Literature Review

UConn Health’s palliative care growth continues: Expanding staff and services in both hospital and outpatient settings UConn; by Chris DeFrancesco; 12/1/25 Health’s expanded palliative care services continue to grow, spanning hospital patients to ambulatory patients, with or without cancer. Palliative care referrals in the Carole and Ray Neag Comprehensive Cancer Center are up 31% from last year, and 600% since inception in 2017. Referrals for inpatient palliative care consultations, which started two years ago, are up 35% from last year. A year ago, Dr. Mary Buss and Dr. Germaine Soliman established an outpatient palliative care clinic for patients dealing with conditions other than cancer. Since opening, it has seen more than 130 patients over nearly 450 visits.

'Rehabbed to death’: Bringing more palliative, hospice care to SNFs Hospice News; by Kristin Easterling; 11/26/25 Patients in skilled nursing facilities (SNFs) can become trapped in a “rehabbed to death” cycle that could be prevented with better access to palliative care and hospice. The Patient Driven Payment Model (PDPM) used by SNFs could be harnessed to enable more palliative care and earlier admission to hospice, according to a study published in the Journal of the American Geriatrics Society.Editor's Note: Click below for the study and related articles we've posted.

National Alliance for Care at Home: CMS modifies Final Payment Rule based on stakeholder feedback, but 1.3% cut still undermines access National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 11/28/25 The National Alliance for Care at Home (the Alliance) today acknowledged that the Centers for Medicare & Medicaid Services (CMS) made significant adjustments in the Home Health Perspective Payment System (HH PPS) Final Rule for CY 2026 in response to community concerns regarding patient access and data integrity. However, the Alliance remains concerned that any payment cut for home health providers will continue to compromise access for the millions of Medicare beneficiaries who rely on these services to age and recover from illness or injury safely at home. 

Awards and Recognitions: November 2025

The future of hospice care: Opportunities and challenges Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Ira Byock and Cordt Kassner; 12/3/25 In this meaningful episode of TCNtalks, host Chris Comeaux sits down with Cordt Kassner and renowned Hospice pioneer Dr. Ira Byock to explore why Hospice and Palliative Care matter now more than ever—especially during the holiday season, when reflection and connection take center stage.The conversation traces the evolution of Hospice, highlighting how its mission has expanded beyond end-of-life care to fostering true well-being for patients and families. Dr. Byock challenges long-held assumptions about Hospice, urging a reframing of the narrative to emphasize life completion, compassion, and the profound impact these services have on the broader healthcare landscape.

National Alliance for Care at Home: CMS modifies Final Payment Rule based on stakeholder feedback, but 1.3% cut still undermines access National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 11/28/25 The National Alliance for Care at Home (the Alliance) today acknowledged that the Centers for Medicare & Medicaid Services (CMS) made significant adjustments in the Home Health Perspective Payment System (HH PPS) Final Rule for CY 2026 in response to community concerns regarding patient access and data integrity. However, the Alliance remains concerned that any payment cut for home health providers will continue to compromise access for the millions of Medicare beneficiaries who rely on these services to age and recover from illness or injury safely at home. 

He built a nursing home empire despite state investigations. Now, lawsuits are piling upCalMatters; by Jocelyn Wiener; 11/20/25California nursing homes affiliated with Shlomo Rechnitz are facing lawsuits alleging that patients were raped, ignored and unnecessarily exposed to COVID-19. His companies deny the allegations. In February 2024, a Los Angeles County jury awarded $2.34 million to an 84-year-old nursing home resident named Betsy Jentz, finding that the facility had violated her rights on 132 occasions, at times leading to serious injuries. [Three more equally offensive cases.] All of these facilities have one thing in common: state records list Shlomo Rechnitz as an owner. Court documents show Rechnitz and his companies have denied all allegations in all of the cases.

Agape Care Group acquires Community Hospice of Alabama Hospice News; by Jim Parker; 11/19/25 Agape Care Group Hospice (ACG Hospice) has acquired Community Hospice of Alabama. Financial terms of the transaction are undisclosed. Community Hospice operates three locations in the Foley, Bay Minette and Mobile communities in Alabama. Post-transaction, Agape will now provide services in 41 Alabama counties with a total of 11 locations in the state. 

United States, et al. v. UnitedHealth Group Incorporated, et al.; Response of Plaintiff United States to Public Comments on the Proposed Final Judgment Federal Register, The Daily Journal of the United States Government; A Notice by the Antitrust Division; 11/19/25 Notice is hereby given pursuant to the Antitrust Procedures and Penalties Act, 15 U.S.C. 16(b)-(h), that the Response of Plaintiff United States to Public Comments on the Proposed Final Judgment has been filed with the United States District Court for the District of Maryland in United States of America, et al. v. UnitedHealth Group Incorporated, et al., Civil Action No. 1:24-cv-03267. Copies of the Public Comments and the United States' Response are available for inspection on the Antitrust Division's website at http://www.justice.gov/​atr.

Ophthalmology considerations in end-of-life careCureus; by Mendel Shloush, Akiva Eleff, Eric Eleff; 10/25Ophthalmologic interventions can significantly impact quality of life, even in the context of end-of-life care. This paper explores the ethical and clinical considerations for ophthalmologic treatments in hospice care, with a focus on cataract surgery, age-related macular degeneration (ARMD) therapy, retinal detachment (RD) repair, glaucoma, painful blind eye (PBE) management, benign and surface ocular tumors, and corneal or anterior segment diseases. Ophthalmologic procedures should be considered viable options in end-of-life care when clinically indicated, with careful ethical review. Restoration of vision contributes meaningfully to the quality of life and deserves thoughtful inclusion in care planning.Assistant Editor's note: When a patient is terminally ill on hospice, we focus on the Big-Bad illness-the one likely to cause death. But often patients suffer from other illnesses as well. For example, when my 95-year-old mom was dying from colon cancer and on hospice, she developed a severe corneal abrasion from an inwardly turned eyelid; a comorbid condition that she had endured for many years called entropion. In this case her inwardly turned eyelashes scraped open her cornea. She was in excruciating pain from her eye. Certainly, this condition was unrelated to colon cancer. But her hospice treated her as a whole person, knowing that her eye pain was contributing to her overall suffering. To their credit, the hospice admitted her to their in-patient hospice house for GIP intervention and care. They had to sedate her deeply for several days until the abrasion began to heal. She was then able to go back home and live comfortably until her death from cancer. There is great variability in what hospices consider "related conditions" and what they believe they are responsible for in terms of payment and treatment. In this case, my mom and us family members experienced only gratitude for the holistic and expert hospice care my mom received.

Thanksgiving revisited: 2024 and 2025 I-70 West and Beyond - Travels Through Life; blog by Laurie Sunderland; Thanksgiving 2024 and 2025

Three Palmetto GBA hospice reportsPalmetto press release; 11/21/25