Literature Review

NPHI urges CMS and state Medicaid agencies to exempt hospice and palliative care patients from Medicaid community engagement requirements National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 7/23/26 The National Partnership for Healthcare and Hospice Innovation (NPHI) has submitted to the Centers for Medicare & Medicaid Services (CMS) and shared with state Medicaid directors a comment letter urging policymakers and regulators to ensure that individuals receiving hospice and palliative care services are explicitly exempt from Medicaid community engagement requirements during implementation of CMS’s Interim Final Rule (CMS-2454-IFC). The Interim Final Rule (CMS-2454-IFC), issued by CMS on June 1, would implement the statutory Medicaid community engagement requirements established by Congress for certain Medicaid expansion beneficiaries while supporting CMS’s objective of ensuring individuals who are medically unable to meet those requirements retain access to health coverage.

Savings in Medicare hospice payments for care provided in nursing homes U.S. HHS-OIG; Project Number OEI-02-26-00180; 7/15/26 The HHS OIG today announced an addition to the OIG Workplan to review the routine home care payments paid for patients in nursing homes. The fixed daily rates that Medicare pays hospices for routine home care provided in a nursing home include personal care services.  However, nursing homes are already required to provide personal care services to their residents.  Paying the hospice the full routine home care rate that covers personal care services when these services are already required from the nursing home can undermine the efficiency of Medicare payments and add to the incentives that bad actors have to exploit the program.  This review will determine Medicare payments for routine home care provided to hospice beneficiaries in nursing homes, estimate potential cost savings from reducing the payment to address the inefficiency in the payment structure, and examine practices of hospices with a high percentage of their beneficiaries in nursing homes. The date for the release of the report has not been announced.

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule CMS Newsroom; Fact Sheet; 7/14/26 paired with U.S. Department of Health and Human Services, CMS CY 2027 Payment Policies under the Physician Fee Schedule, 7/16/26; summary by guest editor Judi Lund Person On July 14, 2026, the Federal Register posted the CY 2027 Medicare Physician Fee Schedule proposed rule – CMS-1848-P. The CMS Fact Sheet on the proposed rule can be found here. While the proposed rule is 1,592 pages, there are two items of note to hospice and palliative care readers: 1) Supporting Beneficiaries Planning for Future Medical Decisions.CMS is proposing to create two new HCPCS codes to describe advance care planning (ACP) services furnished by clinical staff under the direct supervision of the billing physician or other practitioner. These new codes will more accurately distinguish and value the work done by billing practitioners from time spent by their clinical staff providing ACP services. We are further proposing that the existing ACP CPT codes 99497 and 99498 would only be used to report time personally spent by the billing practitioner. 2) RFI on Community-based Palliative Care, asking questions on eligibility for serious illness care and palliative care, the future of care management services and advanced primary care management.   

Hospice of Westchester receives donation from NYS Tribute Foundation Yonkers Times, White Plains, NY; by Dan Murphy; 7/12/26 Hospice of Westchester (HOW) recently received a $10,000 donation from NYS Tribute Foundation. The funds will support HOW’s Anna & Louis H. Shereff Bereavement Program, which provides bereavement care to patients’ families for 13 months following the loss of a loved one, as well as to all members of the community. “We are grateful to the NYS Tribute Foundation for their incredible generosity and ongoing support of our mission,” said Mary K. Spengler, RN, MS, LNHA, CEO of Hospice of Westchester. ... The NYS Tribute Foundation, which unites funeral service professionals throughout New York State, is a non-profit organization dedicated to supporting education, outreach and research programs that advance the public’s understanding of end-of-life issues.

The Joint Commission Home Health Accreditation U.S. Department of Health and Human Services | FederalRegister.gov; Announcemen; scheduled to be published on 7/10/26  The Federal Register announced on July 9, 2026 that the application from The Joint Commission for continued CMS approval of its Home Health Agency (HHA) accreditation program has been approved by CMS. The approval is applicable from March 31, 2026 through March 31, 2032. 

National Alliance for Care at Home hosts 2026 Finance and Technology Summit National Alliance for Care at Home, Alexandria, VA; Press Release; 7/14/26 On July 12-14, the National Alliance for Care at Home (the Alliance) successfully hosted the 2026 Alliance Finance and Technology Summit in Boston, MA. The Summit brought together leaders from across the care at home continuum, with expert-led sessions, peer collaboration, and insights into digital transformation, data strategy, and tech-enabled care delivery. More than 600 attendees and exhibitors participated in the comprehensive program, which featured keynote presentations, concurrent educational sessions, networking opportunities, award presentations, and a fundraiser at Fenway Park for the Research Institute for Home Care.

French MPs approve assisted dying law with strict rules after years of argument BBC; by Paul Kirby; 7/15/26 France's National Assembly has voted to create a right to assisted dying under strict conditions, after years of debate and changes to the proposals. MPs voted by 291 to 241 to back the bill, which had been rejected three times by the upper house of parliament, the Senate. Prime Minister Sébastien Lecornu is set to refer parts of the bill to France's Constitutional Council for examination before it can become law. It would allow assisted dying for French adults with a "serious and incurable" life-threatening illness "in an advanced or terminal stage". The illness would need to leave them in constant physical or psychological suffering that is unbearable or resistant to treatment. [Read more terms] ... Wednesday's vote means France could join several other European countries that have decriminalised assisted dying in some form. A similarly lengthy debate has been taking place in the UK. A bill to legalise assisted dying in England and Wales stalled earlier this year and is set to return to Parliament in September.

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule CMS Newsroom; Fact Sheet; 7/14/26 paired with U.S. Department of Health and Human Services, CMS CY 2027 Payment Policies under the Physician Fee Schedule, 7/16/26; summary by guest editor Judi Lund Person On July 14, 2026, the Federal Register posted the CY 2027 Medicare Physician Fee Schedule proposed rule – CMS-1848-P. The CMS Fact Sheet on the proposed rule can be found here. While the proposed rule is 1,592 pages, there are two items of note to hospice and palliative care readers: 1) Supporting Beneficiaries Planning for Future Medical Decisions.CMS is proposing to create two new HCPCS codes to describe advance care planning (ACP) services furnished by clinical staff under the direct supervision of the billing physician or other practitioner. These new codes will more accurately distinguish and value the work done by billing practitioners from time spent by their clinical staff providing ACP services. We are further proposing that the existing ACP CPT codes 99497 and 99498 would only be used to report time personally spent by the billing practitioner. 2) RFI on Community-based Palliative Care, asking questions on eligibility for serious illness care and palliative care, the future of care management services and advanced primary care management.   

CMS proposes expanded authority to revoke Medicare privileges TechTarget; by Jacqueline LaPointe; 7/6/26 CMS proposes expanding its authority to revoke Medicare providers in fraud crackdown, while updating home health payments with a 2.4% increase and continued PDGM adjustments. The Trump administration wants to double down on its healthcare fraud, waste and abuse crackdown. This time, policymakers are seeking to expand CMS' powers to remove providers from Medicare -- a move that the agency says will save taxpayers about $82 million a year. The added capabilities are part of the Calendar Year 2027 Home Health Prospective Payment System Proposed Rule (CMS-1844-P), which CMS released ahead of the July 4th weekend.

The hidden healthcare workforce: why family caregivers are essential to the future of care Healthcare Business Today; by Lance A. Slatton; 7/7/26 Healthcare leaders across the United States are confronting a convergence of challenges unlike any in recent memory. Workforce shortages, rising healthcare costs, increasing patient complexity, chronic disease management, and a rapidly aging population are placing unprecedented demands on healthcare systems. As organizations search for solutions to improve outcomes, reduce costs, and maintain quality of care, one of the most important components of the healthcare ecosystem continues to be overlooked. Family caregivers. ... In many cases, they serve as the connective tissue holding an entire care plan together.

Hospice & Palliative Care of the Piedmont announces Dr. Nancy Hart Wicker as chief executive officer and chief medical officer Index Journal; by Staff Writer; 7/2/26Hospice & Palliative Care of the Piedmont [Charlottesville, VA] has appointed Nancy Hart Wicker, MD, FAAHPM, as chief executive officer and chief medical officer, effective immediately. Hospice & Palliative Care of the Piedmont is the only locally governed, nonprofit hospice in the region with a CMS five-star rating, indicating the highest quality of care. The organization brings 45 years of service, clinical expertise, and community-based decision-making from its clinical staff, leadership, and volunteer board of directors.

Medicare Advantage insurers deny prior authorization requests for post acute care at substantially higher rates than the overall denial rate KFF; by Jeannie Fuglesten Biniek, Meredith Freed, and Juliette Cubanski; 7/6/26 The OIG recently published two reports finding that Medicare Advantage insurers deny more than half of all prior authorization requests for the most expensive types of post-acute care, including 65% of requests for stays in long-term care hospitals (LTCHs) and 54% of requests for stays in inpatient rehabilitation facilities (IRFs), as well as 12% of requests for stays in skilled nursing facilities (SNFs).