Literature Review

Where UnitedHealthcare, Humana rule the Medicare Advantage market Modern Healthcare; by Tim Broderick; 7/22/25 Medicare Advantage competition was meager in 97% of counties last year, where beneficiaries could choose among just a handful of dominant insurers. The health policy research institution KFF analyzed Centers for Medicare and Medicaid Services data on the plans available across the U.S. and Puerto Rico in 2024. The findings indicate that Medicare enrollees have few options in most areas. Market share was “highly concentrated” in 79% of counties and “very highly concentrated” in another 18%, KFF found, using metrics similar to those the Federal Trade Commission and the Justice Department employ to measure competitiveness. ... Ninety-three percent of Medicare-eligible people lived in “highly concentrated” or “very highly concentrated” counties. ... [Click here and scroll down for the national map with] the level of Medicare Advantage market concentration for each county and the market share for each county's top insurer.

[PACE] New service serving seniors ready to open CBS WKBN 27, Youngstown, OH; by Dave Sess; 7/21/25 ... Buckeye PACE is ready to open its new Mahoning County day center on August 1. There will also be one in Warren. PACE is a program of all-inclusive care for the elderly. People age 55 and over can get wrap-around services to help them stay at home and in their communities. Most of the seniors qualify to live in a skilled nursing facility, but they get support from PACE so they don’t have to. “All of that is wrapped into one service that allows family members then to not have to play the role of constant nurse and social worker and caregiver, and they’re able then to be able to still partake in the community and be out in the community while our seniors are at home,” said Craig Worland, acting CEO for One Senior Care. 

Rural hospitals eye service expansions to weather federal cuts Modern Healthcare; by Alex Kacik; 7/14/25 Rural hospitals are hopeful they can add rather than reduce services to help soften the blow from looming Medicaid and Medicare cuts. ...  If rural providers cannot recruit physicians, lean more heavily on philanthropic donors or find other ways to reduce their reliance on Medicaid and Medicare reimbursement to get ahead of cuts in the law, hospitals will be forced to pare back services or close their doors, industry observers said. ... In response, rural providers have accelerated ongoing operational adjustments, including renegotiating vendor contracts, beefing up their coding and billing processes, freezing new hires and standardizing daily tasks to reduce administrative waste. But those tweaks alone cannot sustain rural hospitals, so some providers are aiming to grow surgeries, infusions and other services to boost their bottom lines, executives said.

How PACE is jockeying for position amid Medicaid cuts Modern Healthcare; by Diane Eastabrook; 7/16/25 A federal-state program aimed at keeping older adults out of nursing homes could come out awinner under the new federal tax law. Nevada was the latest state to approve a Program of All-Inclusive Care for the Elderly last month before President Donald Trump signed the tax law. South Dakota is considering PACE as well. The program can save states money by caring for adults at home, rather than in nursing homes. However, PACE is a relatively small and not widely known initiative, which could make it a low priority for states weighing the best way to spend fewer Medicaid dollars.

The Alliance’s CaringInfo Program launches new “Planning for In-Home Care” section National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 7/16/25 CaringInfo.org, a program of the National Alliance for Care at Home (the Alliance), is expanding its resources with a new website section – “Planning for In-Home Care” – as well as a brand refresh to align with its growing audience. CaringInfo provides free resources to educate and empower patients and caregivers to make informed decisions about home, serious illness, and end-of-life care and services. While CaringInfo began with a focus on serious illness and end-of-life care and support, the program’s content is expanding to provide information and resources on the full spectrum of home-based care services. As a first step in this expansion, CaringInfo has launched “Planning for In-Home Care,” a new section on the website focused on the various types of care available at home.

100 great community hospitals | 2025 Becker's Hospital Review; by Anna Falvey; 7/11/25 Becker’s is pleased to release the 2025 edition of its “Great community hospitals” list. Community hospitals play a vital role in the fabric of the U.S. healthcare system, delivering accessible, affordable care to patients beyond major metropolitan areas. Whether serving rural regions or suburban neighborhoods, these hospitals are essential to keeping communities healthy and connected to quality care. The community hospitals recognized on this list are dedicated to clinical excellence, academic advancement and personalized, whole-person care delivery. Their mission is to elevate health outcomes within the communities they serve. 

Older adults spending excess time in ED, putting hospitals at risk of failing to meet new guideline, analysis finds McKnights Long-Term Care News; by Donna Shryer; 7/1/25 A new national analysis of hospital data shows that older adults in the United States increasingly are spending more time in emergency departments (EDs) than federal guidelines recommend — delays that can be harmful to aging patients. The findings come as hospitals prepare to comply with new Medicare rules aimed at improving emergency care for older adults. ... Among patients who were admitted to the hospital, more than one-third (36%) waited more than three hours after the decision was made to admit them, a delay known as boarding. These benchmarks — eight hours in the ED and three hours to admission — are part of the new Age-Friendly Hospital Measure introduced by the Centers for Medicare & Medicaid Services (CMS). As of January 2025, hospitals are required to confirm they have procedures in place to meet these time goals.

189 hospital and health system CFOs to know | 2025Becker's Hospital Review; by Anna Falvey; 6/30/25 The chief financial officers featured on this list are leading the financial strategy and operations for hospitals and health systems across the nation. These accomplished leaders play a pivotal role in driving strategic planning, overseeing expansions and guiding joint ventures. Tasked with ensuring financial stability and long-term sustainability, these CFOs are essential to the overall success and growth of their organizations. Note: Becker’s Healthcare developed this list based on nominations and editorial research. This list is not exhaustive, nor is it an endorsement of included leaders or associated healthcare providers. Leaders cannot pay for inclusion on this list. Leaders are presented in alphabetical order.

St. Joseph’s Center of Trumbull to permanently close Aug. 9 Westfair Business Journal, Trumbaull, CT; by Gary Larkin; 6/30/25The Town of Trumbull and the state Department of Labor (DOL) have reported they are trying to help the 179 employees laid off by St. Joseph’s Center after its parent company [Genesis Healthcare] announced it was closing the nursing home on Aug. 9. ... St. Joseph’s Center has been serving Trumbull for more than 50 years with an array of services such as: independent living, short-term rehabilitation, long-term care, and hospice services. 

Night staff hailed for quick action when bear breaks into nursing homeMcKnight's Long-Term Care News; by James M. Berklan; 6/9/25While caregivers at St. Andrew’s Village are well-versed in typical protocols for tending to seniors, it’s their quick-thinking response to some alarming adolescent behavior that has earned them the admiration of peers and the outside world. Nurse aides and other staff on the overnight shift deftly blocked access to most patient rooms and helped steer a 118-pound black bear out of their unit late Tuesday night at their life plan community 50 miles east of Pittsburgh.

Nursing home is pressuring my mother-in-law to enter hospiceAging Care - Caregiver Forum - End of Life - Questions; question posed by "concerned8"; 6/12/25 I am her Health Care Surrogate but as they won't declare her incompetent it has not come into effect. I believe the home's intent is to prevent me from making the decision regarding hospice and instead to pressure her to enter it in various ways. ... I am not anti-hospice and expect her to enter it in the near future, but want that to be my decision, not the home's (even if it's portrayed as hers).  ... [An answer from another reader" Our family has only had bad experiences with three different hospice companies. Contrary to what most people believe, many patients are placed on hospice for free equipment and free services. I was told this by more than one hospice worker.Editor's Note: This post raises numerous troubling perceptions, with descriptions of poor hospice experiences. 

Senior living and care leads healthcare bankruptcies again in first quarterMcKnight’s Senior Living; by Kathleen Steele Gaivin; 6/3/25Senior living and care bankruptcies hit a two-year high in the first quarter, increasing to seven from three in the fourth quarter of 2024. That’s the highest quarterly increase in two years, according to a new report from healthcare restructuring advisory firm Gibbins Advisors. Senior living and care bankruptcies accounted for more than 40% of total healthcare filings, according to the report. [Related] 

Bayada lays off 10% of headquarters staff, citing reimbursement challenges Home Health Care News; by Joyce Famakinwa; 6/9/25 Bayada Home Health Care — one of the largest U.S. providers of home-based care — has reduced its headquarters staff by 10%, or roughly 100 jobs. The company stated that the layoffs are the result of operating in a difficult reimbursement environment. “While Bayada is stable, strong and growing, we operate in a challenging environment where the costs of providing care are growing faster than the ability of governments and insurance companies to pay for that care,” the company said in a statement. ... Bayada provides home health, home care, hospice and behavioral health care services in 23 states, as well as in several other countries.