words alone often can't reach. For many older adults, especially those living with dementia or memory loss, music can spark recognition, comfort, and moments of connection that feel truly extraordinary. [Watch the video to the end, to hear the dad's response.]

Local nurse goes to Washington DC to meet with elected officials about hospice fraud YubaNet.com, Grass Valley, CA; by Foothills Compassionate Care; 7/22/26 Last month, at end of June, Registered Nurse, Kellie Bolle of Foothills Compassionate Care, traveled to Washington DC to meet with elected officials on the issue of fraud, waste and abuse in hospice care. ... With a rapidly escalating fraud crisis in hospice care, reputable, mission-focused organizations and providers are having to answer for a growing number of bad actors. Foothills Compassionate Care invites the public to an interactive town hall that will include: An update on national efforts to combat hospice fraud, insights from Clinical Care Manager Kellie Bolle, MSN, RN, CHPN, following her advocacy meetings in Washington, D.C., information about how to identify a reputable hospice provider, a discussion of hospice, palliative care, and the Medicare hospice benefit, and an open question-and-answer session with hospice professionals. Free and open to the public. [On Wednesday, July 29, 2026. Go to this article for their RSVP to the public.]

Life’s Treasures Thrift Store plans Dade City locationThe Laker Lutz News, Dade City, FL; Press Release; 7/26/26Chapters Health System, a nonprofit hospice organization, has leased a 10,000-square-foot retail space at 12709 U.S. 301 in Dade City to serve as a new Life’s Treasures Thrift Store location. The thrift store is moving from Zephyrhills to provide a more modernized shopping experience. The relocation is part of a strategic update of the health system’s thrift stores that benefit the charity grief and hospice services of HPH Hospice and LifePath Hospice, affiliates of Chapters Health System. The organization also recently leased a 10,000-square-foot thrift store location planned for The Villages.

National Alliance for Care at Home welcomes Denis Fleming Jr. as Chief Government Affairs OfficerNational Alliance for Care at Home, Alexandria, VA; Press Release; 7/23/26 The National Alliance for Care at Home (the Alliance) today announced longtime industry leader Denis Fleming Jr. will serve as Chief Government Affairs Officer effective August 10. Fleming is a distinguished government affairs leader bringing over two decades of experience spanning key leadership roles in Congress, with state executive bodies, and major home health and hospice companies. Most recently, Fleming served as Vice President of Federal Government Affairs with United Health Group after serving 8 years as Senior Vice President & Legislative Counsel, State and Federal Affairs at LHC Group, where he led federal and state advocacy for this national home health and hospice provider.