Literature Review

Providence, Compassus finalize home health joint venture HomeCare, Renton, WA and Brentwood, TN; 3/5/25Providence, a nonprofit health system serving the Western U.S., and Compassus, a national provider of integrated home-based care services, announced they have finalized the first phase of a joint venture for home health, hospice and community-based palliative care in Alaska, Texas and Washington. The new entity will operate under the name Providence at Home with Compassus. In Lubbock, Texas, the Covenant Health hospice program that is part of the Providence family of organizations will be rebranded as Covenant Health at Home with Compassus. Under the agreement, Compassus will manage operations for the joint venture, which will include six home health locations in Alaska and Washington, and five hospice and palliative care locations in Alaska, Texas and Washington.

Mobile hospital-at-home pilot to deliver care to rural patients Modern Healthcare; by Diane Eastabrook; 2/26/25  Mobile medical units will deliver hospital-at-home care to patients in rural communities as part of a five-year pilot program aimed at expanding healthcare access in underserved areas. The Advanced Research Projects Agency for Health recently awarded an undisclosed amount of funding to Boston’s Mass General Brigham, University of Utah’s Huntsman Cancer Institute and Kentwood, Michigan-based Homeward Health to develop programs that will extend hospital-level care to patients in remote communities using mobile platforms.

Local care specialists launch first-ever ‘memory cafe’ in the Upstate WSPA Greenville, SC; by Simone Jameson; 3/3/25 Some Upstate care providers are bringing a new concept to the region they said will benefit families of adults with dementia. The Blake at Hollingsworth Park Assisted Living and Think Different Dementia are two partners behind a first of its kind ‘memory cafe’ in Greenville. ‘The Upstate Memory Cafe’ provides a community setting where people living with dementia and their caregivers can bond. ... Organizers told 7NEWS the ‘memory cafe’ offers a space where attendees play cards, make flowers and do other activities together. They said ten to twelve home health care and hospice representatives are present for each meeting and educate families on best dementia care practices, while offering them support and respite services.

Bayada Home Health Care introduces first Director of Veterans Affairs HomeCare, Pennsauken Township, NJ; 2/28/25  As part of its ongoing commitment to U.S. veterans and their families, BAYADA announced the appointment of U.S. Army Veteran Ally O’Neal to director of Veterans Affairs, BAYADA Hospice. BAYADA created this new position, with the help of O’Neal, to ensure its hospice services are tailored to meet the unique physical, emotional and psychological needs of veterans and their families. As BAYADA director of Veterans Affairs, O’Neal will work collaboratively with clinicians, clinical educators, service providers, community organizations and veteran service agencies to enhance the quality of care and support provided to veteran patients and their families, something dear to O’Neal's heart. 

Hospitals may buckle under 'tsunami' of patients Modern Healthcare; by Alex Kacik; 2/25/25 Health systems are treating sicker patients, straining already full emergency departments and inpatient units. Many health systems are struggling to keep up with the increasingly complex healthcare needs of an aging population, leading to overcrowded emergency rooms and delays in care. Providers are ramping up strategies to treat patients more efficiently and keep those who aren't as sick out of emergency departments. These strategies are critical as capacity wanes and providers face a potential decline in federal healthcare funding, executives said. Health systems are revamping patient admission and discharge processes; bolstering virtual, home and urgent care offerings; expanding clinician recruitment efforts and adding observation beds. But providers are concerned they won't be able to act quickly enough to meet the growing demand for care.

Home health patients, caregivers lack understanding of palliative care, researchers find McKnights Long-Term Care News; by Adam Healy; 2/25/25 Home healthcare patients, caregivers and clinicians have significant knowledge gaps surrounding palliative care, which are contributing to poorer health outcomes for sick patients, according to a new study published in Home Healthcare Now. ... Healthcare providers, including home care agencies, are partially responsible for this limited public awareness, according to the researchers. The majority of survey participants agreed that it is the responsibility of doctors and nurse practitioners to inform seriously ill patients about palliative care. However, Medicare policy may be at the heart of this issue, Ashley Chastain, the study’s lead author, said.

13 hospitals, health systems cutting jobs Becker's Hospital CFO Report; by Kelly Gooch; updated 2/22/25A number of hospitals and health systems are reducing their workforces or jobs amid financial and operational challenges. [Click on this title's link for] workforce reduction efforts or job eliminations announced in 2025. 

How medtech is meeting the demand for hospital-at-home care Modern Healthcare; by Lauren Dubinsky; 2/13/25 Medtech companies have their eye on the growing hospital-at-home market, which is driven largely by the rising elderly population, the prevalence of chronic diseases and favorable reimbursement policies. There have been hiccups but some of the largest health systems have leaned into providing hospital-level care at home. ... The desire to safely provide care for patients at home is creating a ripe opportunity for companies like Masimo, Cardinal Health, Medline Industries and McKesson, despite some uncertainty. The global home healthcare market was valued at $257 billion in 2023 and is projected to reach nearly $531 billion by 2032, according to a Vantage Market Research report published in September.

432 rural hospitals at risk of closure, breakdown by state Becker's Hospital CFO Report; by Andrew Cass; 2/12/25 There are 432 rural hospitals vulnerable to closure, according to a Feb. 11 report from Chartis, a healthcare advisory services firm. Chartis analyzed 15 vulnerability indicators and found that 10 were statistically significant in predicting hospital closures, including: Medicaid expansion status, average length of stay, occupancy, percentage change in net patient revenue and years of negative operating margin. Of the 48 states with rural hospitals, 38 have at least one at risk of closure, according to the report. The states with the highest number of vulnerable hospitals are: 

UF Health realigns into 3 regions, names new leaders Becker's Hospital CFO Report; by Madeline Ashley; 2/6/25 Gainesville, Fla.-based UF Health has realigned into three geographical areas in Florida and reworked its leadership to help manage patient care programs, services and facility growth. The regions are Northeast Florida, Central Florida and Greater Gainesville, according to a Feb. 6 news release. [Click on the title's link for the following Senior Vice President / Regional President updates:] 

Family caregivers who support older relatives are on the rise due to aging-in-place preferences HousingWire; by Chris Clow; 2/5/25 The number of family caregivers who support older relatives in either home-based or residential care settings increased by 32% between 2011 and 2022 ... Researchers also say this could be partially tied to rising preferences for aging in place. This is according to a joint study from the Johns Hopkins Bloomberg School of Public Health and the University of Michigan’s Institute for Social Research. Additional support came from the National Institute on Aging, a division of the National Institutes of Health (NIH). The raw number increase went from 18.2 million in 2011 to 24.1 million in 2022. The study also found that the number of care hours provided by family and other unpaid caregivers increased by 50% during that time. The average number of weekly hours for such care stood at 21.4 in 2011, but it jumped to 31 in 2022, nine hours short of what is widely considered a full-time weekly work schedule.

Hospital-at-home alternatives score with some providersModern Healthcare; by Diane Eastabrook; 1/28/25Providers are bypassing Medicare requirements to set up scaled-down hospital-at-home programs they say save money by reducing hospitalizations. Ochsner Health, Los Angeles General Medical Center and Tru PACE in Colorado are among those offering home-based hospital programs that are less expensive and quicker to set up than the Acute Hospital Care at Home program, which has an uncertain future. Providers say the programs free up hospital beds for sicker patients and save money by keeping some patients in risk-based care plans out of the hospital. However, most of the in-home hospital programs don’t have the rigorous guardrails mandated in the Medicare waiver program.

Homecare industry facing crisisWFMZ-TV 69 News, Allentown, PA; by Christina Lengyel; 1/28/25 ...  [Providers] across the state are struggling to hire enough staff to cover the needs of the state’s 300,000 homecare recipients. Unable to offer comparable hourly wages, the industry is losing its potential recruiting pool to gig work and jobs in the service industry. “We are in crisis. The crisis isn’t coming. We are not planning for it. It’s actively here,” said Mia Haney, CEO of the Pennsylvania Homecare Association at a meeting of the House Aging and Older Adult Services Committee. The average hourly wage for homecare workers in the state is between $13 and $14, making it hard to compete with other industries. Even within healthcare, counterparts performing the same tasks from within care facilities earn more. Home care advocates say the discrepancy doesn’t add up given the value of homecare.