Literature Review

1 in 7 Medicaid users go to nursing home after cancer diagnosis, study finds McKnights Long-Term Care News; by Kristen Fischer; 3/5/25 One in 7 Medicaid beneficiaries received care at a nursing home after they were newly diagnosed with cancer, a new study finds. People who went to nursing homes were more likely to be white or Black, and dual-eligible for Medicaid and Medicare, compared to those who did not use nursing homes and primarily had short nursing home stays. The study was published Tuesday [3/4] in the Journal of the American Geriatrics Society. ... Investigators examined data from 338,767 Medicaid beneficiaries spanning 45 states who were newly diagnosed with cancer and were diagnosed with cancer in 2017 or 2018. ... The most prevalent cancer types associated with short and long stays were lung, breast and hematological.  The high number of people who are dual-eligible and going to nursing homes after a cancer diagnosis is an important policy issue, the authors wrote. 

Film: Lives well livedSecond Wave Southwest Michigan and Lives Well Lived; film by Sky Bergman; 3/6/25A Life Well Lived, a series of community meetings and learning opportunities that concludes March 15, and the documentary "Lives Well Lived," by guest speaker Sky Bergman, ... On the film's website, filmmaker Sky Berman describes, "In our society, the elderly are often overlooked. Lives Well Lived celebrates the incredible wit, wisdom, and life experiences of older adults living full and meaningful lives in their later years. Their stories are about perseverance, the human spirit, and staying positive during the great personal and historic challenges. I hope these stories inspire people of every age to achieve the longevity of both health and spirit, and to realize that growing older can be a journey to be celebrated." ... Beginning with its premiere at the Santa Barbara International Film Festival, Lives Well Lived has screened in more than 200 cities. The film has won eight awards, and the theatrical run garnered enthusiastic reviews and a 100% Fresh rating on Rotten Tomatoes. Organizations like Aging 2.0, AARP’s Movies for Grownups, Encore.org, and Leading Age have screened Lives Well Lived. Now the film is available on PBS! Editor's note: Click here for Second Wave Southwest Michigan use of this film for community outreach. Click here for the film's website, Lives Well Lived.

Palliative care clinicians goals-of-care notes more extensive than other providers’ documentation Hospice News; by Jim Parker; 3/5/25 A team of researchers has developed a standardized goals-of-care note to document patient wishes in the electronic medical record. Many patients do not experience goals-of-care conversations in a timely manner. But even among those who have, their wishes can get lost if they are not documented. The standardized note created by a research team from the Regenstrief Institute, the Indiana University School of Medicine and Indiana University Health can help health care providers be aware of and access patients’ goals of care, according to lead investigator Dr. Alexia Torke. ... The research on the note was published in the American Journal of Medicine.

Breaking bad news: Guidance on disclosing a dementia diagnosis Medscape; by Megan Brooks; 3/3/25 As biomarker testing for Alzheimer’s disease (AD) evolves, timely and compassionate disclosure of a diagnosis is more complex than ever. Yet, clinicians may struggle with how — or in some cases whether — to disclose that a patient has mild cognitive impairment (MCI) or dementia. A recent perspective offers a practical roadmap to help clinicians navigate these challenging conversations. The authors from the Perelman School of Medicine, University of Pennsylvania, Philadelphia, noted that disclosure of a dementia diagnosis “is particularly nuanced and requires a conscientious approach. Clinicians must assess patients’ understanding and appreciation of symptoms, goals for the evaluation, and desire for information.” 

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.

The Pennant Group to ramp up hospice, home health transactions during 2025 Hospice News; by Jim Parker; 2/28/25 The Pennant Group (Nasdaq: PNTG) plans to ramp up acquisitions later this year as it works to integrate assets purchased in late 2024. Among those deals was The Pennant Group’s acquisition of Signature Healthcare at Home’s hospice and home health assets for a price tag of $80 million which closed in January. The company also completed some senior living transactions. Pennant is on the hunt for more deals but will likely be more active later in the year. 

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. 

Our Hospice to add new personal care services 1010WCSI.com, Columbus, IN; 2/26/25 Our Hospice of South Central Indiana is announcing a new service to assist those in need and to help them remain in their homes as long as possible. The personal care service is meant to help provide care that can help clients remain independent. Personal care services can include daily living needs such as bathing and grooming, dressing and toileting, meal preparation, medication reminders, light housekeeping and laundry and transportation to appointments. ... The program will be in addition to existing hospice and palliative care programs provided by the non profit group. ... Our Hospice of South Central Indiana, based in Columbus, serves clients and their families in 22 counties. There are also offices in Greensburg and North Vernon.

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.

Home health, hospice CEO average pay tops $400K: report McKnights Home Care; by Adam Healy; 2/19/25 The Hospital & Healthcare Compensation Service’s newly released 2024-2025 Multi-Facility Corporate Compensation Report offered an in-depth look at home health  and hospice executives’ average earnings. The average CEO salary at a multifacility home health and hospice firm was $403,000, with the top 10% earning $603,000 and the bottom 10% making $278,000. Average salaries varied among other C-suite executives, with chief operating officers earning $247,000, top financial executives earning $265,000, and chief medical officers earning $285,000, on average, according to the report. 

Part payer, part provider: VNS Health embraces the futureHome Health Care News; by Joyce Famakinwa; 2/18/25As one of the biggest home-based care organizations in New York, VNS Health is leaning into its size and capabilities. ... “Our real challenge is, how do we leverage the large number of programs and services we already offer to ensure a seamless journey through the most difficult times in a person’s life,” VNS Health CEO and President Dan Savitt told Home Health Care News. ... "Being both a payer and provider allows us an opportunity to work with people in our community throughout their health care journey." ... "We use analytics to identify home care patients with late stage conditions who can benefit from enrollment in our advanced illness management program. Then we use analytics to determine when it may be appropriate to consider moving this patient population into hospice care." 

Americans who’ve become caregivers rose by a third in 10 years The Daily Sentinel, Grand Junction, CO; 2/14/25 A growing numbers of family members now provide care for older adults who live at home or in residential care settings, a new study shows. Their ranks increased 32%, from 18.2 million to 24.1 million, between 2011 and 2022, according to new research in the journal Health Affairs. The number of hours that these folks spent caring for older adults with dementia jumped by nearly 50%, from an average 21.4 hours per week in 2011 to 31 hours in 2022. Exactly what is driving the increase in family or unpaid caregiving is not fully understood, but researchers speculate that it may be due to a rise in the number of people who live with the folks who they assist. For the study, researchers culled data from the National Health and Aging Trends Study (NHATS) and the National Study of Caregiving (NSOC) in 2011 and 2022.  

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.