Literature Review

Why CMS’ GUIDE Model could move home care from side act to main stage Home Health Care News; by Joyce Famakinwa; 5/29/25 The Guiding an Improved Dementia Experience (GUIDE) Model might be one of the biggest steps in the right direction for recent Medicare policy. The eight-year voluntary nationwide program was launched last year by the Centers for Medicare & Medicaid Services (CMS), with the goal of supporting individuals living with dementia, as well as their unpaid caregivers. The program’s focus is more important than ever, with an estimated 6.7 million people living with dementia. This amount is expected to skyrocket to 14 million cases by 2060, according to data made available by CMS.

A ‘cloak of comfort’: an integrated approach to palliative care for cancer patients Sinai Health; 5/26/25 At Mount Sinai Hospital, palliative care is fully integrated into cancer care, providing comprehensive, person-centered support for those with advanced illness. Palliative care, derived from the Latin pallium meaning “cloak,” offers comfort and support to individuals with serious illnesses. Often misunderstood as solely end-of-life care, it actually provides relief at any stage of a life-threatening illness and can be provided in tandem with cancer treatment. This holistic approach addresses physical, emotional, and spiritual needs, aiming to improve quality of life for both patients and their families. In fact, early integration of palliative care can enhance symptom management, extend life and offer greater support to caregivers. Patients can receive care at Mount Sinai Hospital’s Cancer Care Clinic, at home through the Temmy Latner Centre’s home palliative care program, and in the palliative care unit at Hennick Bridgepoint Hospital.  

Home care workers could be a secret to savings, value-based care Modern Healthcare; by Diane Eastabrook; 5/20/25 ... About 3.9 million workers provide personal care services, such as bathing, toileting, grooming and meal preparation to patients in their homes, according to the Labor Department. While those workers don’t typically provide medical services, they often spend more time with patients than healthcare providers and can offer valuable insight into patients' conditions, said Kristen Wheeler, executive director of home care for the National Alliance for Care at Home. “They will be the first to recognize when something has changed. These caregivers can report back and are a critical part of the healthcare team," Wheeler said. ... That can lead to faster — and less costly — care. The Labor Department estimates the U.S. will need another 800,000 home care workers over the next decade as the population ages. 

Dover Hospice celebrates ribbon-cutting ceremony  The Edwardsville Intelligencer, Glen Carbon, IL; by Karla Vasquesz Mejia; 5/25/25Dover Hospice in Glen Carbon had its ribbon-cutting ceremony on the afternoon of May 19. Employees of the new center at 2 Ginger Creek Village Drive in Glen Carbon were accompanied by the EdGlen Chamber of Commerce and family members of the employees. Executive Director Page Belongy said Dover Hospice, began in St. Louis two years ago after branching out from Cedarhurst Assisted Living. 

Exploring the impact of acquisition on quality of care among US home health agenciesHealth Services Management Research; by Debra Winberg, Jillian Torres; 5/25Throughout the United States and Europe, the home health care industry is rapidly consolidating, with merger and acquisition (M&A) activity on the rise. The consolidation of the industry raises questions about the impact that diminished competition may have on the quality of care being delivered. This study examines the impact of home health agency acquisition on quality of care among a sample of 10,184 home health agencies across the United States. Utilizing publicly available data from the Outcome and Assessment Information Set (OASIS) and the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) from 2018 to 2022, this study investigates changes in clinical outcomes, organizational process measures, and patient experience. The findings suggest there is a modest 1.07 percentage point improvement in process measures post-acquisition, but no significant changes in outcome or patient experience measures among the 169 agencies that were acquired during the study period. These findings suggest that, while integration has the potential to modestly improve home health process efficiency, there is very little benefit to patients.

‘We need you to work with us’: Home health providers renegotiate better Medicare Advantage deals Home Health Care News; by Joyce Famakinwa; 5/20/25 As Medicare Advantage (MA) enrollment continues to surge, home health providers have seen slim margins deteriorate further. Some providers have openly expressed their decision to reject financially unsustainable MA contracts. Abandoning unfavorable MA contracts may sometimes be necessary, industry executives told Home Health Care News. However, some providers have improved their MA standing by renegotiating rates or returning after walking away, leveraging data and understanding the needs of payer partners. “We have walked away, in specific states, from payers and Medicare Advantage groups because of rates and the inability to raise those rates, and pre-authorization terms,” G. Scott Herman, CEO of New Day Healthcare, told HHCN. 

Home health use remains high among beneficiaries with dementia, study findsMcKnight's Home Care; by Adam Healy; 5/19/25Medicare beneficiaries who have dementia increasingly are using home healthcare, according to a new study published Friday in JAMA Network Open... Home health utilization increased by roughly 17% among beneficiaries with dementia between 2010 and 2019 and decreased slightly between 2020 and 2022, the study found. Beneficiaries with dementia were also more likely to initiate home healthcare from community-dwelling settings, rather than from post-acute care settings.

Restructuring for risk: How home-based care providers build frameworks that boost profits Home Health Care News; by Joyce Famakinwa; 5/14/25 In the home-based care world, building a business that is equipped to take on risk-based reimbursement arrangements can be easier said than done. While no simple feat, taking on risk is an attractive option that allows home-based care providers to align incentives between their organizations, payer sources and patients. Providers that have found success with risk-based agreements have done so by addressing retention challenges, investing in data and more.

Roughly 40 percent of nurses plan to leave profession within 5 years, survey finds McKnights Home Care; by Adam Healy; 5/13/25 The nursing workforce today is more stable than it was during the height of the COVID-19 pandemic, but a significant share of nurses still plan to leave the profession behind in the next five years, according to the 2024 National Nursing Workforce Survey published in the Journal of Nursing Regulation. ... Approximately 40% of RNs, LPNs and LVNs surveyed said that they planned to leave nursing sometime in the next five years. In 2022, roughly 26% of nurses said the same. The most common reasons nurses cited for wanting to leave their jobs included retirement, stress or burnout, workloads and pressures caused by understaffing, the report noted.

Dombi: At-home care providers must overcome ‘self-inflicted challenge’ to flourish Home Health Care News; by Morgan Gonzales; 5/2/25 Despite operating on razor-thin margins and facing persistent reimbursement challenges, some home-based care providers are setting themselves apart by leaning into innovation. By embracing alternative payment models, virtual health and opportunities like hospital-at-home programs, providers can save themselves from home-based care’s “self-inflicted challenge” of not capitalizing on the industry’s evolving opportunities, according to Bill Dombi, senior counsel for Arnall Golden Gregory law firm. He also formerly led the National Association for Home Care & Hospice (NAHC), which following a merger is now the National Alliance for Care at Home. While workforce shortages, potential Medicaid cuts and unsustainable payment rates threaten the industry, opportunity awaits those willing to evolve, Dombi said.

How a Butler University and Community Health Network partnership helped save 420 lives and $4.3 million Butler Stories, Indianapolis, IN; by Katie Palmer Wharton; 4/30/25 For healthcare professionals, data is more than just numbers—it is the foundation of better patient care, smarter decisions, and more efficient hospitals. But for many, data can feel overwhelming and difficult to use effectively. That’s why Butler University’s Office of Continuing and Professional Education teamed up with Community Health Network to create a hands-on professional development course that demystifies data and equips healthcare workers with practical analytics skills. Since launching in spring 2022, the program has empowered 185 Community Health Network professionals to break down data barriers, make informed decisions, and drive meaningful change in their organization. ... Armed with new data skills, Community Health Network employees built a dashboard to streamline the process. The results were nothing short of remarkable:

Understanding Conservatory Care Services: A comprehensive overview Articlescad.com; by Jonassen Randall; 4/27/25 As the population ages and healthcare requires evolve, conservatory care services have become a crucial part of the continuum of care for numerous individuals. Unlike standard medical treatment environments, conservatory care services focus on supporting people with persistent conditions or impairments, providing a holistic technique that promotes self-respect and quality of life. This short article will explore what conservatory care services entail, who can benefit from these services, and the various kinds they can take.

7-year-old Clayton girl battling stage 4 cancer enters hospice care at her home CBS-17 News, Raleigh/Clayton, NC; by Matthew Sockol, Maggie Newland, Greg Funderburg; 4/18/25 A seven-year-old girl battling an aggressive cancer has returned to her home in Clayton, her family said Friday. Noelle Franklin was diagnosed with stage four osteosarcoma less than a year ago and received treatment at UNC Children’s Hospital. In a video post on the Noelle Strong Facebook page, her mother Toni said Noelle is entering hospice care at their home. “The staff of UNC went above and beyond,” Toni Franklin said in a statement. “The care Noelle had was more than we could ask for. “Noelle has touched so many people, not just in our community, but in the hospital too,” she continued in her statement. “Seeing how many people came to celebrate Noelle breaking out overwhelmed me with joy. We paraded three different floors, wouldn’t expect anything less for Noelle. “We are home. We are at peace.”